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OVERINC-01 CINDYCLARK
<br />4c� CERTIFICATE OF LIABILITY INSURANCE DAM 8128/2014V)
<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(ies) 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 endomement(s).
<br />PRODUCER CONTACT
<br />Caledonian Insurance Group, Inc.
<br />PHONE,1 206)\ 06
<br />() 232-9870 FAX 1 2 232.951.5
<br />(AIC, NoExt): 1 (AIC, No):
<br />3023 80th Ave SE
<br />Suite 300
<br />_
<br />E-MAIL
<br />ADDRESS:
<br />_
<br />Mercer Island, WA 98040-6014
<br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR ADEL R
<br />LTR SUB
<br />TYPE OF INSURANCE IN D D
<br />INSURER(S)AFFOROING COVERAGE
<br />NAICa
<br />A X COMMERCIAL GENERAL LIABILITY
<br />INSURERA:National Fire Ins. Co. of Hartford
<br />20478
<br />INSURED
<br />_INSURER _B: Transportation Insurance Co.
<br />20494
<br />OverDrive, Inc.
<br />INSURER C: Continental Casualty Co. _
<br />20443_
<br />One OverDrive Way
<br />INSURER D:
<br />1,000,000
<br />Cleveland, OH 4411I^^25
<br />GENERAL AGGREGATE $
<br />2,000,000
<br />"t x^� c�
<br />D_t.J-.�.l. a
<br />PRODUCTS-COMPIOPAGG S
<br />2,000,000
<br />OTHER.
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER:
<br />REVISION NUMBER:
<br />1,000,000
<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,
<br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
<br />THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
<br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR ADEL R
<br />LTR SUB
<br />TYPE OF INSURANCE IN D D
<br />POLICY EFF POLICY EXP
<br />POLICY NUMBER MMIDDIYYYY (MMIDDrOOOB LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE S
<br />1,000,000
<br />CLAIMS -MAGE X OCCUR X
<br />_ _.
<br />4030411637 09/03/2014 09103/2015 DAMAGE TO RENTED
<br />PREM ISES _(Ea occunence__S
<br />500,000
<br />MED EXP (Anyone person) S
<br />15,000
<br />PERSONAL B ADV INJURY $
<br />1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />GENERAL AGGREGATE $
<br />2,000,000
<br />POLICY PRO-
<br />JECT LOC
<br />PRODUCTS-COMPIOPAGG S
<br />2,000,000
<br />OTHER.
<br />$
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT $
<br />1,000,000
<br />_
<br />(Ea accident)
<br />B X ANY AUTO
<br />4030411671 09/03/2014 09/03/2015 BODILY INJURY (Per person) S
<br />ALL OWNED SCHEDULED
<br />_ AUTOS AUTOS
<br />BODILY INJURY (Per accident) $
<br />_
<br />X X WN -OWNED
<br />PROPERTY DAMAGE S
<br />HIRED AUTOS AUTOS
<br />(Per accident)
<br />5
<br />X UMBRELLA LIAB X OCCUR
<br />EACH OCCURRENCE S
<br />10,000,000
<br />C EXCESS LIAB CLAIMS -MADE
<br />4030411587 09/03/2014 09/03/2015 AGGREGATE $
<br />10,000,000
<br />DED X RETENTION$ 10,000
<br />S
<br />WORKERS COMPENSATION
<br />PER OTH-
<br />AND EMPLOYERS' LIABILITY YIN
<br />STATUTE ER
<br />ANY PROPRIETOMPARTNERIEXECUTIVE
<br />E.L. EACH ACCIDENT S
<br />OFFICERIMEMBER EXCLUDED' NIA
<br />❑
<br />- -
<br />(MandatorylnNH)
<br />EL. DISEASE - EA EMPLOYEE S
<br />If yes, describe under
<br />-----------------
<br />DESCRIPTION OF OPERATIONS below
<br />EL.DISEASE - POLICY LIMIT S
<br />A Professional Liab
<br />4030411637 09/03/2014 09/03/2015 Deductible -$500,000
<br />10,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD
<br />101, Additional Remarks Schedule, may be allached if more space i§(e�I"retlL
<br />City of Santa Ana, its officers, agents and employees
<br />d�.
<br />are additional insured as required by written con[racll�k1l0.0.4u44aYf�4f(j Ment.
<br />Silvia Cuevas
<br />P CSAIAdrnin.
<br />ana.0 anra1q: P1q-3q Od 9Ln a lk L'\Lei 0
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<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 />©1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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