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WIT'TENT-01 SJEN'KINS
<br />."� r '�►� CERTIFICATE OF LIABILITY INSURANCE DATE(MMrDDfYYYY)
<br />71512016
<br />THIS CERTIFICATE 15 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(les) 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[CONTACT
<br />Western Elite Insurance Solutions
<br />140 Diamond Creek Place
<br />Roseville, CA 95747
<br />INSURED
<br />Wittman Enterprises LLC
<br />PCI Box 269110
<br />Sacramento, CA 96826
<br />259-6900
<br />. INSURERS AFFORDING COVERAGE
<br />tNsuRERA;'✓alleywForce Insurance Company
<br />INSURERB:Contlnental In urance Compan
<br />_.__----
<br />INSURER
<br />__
<br />INSURERC Continental Casualty Comm�rany
<br />INSURERD':State Compensation Insurance Fund
<br />COVERAGES C;:PTIFICATF MI)MRFP— RF'VI1.RIC)M IJIIMRFP-
<br />206-8646
<br />a
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ESSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 />EXCLUSION'S AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />_.._... _ 1CY_E __ �. ... ----
<br />AllpLSl7@R".,"_,_, �ti?LICYEFF PCIL.ICYExp
<br />I
<br />TYPE OF INSURANCE,_.._.._
<br />LTR NSD O POLICY NUMBER (MMIDDIYYYY) MM1DDlYYYY , LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 4,000,000
<br />GIAdMS MADE X j OCCUR
<br />CNP6011'187769
<br />07101/2016
<br />0710112017
<br />DAMAGE TO TYENTEO
<br />PREMISES (Eaoccurrenea
<br />.- ... __...___..�_
<br />$ 300,000
<br />MED EXP (Anyone person)
<br />$ 10,000
<br />J
<br />ErRsONAL & ADV INJURY
<br />p $ 4,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />NERAL AGGREGATE
<br />$ 2,000,000
<br />F JECOT- [� LOC
<br />PRODUCTS COMPIOP AGG
<br />$ 2,000,000
<br />INPOLICY
<br />OTHER;:
<br />I AUTOMOBILE LIABIUTY
<br />COMBfNED SINGLE LIMIT
<br />LEa accedertik..
<br />3 $ 1,000,000
<br />i..
<br />B✓+
<br />_
<br />ANYAUTO
<br />BUA 6011187724
<br />I
<br />0710112016
<br />0710112017
<br />BODILY INJURY (Per person)
<br />$
<br />AUTEDULED
<br />AUTOS
<br />I
<br />__
<br />BODILY INJURY (Per aocldent)SeNON-OWNED
<br />I
<br />AUTOS AUTOS
<br />L
<br />PROPERTY DAMAGEHIRED
<br />(Per accidar4} ,
<br />$
<br />i
<br />9
<br />$
<br />I X
<br />_..
<br />UMBRELLALBAB
<br />X OCCUR
<br />EACHOCCURRENCE
<br />._..._..—
<br />$ 2,000,000
<br />_—
<br />�(',
<br />I
<br />I
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />CUP6011187819
<br />07101/2016
<br />07/01/2017
<br />AGGREGATE
<br />$ 2,000,000
<br />-
<br />- __
<br />DED x RETENTION $ 10,000'
<br />$
<br />WORKERS COMPENSATION
<br />STATUTE ERH.
<br />D
<br />AND EMPLOYERS' LIABILITY.....
<br />ANY PROPRIETORJPARTNE2fEXECUTIVE Y1N
<br />OFFICER/MEMBER EXCLUDED? ElNIA
<br />9161868.2016
<br />07/01/2016
<br />07/0112017
<br />E.L.ACH ACCIDENT
<br />–
<br />$ 1,000,00_0
<br />(Mandatory Irl NH)
<br />E.L. DISEASE - EA EMPLOYEd
<br />$ 1,000 000'.
<br />It yes describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY UMIT
<br />1 $ 1,000,000
<br />A
<br />Professional Liab
<br />CNP6011187769
<br />07/01/2016
<br />0710112017
<br />Each Claim/Agg 1,000,000
<br />DESCRIPTION OF OPERATIONS.I LOCATIONS I VEHICLES (AC©ftp 101, Additional Remarks Schedule., may be attached. If more spade Bs required)
<br />v
<br />. ....... . -----
<br />City of Santa Ana
<br />20 Civic Center Pia,
<br />Santa. Ana, CA 92701
<br />M
<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 />AUTHORIZEED�REPRESENTATWE
<br />�1 f
<br />C 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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