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123486
<br />,A$COR ®® CERTIFICATE OF LIABILITY INSURANCE
<br />DA10/27/2014YY1
<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 pollcy(les) must be endorsed. It 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 />Commercial Lines - (415) 541 -7900
<br />Wells Fargo Insurance Services USA, Inc. - CA Uc #: OD08408
<br />45 Fremont Street, Suite 800
<br />CONTACT
<br />PHONE —__ _-
<br />-E MAi�`A'b' -'-- - LtArc No):
<br />ADDRESS:
<br />_ _ _____ __ _____ _
<br />- -�A
<br />_ _ __ INSURER�AFFDROIND COVERAGE _____ ___
<br />NAICp _
<br />San Francisco, CA 94105 -2259
<br />INSURERA, ACE American Insurance Company
<br />22667__
<br />_
<br />INSURED
<br />ABM Onsite Services - West, Inc.
<br />INSURER ACE ProQrty and Casuall�lns. Co.
<br />_
<br />20.699__
<br />INSURER C:
<br />_
<br />_pPREMISE6 g.qq; a e __
<br />an ABM Industries Incorporated Company
<br />INSURER D:
<br />_
<br />INSURER E: "-------------- - - - - -- "-
<br />-_ - -_
<br />1775 The Exchange SE, Suite 600
<br />---- - --_ -- --- _ - - --�- --
<br />INSURER F
<br />_— _
<br />Atlanta, GA 30339
<br />COVERAGES CERTIFICATE NUMBER' 6333039 REVISION NUMBER: See below
<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 />- --
<br />TYPE OF INSURANCE
<br />AOULISUB
<br />POLICYNUMSER
<br />PULI F
<br />(MMIDONYYYI
<br />IMAVDDIYYYYI
<br />LIMITS
<br />A
<br />X
<br />_
<br />COMMERCIAL GENERAL LIABLITY
<br />_
<br />_� CLAIMS -MADE n OCCUR
<br />XSLG27339177
<br />11/0112014
<br />11l01/2tl15
<br />EACH OCCURRENCE
<br />$ 2000,000
<br />_
<br />_pPREMISE6 g.qq; a e __
<br />_
<br />$2,000,000
<br />MED EXP (Any one person) _
<br />$ _ Excluded
<br />X
<br />$1,000,000 SIR
<br />X I
<br />xcu
<br />PERSONAL &ACV INJURY
<br />$ X000.000
<br />GEN'L AGGREGATE LIMIT APPLIES PER;
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />X POLICY PRO- PRO- LOC
<br />J
<br />__.....- ____,.___..._.._.._
<br />PRODUCTS- COMP/OPAGG
<br />S 2,000,000
<br />-
<br />S -- -
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />ISAH08829779
<br />11/0112014
<br />11/01/2015
<br />E MB14eDSINGLE LIMIT
<br />so
<br />$ 5'oog000
<br />BODILY INJURY (Per person)
<br />$
<br />X
<br />ANY AUTO
<br />X
<br />ALL OWNED SCHEDULED
<br />AUTO5 AS UT
<br />-- - " " - --
<br />BODILY INJURY (Per accident)
<br />$ — " "-� - - "—
<br />X
<br />PROPERTY DAMAGE
<br />SPar of IrLdenl
<br />$
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />$
<br />X
<br />UMBRELLA UAB
<br />X
<br />I OCCUR
<br />XOOG27636184
<br />11/01/2014
<br />1110112015
<br />EACHOCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />EXCESS LAID
<br />CLAIMS -MADE
<br />oED X RETENT I ON If 25,000
<br />- -- ^ "-
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETOP/PARTNERIEXECURVE
<br />OFFICERIMEMBER EXCLUDED? �N
<br />(Mandatory In NH)
<br />NIA
<br />WCUC48138378
<br />CA- $1,000,000 SIR
<br />OH WA OR IL MI - $500K SIR
<br />11/01/2014
<br />11!011'2015
<br />X srarure ER
<br />"- ---- '- " "'- --
<br />E.l_EACH ACCIDENT_
<br />S i• •0�
<br />E. L. DME_AS_E - -EA EMPLOYEE
<br />$ t00opoo
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />_
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000.000
<br />A
<br />Professional Liability
<br />G23645233009
<br />11/01/2014
<br />11101/2016
<br />sS000,000 Enchcnlm
<br />$5,000,000 Ainx s.ca
<br />$1,000,000 Retention
<br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD an, Addlaonal Remark* Schedule, may be attached ll more sim" is required)
<br />Job #3733 Jobsits: Parks, Recreation & Community Services Agency City of Santa Ana 20 Civic Center Plaza, Santa Ana, CA.
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insureds as respects general liability as
<br />required by written contract with the Named Insured. If required by the written contract or agreement with said additional insureds, this insurance shall be
<br />primary insurance to any other insurance available to said insured covering the same loss. Such other insurance available to said additional insureds shall
<br />be excess to and non - contributing to this insurance. Thirty (30) days written notice of cancellation or non - renewal shall he given to the additional insured(s)
<br />in the event of cancellation of the general liability, automobile liability, workers' compensation and umbrella policy(ies).
<br />City of Santa Ana
<br />Attn: Silvia Cuevas
<br />20 Civic Center Plaza m -23
<br />Santa Ana, CA 92701
<br />Reviewed by'. 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 />/
<br />S(IVIa CUPVaS ,j..a^ AUTHORIZED REPRESENTATIVE
<br />PRCSA /Admin. r l`
<br />ACORD name and Joao are realstered marks of ACORD © 1988.2014 ACORD CORPORATION. All rights reserve
<br />ACORD 25 (2014101) 111111111111111111 IN 1111 111 IN 11111111111111111111111111111111111111111111111111111
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