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``� °e CERTIFICATE OF LIABILITY INSURANCE
<br />6 /g /2015VVV)
<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 endorsement s).
<br />PRODUCER
<br />CONTACT Juan Ramos
<br />NAME:
<br />(A/C."No Exit (310) 393 -9477 FAX (310)393 -7196
<br />White and Company Insurance Inc.
<br />GENERAL LIABILITY
<br />AD06E .jramos @whitecoinsurance.com
<br />P G BOX 70
<br />INSURERS AFFORDING COVERAGE
<br />NAIC P
<br />INSURER A:Federal Ins Co
<br />20281
<br />Santa Monica CA 90406 -0070
<br />INSURED
<br />Intratek Computer Inc N- 2015 -106
<br />INSURER B :HiscoX
<br />INSURER c:Hartford Accident and Indemnit
<br />36001449
<br />INSURER D:
<br />/2015
<br />9950 Irvine Center Drive
<br />INSURER E
<br />MED EXP(Any one person)
<br />$ 10,000
<br />INSURER F:
<br />$ 2,000,000
<br />Irvine CA 92618
<br />COVERAGES CERTIFICATE NUMBER 14 -15 gl, ba, wc, tm1b, pro 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 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 />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MIDDNYYV
<br />POLICY EXP
<br />MM DDIVVV
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ®OCCUR
<br />36001449
<br />12/31/201412/31
<br />/2015
<br />DAMAGE TO RENTED PREMI ES Ea occurrence
<br />$ 1,000,000
<br />MED EXP(Any one person)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 2,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE
<br />LIMIT APPLIES PER
<br />PRODUCTS- COMP /OP AGO
<br />$ 2,000,000
<br />X POLICY
<br />PRO LOC
<br />DEDUCTIBLE
<br />$ 1,000
<br />AUTOMOBILE
<br />LIABILITY
<br />E� eE N D SINGLE LIMIT
<br />1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />A
<br />ANY AUTO
<br />ALL OWNED X SCHEDULED
<br />AUTOS
<br />AUTOS NON OWNED
<br />HIRED AUTOS X OAUTOS
<br />73582560
<br />720ECZN9710
<br />12/31/201412/31
<br />10/29/201910/29
<br />/2015
<br />/2015
<br />X
<br />BODILY INJURY (Per accident)
<br />$
<br />Parra.identDAMAGE
<br />$
<br />DEDUCTIBLE
<br />$ 1,000
<br />X
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />AGGREGATE
<br />$ 10, 000, 000
<br />A
<br />EXCESS LIAR
<br />CLAIMS MADE
<br />DED I X I RETENTION$ 10, 00C
<br />RETENTION
<br />$ 10,000
<br />79890455
<br />12/31/2014
<br />12/31 /2015
<br />*
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR /PARTNER /EXECUTIVE ❑
<br />/MEMBER
<br />OFFICER EXCLUDEDP
<br />(Mandatory in NH)
<br />It yes, describe under
<br />N / A
<br />71719716
<br />12/31/2014
<br />12/31/2015
<br />X WC STATU- I I OTH-
<br />MITS
<br />E.L. EACH ACCIDENT
<br />S 1 000 000
<br />E.L. DISEASE EA EMPLOYER
<br />S 11000, 000
<br />DESCRIPTION OF OPERATIONS below
<br />E,L, DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />B
<br />Professional Liability
<br />032 62 94 52.14
<br />9/28/2014
<br />9/28/2015
<br />Policy Limit (Aggregate) $2,000,000
<br />(E &O)
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
<br />City of Santa Ana, its officers, agents, volunteers, and employees are named as Additional Insureds per
<br />form 80- 02- 2000(Rev.4 -01), attached to General Liability Policy-
<br />*30 *30 days notice except for 10 days notice of cancellation for non ){. '1i�0 FORM
<br />Jos andoval�
<br />CERTIFICATE HOLDER CANCELLATIOW,,"11"' ». - - -' --------- '
<br />ACORD 25 (2010/05)
<br />INS025 (201005).01
<br />© 1988.2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92701
<br />Juan Ramos /JAR �'--a—
<br />ACORD 25 (2010/05)
<br />INS025 (201005).01
<br />© 1988.2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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