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4�RO® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM / °° YYY)
<br />U1/01/2014
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Aon Risk Services Central, Inc.
<br />Chicago IL office
<br />CONTACT
<br />NAME:
<br />PNONE FAX 800- 363 -0105
<br />(g66) 283 -7122
<br />INC. No. Ext): INC . No.:
<br />200 East Randolph
<br />Chicago IL 60601 USA
<br />E -MAIL
<br />ADDRESS:
<br />INSURER(5) AFFORDING COVERAGE
<br />NAIC9
<br />INSURED
<br />INSURER A: National union Fire Ins CO Of Pittsburgh
<br />19445
<br />SP Plus Corporation
<br />Central Paring Corporation
<br />Central Parking System Inc.
<br />INSURER B: ACE American Insurance Company
<br />22667
<br />Commerce & IndUStr SU
<br />INSURER C: Ins CO
<br />Y
<br />19410
<br />2401 21st Ave. South, Ste 200
<br />Nashville TN 37212 USA
<br />INSURER D: Federal Insurance company
<br />20281
<br />INSURER E: XL Insurance America Inc
<br />24554
<br />Excluded
<br />INSURER F: Liberty Insurance Underwriters, Inc.
<br />19917
<br />COVERAGES CERTIFICATE NUMBER: 570052519690 REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
<br />LTR
<br />TYPE OF INSURANCE
<br />INSIR
<br />WVD
<br />POLICY NUMBER
<br />(POLICY EFF MWODIYYYY
<br />MMIDDNYYY
<br />LIMITS
<br />B
<br />GENERAL LIABILITY
<br />XSLG
<br />EACH OCCURRENCE
<br />$1,750,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ❑X OCCUR
<br />SIR applies per policy terns
<br />& condi
<br />ions
<br />q AG TOREN ED
<br />PREMISES (Ea occurrence
<br />$1,750,000
<br />MED EXP(Any one person)
<br />Excluded
<br />PERSONAL B ADV INJURY
<br />$1,750,000
<br />GENERAL AGGREGATE
<br />$1,750,000
<br />LAGGREr7,1EM1! APPLIES
<br />PER
<br />PRODUCTS - COMPIOP AGO
<br />$1,750,000
<br />7 POLICY PRO- X
<br />Or F
<br />LOC
<br />e
<br />AUTOMOBILE LIABILITY
<br />ISAH03815434
<br />01/01/2014
<br />01/01/2015
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$2,000,000
<br />BODILY INJURY (Par person)
<br />X ANY AUTO
<br />X ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />X HIRED AUTOS NON -OWNED
<br />AUTOS
<br />BODILY INJURY (Per accident)
<br />PROPERTY DAMAGE
<br />Peracciben0
<br />Our aga keep. re Limit
<br />$2,000,000
<br />C
<br />X
<br />UMBRELIA LIAR
<br />I x
<br />OCCUR
<br />SE034545056
<br />01/01/2014
<br />01/01/2015
<br />EACH OCCURRENCE
<br />$25,000,000
<br />EXCESS LIAR
<br />I
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$25,000,000
<br />DED I X
<br />RETENTION $10,000
<br />B
<br />e
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS'LIABILITY YIN
<br />ANY PROPRIETOR/ PARTNER I EXECUTIVE
<br />OFFICERIMEMBER EXCLUDED?
<br />NIA
<br />WLRC47874750
<br />ADS
<br />SCFC47874762
<br />01/01/2014
<br />01/01/2014
<br />O1 /O1 2015
<br />01/0172015
<br />WC STATU- OTH-
<br />X TORY LIMITS ER
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />/Mandatory in NH)
<br />wi
<br />Ifyes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$1,000,000
<br />A
<br />Mfsc List Cvg
<br />017205111
<br />01/01/2014
<br />01/01/2015
<br />Occurrence
<br />$1,000,000
<br />Crime
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, R more space is required)
<br />RE: Location No. 072 -0480 to 072 -0484. Insurance charges will include all applicable premiums and costs, as well as retained
<br />exposure charges established by the Named Insured. The City of Santa Ana and its officers, agents and employees are included
<br />as Additional insured in accordance with the policy provisions of the General Liability policy.
<br />A waiver of Subrogation is granted in favor of certificate Holder in accordance with the policy provisions of the General
<br />Liability policy. APPROVED AS TO FORM
<br />CERTIFICATE HOLDER
<br />Assistant City Attorney
<br />city of Santa Ana
<br />Community Development Agency
<br />Attn: Contract Administrator
<br />PC Box 1988, M -25
<br />Santa Ana CA 92702 USA
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />©1988.2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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