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:-� - 2 Olt - ¢►coria � CERTIFICATE OF LIABILITY INSURANCEa7z M 4/80/2014 THIS CERTIFICATE IS ISSUED AS A MATSER 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 INSUREIII AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT.. If the certificate holder Ism ADDITIONAL INSURED, the policy(les) must be endorsed. If SUEROGAT70N iS WAIVED, subject to the terms and conditions of the pollcy, certain policies may require an endorsement. A statement on this ce111fioate does not confer rights to the cortlticate holder In lieu of such endorsement(s). RRooucERUUM The VanWagner Group, a Division of SterlingRisk 135 Crossways mark Drive, P.O. Box 9017 NA dE: Kenndb Brodsky PHONE MET, a 1:596 4T7- c ree:888-2980 aDDREss: dsklStStt Dgdj ren )MLMc-ra{s}AFr_oR MCOVWACE NAICV oodbury, NY 11797 INSURER .AAce 7 GENERAL LWBLnY I'SURED REACH -3 INSURER a: INSURER C: Reach Employee Assistance, Ina Dr. Marcus Dayhof€ 650 North Rose Drive #350 NSURERo: - -- -- _ INSURERE: Placentia, CA 92870 INSURER F; ......u. -- iF COVERAGES CERTIFICATE NUMBER: 1.265414929 REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLIOI99 OF INSURANCE LOW HAVE EEN ISSUED TO THE INSURED N M A. L. 0D INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO M.ICH 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. 6dSR TYPEOFINSURANCE WL sUsRPOLICY I POLICY EFF NJMBER POLICY (MMIDO:.. UI GENERAL LWBLnY Y N . M 149446 W 172094 1702015. EACH OCCURRENCE $1,00. 000 COMMERCIAL GENERAL UABILTTY CLAIMS -MADE KOCCUR iF .5 PREMISES. eananoe o _ 5100,000 MEDEXP{Myoreperron)4 PERSONAL& ADV iN.URY $9000000. GENERAL AGGREGATE. ._ $3,0001000 GEN'L AGGREGATE UNIT APPLIES PER: PRODUCTS-COMP/OP AGG $9,009000 "' 'a $ POLICYY. PRO- LOC & rJ el *�`�-�.T $I'J AUTOMOBIIa LIABILITYIs amident BODILY INJURY (Per Penson) $ ANY AUTO ALL OWNED SCHEDULED pyo $,$ �' J'"+ BODILY IN,URY(Pereccident) WIRED AUTOS NONTOS -OANED AUTOS P Y AMAGE Perecadent $ UMBRELLA LIAR" OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCES$UA9 CLAIMS AMIE DED I I RETeNTlON$ $ WORKERS COMP84SATION7Y AND EMPLOYERS' LIABILITY YIN ANY FROPRIETORIPARTNEROEWTIVE� IAS9R Q R E.L. EACH ACCIDENT $ OFFICERIMEMSER EXCLUDED'! NIA (Mandatory in NPO E,L. DISEASE-EAEMPLOYEE $ If s, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ PrOrerdonal Liability Y N WM 149440 172014 U1712016 Each Incident $1,0001000 Aggregate $3,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (Attach ACORO 901, Additional Remarks Schodulo, it more space is squired) City cf Santa Ana is included as additional insured wfh respects to vvork performed by, or on behalf of the Named Insured. rPR"mrATP wni nPR CANCELLATION e 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2014105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Employee Benefits M-34 / Attn: Kathy Crook ACCORDANCE W" 741E POLICY PROVISIONS. P.O. BOX 1986 Santa Ana, CA 92702-1988] AUTHORIZED REPRESENTATIVE e 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2014105) The ACORD name and logo are registered marks of ACORD