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A4,
<br />N Ili CERTIFICATE
<br />f OF LIABILITY INSURANCE
<br />10/2/2014 Y)
<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 Pollcy(les) must he 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 endorsements,
<br />PRODUCER
<br />Tutton Insurance Services, Inc.
<br />2913 S Pullman Street
<br />License #0$89376
<br />Santa Ana CA 92705
<br />MACT
<br />N ME:
<br />PH °NE . (949)261 -5335 F, q, (9 491 2 5 1 -1911
<br />E
<br />ADDRESS
<br />INSURI AFF CHIDING COVERA BE
<br />MAC#
<br />_
<br />INSURERA;Traveler,3 Casualty Insurance
<br />19046
<br />INSURED
<br />Reprographics Fax Group, Intl
<br />DB.A: C3 Office Solutions
<br />1565 -C MCI Avenue
<br />Irvine CA 92614
<br />INSURER S:Travelera Property Casualty
<br />4
<br />.- ..�_
<br />INSURER C
<br />_5_6_7,.
<br />INSURERD..^
<br />INSURER E:
<br />$ 2,000,000
<br />INSURERF:
<br />11 COMMERC1uL GENERAL LABILITY
<br />CLAl14IS MAGE QOCCOR
<br />COVERAGES CERTIFICATE NUMBER:14 -15 GL /BA /WC REVISION NUMBER:
<br />THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUR ED 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.
<br />T
<br />TYPE OF INSURANCE
<br />D
<br />R
<br />POLICY NUMBER
<br />POLICY BF
<br />MMIDO/Y Y
<br />O CY %P
<br />M 901 YY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />A
<br />11 COMMERC1uL GENERAL LABILITY
<br />CLAl14IS MAGE QOCCOR
<br />5849B91177714
<br />/23/2014
<br />F /23J201b
<br />hIGIHI RNIED
<br />Fe .:. nool
<br />PREMISES «o
<br />$ 300,OOC
<br />MED EXP (AnV one person)
<br />$ 5,000
<br />PERSONAL dADV INJURY
<br />$ 2,000,000
<br />„•,•
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />GEHL A00REGATE
<br />LIMrr PPPLIES PER'.
<br />PRUGUCTn - C'CIVII AGO
<br />$ 4,000,000
<br />' POLICY
<br />_
<br />PRO- 7 L4r;
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />Ea COMEMED PJN Lc LI 1
<br />1,000,000
<br />A
<br />X
<br />AN AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUT03
<br />8985991914
<br />/23/2014
<br />/23/2015
<br />BODILY INJURY {Per person)
<br />$
<br />BODILY INJURY (Per aoeklern)
<br />$
<br />O
<br />HeIEDP.VTQS' AAUTOO`M IEO
<br />POs Aden DAhSAIE
<br />,P
<br />Medrcat a Y.Y5
<br />$ 5 000
<br />UMBRELLA LIAR
<br />00,:UR
<br />EACH OCCURRENCE
<br />$
<br />E%OESSLIAB
<br />CLAIMS -MALE
<br />ACCRECATE
<br />$
<br />DEG I I RETE:NI'ION_3
<br />B
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'LIABILITY YIN
<br />ANY PROPPIETORIPARTNERCHFOUTIVE
<br />Of'RCER /MEMBER EXQ UDED'r Lj
<br />(Mandatory In NH)
<br />It yyna, dosoriha undm'
<br />DESDRIPTION OF OPERATIONS 0e14a,
<br />NIA
<br />UB4039TS8114
<br />10/2/2014
<br />0/2/2015
<br />$ WC. ST,IIU.- OTH-
<br />E
<br />E. L. EACH ACCIDENT
<br />$ 1 000 C00
<br />EL DISEASE - EA EMPLOYEE
<br />1,000,000
<br />EL. DISEASE- POLICYLINIIT
<br />$ 11000,000
<br />DESCRIPTION OF OPERATIONS I LOCATI OW I VEHICLES III ACORD 101, Additional Remarks Schedule, If more apace Is required)
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional
<br />insured per attached forms CGT4911158, CGD037 0405 & ILT400 1209
<br />App, VED Fsb '' O k'��idl
<br />_. L1SA �• STOROK
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<br />(2010/05)
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />Tutton /KASZLA
<br />ACORD CORPORATION. All Hohts reservnd.
<br />INS0251201005r0+ The ACORD name and logo are registered marks of ACORD
<br />I
<br />
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