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<br />A� Ra CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DD/YYYY)
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />4/22/2015
<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(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 Phone No.: (212)488-0200
<br />Fax No.: (212)488-0220
<br />CONTACT
<br />NAME:
<br />PHONE
<br />X
<br />Wc,ro,E>q IAG,roI:
<br />Frenkel &Company
<br />350 Hudson Street -4th Floor
<br />New York, NY 10014
<br />ADDRESS;
<br />CPRODUCER
<br />USrVAE„B*
<br />INSURERISIAFFORDING COVERAGE
<br />NeC0
<br />INSURED
<br />INSURERA', HCC SPECIALTY UNDERWRITER, INC
<br />11243
<br />INSURER B: GREAT NORTHERN INSURANCE COMPANY
<br />20303
<br />Momentum Worldwide
<br />INSURER C: ACE PROPERTY AND CASUALTY INSURANCE COMPANY
<br />20699
<br />A Subsidiary of the Interpublic Group of Companies, Inc.
<br />INSURER D', CHUBB INDEMNITY COMPANY
<br />12777
<br />444 N. Michigan Ave - Suite 1700
<br />INSURER E: FEDERAL INSURANCE COMPANY
<br />20281
<br />Chicago, IL 60611
<br />Attn: Joe Davis
<br />INSURER F: ALTERRA EXCESS & SURPLUS INSURANCE COMPANY
<br />33189
<br />NUMaEN:
<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 />LTR
<br />TYPE OF INSURANCE
<br />ADO.
<br />IOBR
<br />ME
<br />POLICY NUMBER
<br />POLICY
<br />MMIDDAEFF
<br />POLICY EXPYN"I
<br />UMRS
<br />A
<br />GENERAL LIABILITY
<br />X
<br />U14/7005142
<br />1/1/2015
<br />1/1/2016
<br />EACH OCCURRENCE $ 3,000,000
<br />X
<br />OMMERCIAL GENERAL LIABILITY
<br />DAMAGE TO RENTED $ 1,000,000
<br />PREMISES(Be occurrence
<br />CLAIMS MADE M OCCUR
<br />MED EXP (Any one person) $ Excluded
<br />PERSONAL & ADV INJURY $ 3,000,000
<br />GENERAL AGGREGATE $ 3,000,000
<br />1r�
<br />�q.l�
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />PRODUCTS-COMP/OP AGG $ 3,000,000
<br />PRO- — -
<br />POLICY JECT LOC
<br />,r,I
<br />VY�
<br />\�
<br />$
<br />B
<br />AUTOMOBILE LIABILITY
<br />X
<br />3582348 `j
<br />1/
<br />1/1/2016
<br />COMBINED SINGLE LIMIT
<br />(Ee accldem) $ 2,000,060
<br />ANY AUTO
<br />ALL OWNEDAY'�HIREDSAUTOS SCHEDULED
<br />__
<br />AUTOS
<br />NON -OWNED
<br />�I--I AUTOS
<br />n
<br />V
<br />S\��\aP
<br />�',
<br />(+
<br />�RIJ
<br />n
<br />a
<br />"\�•L__
<br />BODILY INJURY(Per person) $
<br />BODILY INJURY (Per accitlenl)$
<br />PROPERTY DAMAGE $
<br />(Per accitlenp
<br />$
<br />C
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />G27637978
<br />1/1/2015
<br />1/1/2016
<br />EACH OCCURRENCE $ 2,000,000
<br />AGGREGATE $ 2,000,000
<br />EXDE$$LIAB
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />$
<br />D
<br />E
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORIPARTNEMEXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? ❑
<br />tMendisk, In NH)
<br />N/A
<br />71743641 (AOS)
<br />71743642 (HAWAII)
<br />1/1/2015
<br />1/1/2015
<br />1/1/2016
<br />1/1/2016
<br />WC STATU- H -
<br />X TORY LIMITS ER
<br />EL EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE -EA EMPLOYEE $ 1,000,000
<br />E. L. DISEASE -POLICY LIMIT $ 1,000,000
<br />Ifyasdescribe under
<br />ION OFOPS IO B oebw
<br />F
<br />PROPERTY FLOATER "ALL RISK"
<br />MAX61M0047580
<br />1/1/2015
<br />1/1/2016
<br />Replacement Cost
<br />$500,000 — In -Transit Be Occur
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atdch ACORD 101, Additional RemNhs Schedule, dmom space b required)
<br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702; its officers, employees, agents and volunteers are included as Additional insureds as required by
<br />contract with respect to Iiahilily arising out of the operations of the Named Insured as their interest may appear and subject to the policy terms and conditions. This policy is
<br />primary and is not additional to or contributing with any other insurance as required by contract.
<br />Event: U.S. Army Strength in Action Zone - Cinco Be Mayo @ Calle Custro
<br />Date(s): May 1st thru May 3rd, 2015
<br />Location: Fourth Street Corridor in downtown Santa Ana, CA (Corner of 4th St. & N. Main - Santa Ana, CA 92701)
<br />30 DAY CANCELLATION CLAUSE INCLUDED
<br />CERTIFICATE HOLDER CANCELLATION
<br />@ 1988'-2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana, CA
<br />20 Civic Center Plaza
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS
<br />PO Box 1988 M-16
<br />AUTHORIZED REPRESENTATIVE 2
<br />Santa Ana, CA
<br />Attn: Finance & Management Services Agency
<br />@ 1988'-2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />
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