INSURE PREOTECTIVE SECURITY - 2015

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Policy Number: Date Entered: 9/25/2014 16.1 ® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDOIYVYV) 9/25/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT ASL Insurance Services 3533 North Verdugo Road Glendale, CA 91208 INSURED 8)957-3366 INSURER(S) AFFORDING COVERAGE ERA;SCottsdale Insurance Company ER B: State Compensation Insurance Fund Insure Protective Security Inc. INSURER C: 1260 North Hancock Steet Suite# 102-D INSURER D: Anaheim, CA 92807 - -- - - I.-- -- INSUREflE. COVERAGES CERTIFICATE NUMBER: RFVISION NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Santa Ana, CA 92701 INTq TYPE OFINSURANCE ADDL SNBfl POLICY NUMBER MMDID/VYYY MMIDO/YVYV LIMITS A COMMERCIAL GENERAL LIABILITY 1-1 1 EACH OCCURRENCE 1, 000, 000 _ J CLAIMS -MAGE �,. OCCUR /� �OP51992289 9/23/2014 /23/2015 _ _ OAMAGETO RENTED - PREMISES Ga occurrence) _$ $ 100, 000 ERRORS & OMISSIONS MED EXP (Anyone person) $5,000 _ $ 1, 000, 000 PERSONAL & ADV INJURY GEN 'L AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $3,000,000 JECT LOC POLICY ::1PRO- Ef i, '',s3,000,000 PRODUCTS AGO .. _. .OTHER: �`'°°;1 ) $ AUTOMOBILE LIABILITY �y "p'' `I COMBINED S INGLE LIMIT (Ea accldenlL $ _ $ ANY AUTO Qnn-1\�! /"'/ / ` BODILY INJURY (Per person) ALLOWNED SCHEDULED AUTOS AUTOS \'v 6//1jd�'J /a5 BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS '` G�` .,ry .(Y�\` PROPERTY DAMAGE Per accident) $ \`• UMBRELLA LIAR OCCUR !'„J EACH OCCURRENCE $ EXCESS LIAR C_LAIMS_MADE P� AGGREGATE $. DEO RETENTION$ $ WORKERS COMPENSATION PER DTH - AND EMPLOYERS' Y N STATUTE ER R ❑'. ANY PROPRIETOR/PARTNER/EXECUTIVE RTNER/EXECUTIVE NIA 9100826-14 5/28/2014 5/28/2015 E.L. EACH ACCIDENT 1 000000 $,, OFFICER/MEMBER EXCLUDED? (Mandatoryln NH) I' ----- E.L. DISEASE- EA EMPLOYEE __- $ 1, 000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is reelulmd) The City of Santa Ana, it's officers, employees, agents, and representative are included as additional insured on the General Liability policy with respects to the operation of the named insured only. * Except 10 day notice of cancellation for non—payment of premium. CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Parks, Recreation and Community Services Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE A JAIME LUGO © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Plus software. www.FormsBoss.com', Impressive Publishing 800-208-1977