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A °® CERTIFICATE OF LIABILITY INSURANCE
<br />3/19/2014YY)
<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 />The Empire Company
<br />10201 Trademark St., Suite D
<br />P.Q. BOX 5400
<br />Rancho Cucamonga CA 91729
<br />CONTACT Erica Hornada
<br />NAME: y
<br />476 -0600 1 NC NO: (009)4/6 -0601
<br />— ,,..,.,hornaday @empire- co.com
<br />INSURERS AFFORDING COVERAGE
<br />NAICN
<br />INSURER A:Sentinel Insurance Company, LTD
<br />11000
<br />INSURED
<br />Rosenow Spevacsk Group, Inc.
<br />309 W. Fourth Street
<br />Santa Ana CA 92701
<br />INSURER B:Hartford Accident and Indemnity
<br />22357
<br />INSURER C:Underwriters Lloyds of London
<br />INSURER D:
<br />INSURER E :
<br />$ 1,000,000
<br />INSURER F:
<br />X COMMERCIAL GENERAL LIABILITY
<br />COVERAGES CERTIFICATE NUMBER:2014 /2015 Updt Master 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.
<br />INSR
<br />TR
<br />TYPE OF INSURANCE
<br />ADDLB
<br />BR
<br />POLICYNUMBER
<br />MMI�DIYYYY
<br />MMIDDYYYY
<br />LIMITS
<br />20 Civic Center Plaza M -25
<br />GENERAL LIABILITY
<br />Santa Ana, CA 92702,��
<br />Erica Hornaday /ERICA
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />_GA9AGE TO —RENTED
<br />PREMISES Ea occurence
<br />$ 1,000,000
<br />A
<br />CLAIMS -MADE ®OCCUR
<br />72SBAAB6040
<br />3/1/2014
<br />3/1/2015
<br />MED EXP(Any one person)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREG7JLE1MIT
<br />APX SLPER :
<br />EO
<br />PRODUCTS AGG
<br />$ 2,000,000
<br />$
<br />POLICY
<br />PRO
<br />AUTOMOBILE LIABILITY
<br />CND SINGLE LIMIT
<br />O
<br />1,000 000
<br />BODILY INJURY (Per person)
<br />$
<br />A
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS
<br />72SBAAH6040
<br />3/1/2014
<br />3/1/2015
<br />BODILY INJURY (Per accldent)
<br />$
<br />Ps�accitlant DAMAGE
<br />$
<br />X HIIREDSAUTOS X AUTOSWNED
<br />X
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />AGGREGATE
<br />$ 2,000,000
<br />A
<br />EXCESSLIAB
<br />CLAIMS -MADE
<br />DED X RETENTION$ 10,00
<br />$
<br />72SBAAB6040
<br />3/1/2014
<br />3/1/2015
<br />B
<br />WORKERS COMPENSATION
<br />X' I WC S1 77 OTH-
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR /PARTNER /EXECUTIVE YIN
<br />E . EACH ACCIDENT
<br />$ 1,000,000
<br />MFIGERIMEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />NIA
<br />72WECEQ9740
<br />3/1/2014
<br />3/1/2015
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />C
<br />Errors & Omissions
<br />I140953
<br />/1/2014
<br />3/1/2015
<br />LIMIT 2,000,000
<br />Claims Made; Retro 3/1/95
<br />DEDUCTIBLE 10,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
<br />City of Santa Ana as Successor Agency to the former Community Redevelopment Agency, The City of Santa
<br />Ana, the Housing Authority of the City of Santa Ana, and their officers, employees, agents and volunteers
<br />are named as Additional Insured with primary and non - contributory wording with respect to the general
<br />liability per forms IH12001185T & SS00080405 attached.
<br />CERTIFICATE HOLDER CANCELLATION
<br />(714)647 -6549 kgerardo @ santa - ana.org
<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 />City of Santa Ana as
<br />Successor Agency to the former
<br />AUTHORIZED REPRESENTATIVE
<br />Community Redevelopment Agency
<br />20 Civic Center Plaza M -25
<br />Santa Ana, CA 92702,��
<br />Erica Hornaday /ERICA
<br />ACORD 25 (2010/05)
<br />INS025o, m
<br />©1988 -2010 ACORD CORPORATION. All rights reserved.
<br />Th. ArfnPn name and Innn am oaniolamd rnar&a of Arr1Rr1
<br />
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