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acorra� CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM)DOIYYYY) <br />3/28/2016 <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the policy(les) must he endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain pollcles may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsemont(s). <br />PRODUCER <br />CONTA:CT Trend Certificate Coordinator <br />J rVA aE <br />_ _ <br />_(ALC.tld.EXtl: f I-�l <br />pHO,yE (214) S93-5505f���[Pnx Nal 1a141 ss3-ssas <br />NC <br />ROBERTS & CROW, INC. <br />12221 Merit Drive <br />Suite 300 <br />Dallas _ _-TX 75251 <br />r <br />EMAIL '--- <br />INSURIET I AFFORDING CtlVERAGE <br />NAICN <br />INSURER A:Teohncrlogy Insurance Co., _Inc. <br />_ <br />42376__ <br />INSURED <br />E: <br />Trendsetter BE, LLC <br />_INSURER <br />INSURER C:_— <br />L/C/F All City Management Services, Inc. <br />INSURER D; <br />2701 Sunset Ridge Drive, Suite 500 <br />INSURER III <br />Rockwall TX 75032 <br />INSURER P: <br />_ <br />COVERAGES CERTIFICATE NUMBERAII City Manacterront REVISIONNUMRER- <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 />PNSRI <br />LTRI <br />y <br />TYPE OF INSURANCE <br />FObL <br />sleRj"`— <br />I <br />POLICY NUMBER <br />IMM OOY <br />(MMIOON"Y1 <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />- <br />CLAIME MADE L I OCCUR <br />1 <br />_ EACH OCCURRENCE <br />D1M1tAGC ORENTCD <br />PREN't"S <br />S <br />A <br />MED EXP (Any one terror) <br />_ ., <br />$ <br />PERSONAL&ADV INJURY <br />$ <br />I <br />jlj <br />_-,__ __.__ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$ <br />POLICY) jJECT JI LOC <br />PRODUCTS - COMPIOP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />' <br />( <br />COMBINED SINGLE LIMIT <br />Ed BINE %7 <br />$ <br />BODILY INJURY (Perpersan) <br />_ <br />§ <br />ANY AUTO <br />_ <br />_ <br />ALL OWNED — SCHEDULED <br />AUTOS __ AUTOS <br />HIRED AUTOS . AUTOSWNED <br />I <br />f <br />( <br />BODILY INJURY (Per <br />( <br />$ <br />_. <br />PROPERTY OM1NIAGE -_ <br />er_avn!i_._ _ <br />_- -,-„ <br />$- <br />---- <br />UMBRELLA UAB <br />OCCUR <br />I <br />I <br />EACH OCCURRENCE <br />i $_ <br />CLAIMS-A4AOE� <br />' <br />AGGREGATE <br />EG <br />TENTION$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' UASILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE YfN <br />OFFICENMEMBER EXCLUDED? I N1 <br />{Mandatory;. NH) - <br />p9ea,deader <br />NIA <br />TWC3346735-Taxed <br />TWC3546729 - Other Than TX <br />4/1/301614/1/2017 <br />4/1/2016 <br />4/1/2017`E <br />X STATUTOTH- <br />1 I, E,_.... ER <br />I EL. EACH ACCIDENT__$ <br />1000,000 <br />L. DISEASE - EA EMPLOYE <br />$_ 11000,000 <br />i('EL DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTIONTIONOOF OPERATIONS helnw <br />ft <br />Location Coverage Period <br />4/1/2016 <br />f 4/1/2017 <br />li <br />I <br />Cilent#331371 <br />DESCRIPTION OF OPERATIONS) LOCATIONS l VEHICLES (ACORD 101, Additional Rerruka Sahedole, eney be attached if more speoe I.moadrid) <br />Coverage in provided for only those employees leased to but not subcontractors of All City Management <br />Services, Inc. <br />City of Santa Ana <br />60 Civic Center Plaza <br />Santa Ana, CA 92702 <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 />Crow/JRT <br />all rinHen .nenn,..A <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ,7 <br />IN5025 mmAnu Y/'t e. A. <br />� li <br />