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250112
<br />A r� 1 ®
<br />A10...aJr1 /-1 CERT9 FICATE OF LIABILIII'Y INSURANCE
<br />OATE
<br />6/30/2014
<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 certlNcatD holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION 15 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 t0 the
<br />certificate holder In Ileu of such endorsement(s).
<br />PRODUCER
<br />Wells Fargo Insurance Services USA, Ind,
<br />CA 001 LID. #DD08408 (916) 589.8000
<br />-10940 White Rock Road, 2nd floor
<br />Rancho Cordova, CA 95670-6076
<br />N CUJACT Tracy Dolan
<br />_
<br />PHONE 916589-8153 FAX, 877 611-1971
<br />1.°t
<br />0' ArcNs)
<br />�-----------
<br />MAIL
<br />A�OR�Sa; _tracy,doanQwelsfargo.Com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAI"
<br />_INSURER A; Valley Forge Insurance Company
<br />20508
<br />INSURED
<br />Wittman Enterprises, LLC
<br />PO Box 269110
<br />Sa cramonto, CA 95826
<br />INSURER BNational Fire Insurance Company of Hartford
<br />20476
<br />INSURER I Continental Casualty Company
<br />20443
<br />INSURER D :
<br />5 2,000,000
<br />_
<br />INSURERS:
<br />$ 300,000
<br />INSURER P ;
<br />$ 10,000
<br />nnvcnun_cc Y:CRTIFIr-ATP NIIMPl 791534U REVISION NUMBER: BOB below
<br />v THIS IS TO CERTIFY THAT THE 0LIC158 OF INSURANCE LISTED 85LOW 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 15 SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCEDBYPAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE _
<br />DOC
<br />POLICY NUMBER
<br />SFPOLICYY17
<br />POI ICYYYYY
<br />LIMITS
<br />A
<br />X COMMERCIAL OENERALLIASILITY
<br />CLAIMS-MADEEXI OCCUR
<br />84034864035
<br />7/1/2014
<br />7/1/2015EACH
<br />OCCURRENCE
<br />5 2,000,000
<br />PREMIS9211 400 r� 1
<br />$ 300,000
<br />MED EXP (Any one person
<br />$ 10,000
<br />PERSONAL A ADV INJURY
<br />S 2,000,000
<br />GEML AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />PRODUCTS _COMPIOP AOG
<br />$ 4,000,000
<br />X POLICY [ JEC LOC
<br />_
<br />$
<br />OTHER:
<br />AUTOMOBILE LIABILITY
<br />B40124B7490
<br />7/1/2014
<br />711/2015
<br />COMBINED SINGLE LIMIT
<br />$ 1.000,000B
<br />BODILY INJURY (Per person)
<br />_X - ANYAUTO
<br />BODILY INJURY (Per aooldenl)
<br />$
<br />ALL OWNED SCHEDULED
<br />AUTOS __ AUTOS
<br />NON-OWNED
<br />X HIRED AUTOS x AUTOS
<br />PRO PER TY DAMAGE
<br />er 9cldent
<br />--
<br />$
<br />$__
<br />G,
<br />x UMBRELLALIAB
<br />X
<br />OCCUR
<br />84034664083
<br />7/1/2014
<br />7/1/2015
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />W_2,000,000
<br />z,000,000 __
<br />$
<br />EXCESS LIAO
<br />CAMS MADE
<br />__
<br />DED x NTION$ 10,000
<br />RETE
<br />S
<br />WORKERS COMPENSATION
<br />AND EMPLOYER5'LIABILITY YIN
<br />ANY PROPRIETORIPARTNEWEXECUTIVE El
<br />OFFICERIMEMaER EXCLUDED?
<br />(Mandalary In NH)
<br />NIA
<br />PER Thl-
<br />STATUTEER
<br />E.L. EACH ACCIDENT_
<br />E.L. DISEASE: EA EMPLOYEE
<br />$
<br />E.L, DISEASE -POLICY LIMIT
<br />_
<br />S
<br />fps desoribe under
<br />DESCRIPTION OF OPERATIONS below
<br />„_
<br />C
<br />Prof Liability
<br />596A78165
<br />07/U1/2014
<br />07/01/2015
<br />$t,000,000rS2,00oA0o
<br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLE5 (ACORD 101, Additional Ramar6%Schedule, Indy be sdachad If mom %page Is mgalmd)
<br />Corllticate holder named additional insured per attachad form.
<br />"10 day notice applies If cancelled for non-payment of premium.
<br />6 et 7 �7
<br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />1439 Broadway ACCORDANCE WITH THE POLICY PROVISIONS,
<br />Santa Ana, CA 92701
<br />AUTBORI2ED REPRESENTATIVE
<br />Tho hd.00h name and Indo ara maistered marks of ACORD © 1988.2014 ACORD CORPORATION. All rights reserve
<br />ACORD 25 (2014101) IIII IIIIIIIII II IIIA IIIIIIIII fillIIIINIIIIIIN '❑YmnMGM0020ROM7000W
<br />
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