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Client#: 1514175 <br />306ALLCITYM <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />1 <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />04/28/2028120IY5 <br />15 <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 <br />CONTACT Nysa Gallegos <br />BB&T-Knight Insurance Services <br />PHONE gy$ 662-4234 877-297.9262 <br />Exi : A/C, Nc <br />535 N. Brand Blvd. 10th Floor <br />E MAILo, <br />ADDRESS: NGallegos@bbandt.com <br />Glendale, CA 91203 <br />818 662-4200 <br />INSURERS) AFFORDING COVERAGE NAIC 8 <br />INSURER A: Tokio Marine Specialtylnsuranc 23850 <br />INSURED <br />INSURER B: National Union Fire Ins Co of P 19445 <br />All City Management Services Inc <br />INSURER C: Depositors Insurance Company 42587 <br />10440 Pioneer Blvd # 5 <br />Santa Fe Springs, CA 90670 <br />INSURER D: <br />MED EXP (Any one person) <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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 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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTRR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />INSR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDM'VY <br />POLICY EXP <br />MM/DD/YVYV LIMITS <br />A <br />GENERAL LIABILITY <br />X <br />X <br />PPK1316352 <br />4/01/2015 <br />04/01/2016 EACH OCCURRENCE $2,000000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGET RENTED <br />PREMMI3SEE9S Ea occurrence $100 000 <br />­'www <br />CLAIMS -MADE OCCUR <br />MED EXP (Any one person) <br />PERSONAL &ADV INJURY $1,000000 <br />GENERAL AGGREGATE $2,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGO $2,000,000 <br />7'L <br />POLICY TVFRCLOC <br />ECT <br />$ <br />O <br />AUTOMOBILE <br />LIABILITY <br />X <br />ACP7825954504 <br />12/21/2014 <br />12/21/201E COMBINED SINGLE LIMIT <br />Eaaccident t1,000,000 <br />X <br />ANY AUTO <br />BODILY INJURY (Per person) $ <br />ALL OWNED SCHEDULED <br />AUTOS AU <br />BODILY INJURY ( Per accitlenl) $ <br />X <br />HIRED AUTOS NON -T08 OWNED <br />X <br />PROPERTYDAMAGE $ <br />AUTOS <br />Per accident <br />$ <br />B <br />X <br />UMBRELLA LIAB <br />)( <br />OCCUR <br />BE065159478 <br />4/01/2015 <br />04/01/2016 EACH OCCURRENCE $$000000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE __$8,000,000 <br />DED I X RETENTION$0 <br />$ <br />WORKERS COMPENSATION <br />Not Applicable <br />WCSTLTIU- OTH- <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVEV/N <br />E.L. EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? <br />N/A <br />(Mandatory In NH) <br />E.L. DISEASE -EA EMPLOYEE $ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E , DISEASE- POLICY LIMIT $ <br />�T <br />Not Applicable <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) <br />As respects General Liability and required by written contract; Certificate Holder is named as additional <br />insured. Insurance is Primary & Non -Contributory. Waiver of Subrogation applicable. <br />Certificate Holder Completed to Read; City of Santa Ana, it's officers, employeesa volunteers and <br />respresentatives. <br />City of Santa Ana <br />20 Civic Center Plaza, M29 <br />Santa Ana, CA 92702 <br />ACORD 25 (2010/05) 1 of 1 <br />#S14100117/M13973666 <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 />AUTHORIZED REPRESENTATIVE <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />NNGON <br />