SUPREME PARKING SERVICE 2 - 2015

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All...� ��)\ �® l-/ CERTIFICATE OF LIABILITY INSURANCE DATE (IdM /DD/YYYV) 5/29/2014 THIS CERTIFICATE IS ISSUED AS A MATTER 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ADDL INSD IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policypes) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). POLICY BOB MMrDD/YYYV PRODUCER D ZONE INSURANCE SERVICES 17208 Saticoy Street Van Nuys, CA 91406 License #:Ca license 0GO5828 CONTACT NAME. GEORGE W DIAZ HONED. EM. (818)609 -8691 rvc,nlok(818) 609 -8684 E-RAL Gdiaz @dzoneinsurance.com ADDRESS. NeuRER(9) AFFORDING DevERADR INSURERA:Western Heritage Insurance Cam 37150 INSURED Supreme Parking EACH OCCURRENCE INSURER B., State Compensa .ion Ins Fund 35076 INSURER C CLAIMS -MADE D OCCUR 7 918 De Palma INSURER D Downey, CA 90241 $ INSURER E.. RED FAR (Any one pereen) (310) 505 -0125 INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 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. lNe LTR TYPE OF INSURANCE ADDL INSD SUER ME POLICY NUMBER POLICY EFF (MMIDDIVYYV POLICY BOB MMrDD/YYYV LIMITS X COMMERCIAL GENERAL LIAEILITY EACH OCCURRENCE $ 2,000 , 000 CLAIMS -MADE D OCCUR UPARAUL 10 TEN f ED PREMISES (Ee occur coca) $ RED FAR (Any one pereen) $ 5,000 A agpO814478 05/15/201405/15 /2015 PERSONAL A ADV INJURY s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000 r 000 POLICY [::I PRO, JEC CI LOO PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER I I AurowoBlLE UABwTV - LIM I Ea accident $ 1,000,000 _ X BODILY INJURY (Per person) $ ANYAUTO A ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ _ NON-OWNEO HIRED AUTOS AUTOS R PERTYE (Per accident) $ _ 6 UMBRELLA HAB OCCUR EACH OCCURRENCE AGGREGATE $ EXCESS LIAB CLAIMS -MADE PER RETENTION $ $ I jB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEDEXECUrrvE Mandator, le H) EXCLUDED? C (Mandatory In NHI DESCRIPTION OFdOPERATIONS below N /A' 9072632 -2013 09/21/201309/21 /2014 }i STAT UTE ER E 1. EACH ACCIDENT $ 1x000,000 E.L. DISEASE - EA EP4PLOVEE $ 1 , 000 , 000 E.L. DISEASE- POLICY LIMIT $ 1,000,000 A Garage Liability agp0814478 0571-57014-05715T2015 1,000,000 Per Vehicle /ded /1000 A Garagelceepers Legal- Liability agp081.4478 05/15/201405/15 /2015 per Lot $35,000/$250,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attache l It more apace Is required) Valet Parking operations Master Parking Operator CERTIFICATE HOLDER CANCELLATION City of Santa Ana 20 Civic Center Plaza, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana, CA 92701 ACCORDANCE WITH THE POLICY PROVISIONS. 714.647.5400 AUTHORIZED REPRESENTATIVE — T O 1988 -2013 ACORD CORPORATION. All rights reserved. ACORD25(2013/04) The ACORD name and logo are registered marks of ACORD /,/,,. rLC)