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A °® CERTIFICATE OF LIABILITY INSURANCE
<br />FDAT
<br />2015rrr)
<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 "10o� 0/¢JTIRAQT�BET HEN 7WE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. f U ff "" ri F 7.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poliey(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an er�dfTdrh� A,etRt @@Spent on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s). ,w f1 YV ��JA �1 `,'' 'rr
<br />PRODUCER
<br />The Empire Company
<br />550 North Park Center Drive -
<br />Suite 205
<br />Santa Ana CA 92705
<br />NAM i a P]9- .,4adalsy`..�,
<br />PHONE Fax
<br />o _'1..ehornaday @empire -co. com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />INSURERA:Sentinel Insurance Com an LTD
<br />11000
<br />INSURED
<br />Rosenow Spevacek Group, Inc.
<br />309 W. Fourth Street
<br />Santa Ana CA 92701
<br />INSURERa:Hartford Accident and Indemnit
<br />22357
<br />INSUR5RC:Vnderwriters Llo ds of London
<br />INSURER O:
<br />INSURER E
<br />$ 1,000,000
<br />INSURER F:
<br />$ COMMERCIALGENERAL LIABILITY
<br />COVERAGES CERTIFICATENUMBER:2015 /2016 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 REDUCyyED BY PAID CLAIMS.
<br />SR
<br />R
<br />TYPEOP INSURANCE
<br />ADOL
<br />JNSJR
<br />MD
<br />POLICYNUMBER
<br />MMIOO�IYYYV
<br />MMIObIYYYY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />$ COMMERCIALGENERAL LIABILITY
<br />DAMA
<br />PREM SE EaoccEe ce
<br />$ 1,000,000
<br />A
<br />CLAIMS -MADE ®OCCUR
<br />72HeAAg7019
<br />1/1/207.5
<br />1/1/2016
<br />MED EXP Anyone arson
<br />$ 10,000
<br />PER90NAL &ADV INJURY
<br />$ 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEHL AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS- COMPIOP AGO
<br />$ 2,000,000
<br />$
<br />POLICY PRO. X LOC
<br />JFr.T
<br />AUTOMOBILE
<br />LIABILITY
<br />ND
<br />E . Ido.,BINGLE LIMIT
<br />1 000 000
<br />BODILY INJURY(Per parson)
<br />$
<br />A
<br />X
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />728BAR97019
<br />1/1/2015
<br />1/1/2016
<br />BODILY INJURY(Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per e..c art
<br />$
<br />X
<br />UMBRELLA LIAR
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />AGGREGATE
<br />$ 2,000,000
<br />A
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />pED }t RETE TION 10,00
<br />$
<br />72SBAAQ7019
<br />1/1/2015
<br />1/1/2016
<br />B
<br />WORKERS COMPENSATION
<br />X WC STATU OTH-
<br />ER
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNERIEXECUINE VIN
<br />E,L, EACH ACCIDENT
<br />$ 1 000 000
<br />OFFICERIMF.MBER EXCLUDED?
<br />(Mandatory In NH)
<br />NIA
<br />72WECVK8727
<br />1/1/2015
<br />1/1/2016
<br />E.L. DISEASE -EA EMPLOYE
<br />$ 1. 000 000
<br />It yes, dessrlbe under
<br />DESCRIPTION OF OPERATIONS below
<br />E1. DISEASE - POLICY LIMIT
<br />$ 1 000 000
<br />C
<br />Errors & Omissions
<br />1151153
<br />5/1/2015
<br />/1/2016
<br />LIMIT 2,000,000
<br />Claims Made; Retro 3 /1/95
<br />DEDUCTIBLE 10,000
<br />DESC RIPTION OF OPERATIONS I LOCATION S I VEHIC LES (Attach ACORO 101, Additional Remarks Schedule, If Inure apace le 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 form SE00080405 attached.
<br />kgerardo @santa- ana.org
<br />City o£ Santa Ana as
<br />Successor Agency to the former
<br />Community Redevelopment Agency
<br />20 Civic Center Plaza M -25
<br />Santa Ana, CA 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />Hornaday /ERICA' "`tQO�F"t -��-
<br />INS02R mm nnsr m Thn AC11011 nom. —jr! Innn ore ronidnrwd mar4a n4 ArY1Rn .n .� f
<br />R n O � }� ��r G Be_r flC
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