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CERTIFICATE OF LIABILITY INSURANCE
<br />DATF(OMMMM/20 "
<br />/D15 16
<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
<br />ACT Risk Services Central, Inc.
<br />Chicago IL Office
<br />CONTACT
<br />NAME:
<br />LIMITS
<br />PHONE
<br />(866) Ex<) C866) 283 -]122 AIC. No 800 - 363 -0105
<br />EMAIL
<br />ADDRESS:
<br />200 East Randolph
<br />Chicago IL 60601 USA
<br />INSURERIS) AFFORDING COVERAGE
<br />NAICa
<br />INSURED
<br />INSURERA: ACE American Insurance Company
<br />22667
<br />SP Plus Corporation
<br />central Parking Corporation
<br />central Parking System Inc.
<br />INSURER B: National union Fire Ins CO of Pittsburgh
<br />19445
<br />INSURER C: Commerce & Industry Ins Cc
<br />19410
<br />2401 21st Ave. South, Ste 200
<br />Nashville TN 37212 USA
<br />INSURER D: Lexington Insurance Company
<br />19437
<br />INSURER E: ACE Property & casualty insurance Co.
<br />20699
<br />INSURER F: Federal Insurance Company
<br />20281
<br />COVERAGES CERTIFICATE NUMBER: 570056591189 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 CONTRACTOR 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADD
<br />INSD
<br />DER
<br />MO
<br />POLICY NUMBER
<br />P I YEFF
<br />MM /DDI1'YYY
<br />P I EXP
<br />MMIDDMr1'Y
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />XSLG
<br />EACH OCCURRENCE
<br />$1,750,000
<br />SIR applies per policy ter
<br />is & Condi
<br />ions
<br />MAGE TORE TED
<br />$1,750,000
<br />CLAIMS -MADE ❑% OCCUR
<br />PREMISES Ee occurrence
<br />MED EXP (Any one person)
<br />Excluded
<br />PERSONAL& ADV INJURY
<br />$1,7510
<br />GEN'LAGGREGATE LIMITAPPLIES PER
<br />GENERAL AGGREGATE
<br />$1,750,000
<br />POLICY ❑ E0. XX
<br />PRODUCTS - COMPIOPAGG
<br />$1,750,000
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />ISA H08829603
<br />01/01/2015
<br />01/01/2016
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$2,000,000
<br />BODILY INJURY (P., parson)
<br />X ANYAUTO
<br />BODILY INJURY (Per accldenp
<br />X ALLOWNED SCHEDULED
<br />AUTOS AUTOS
<br />NON -OWNED
<br />PROPERTY DAMAGE
<br />X HIREDAUTOS
<br />AUTOS
<br />Per mOdant
<br />caragakaapars Limit
<br />$2,000,000
<br />C
<br />X
<br />UMBRELL4LIAB
<br />X
<br />OCCUR
<br />BE19961770
<br />01/01/2015
<br />01/01/2016
<br />EACH OCCURRENCE
<br />$25,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE
<br />$25,000,000
<br />DEB I X
<br />I RETENTION $10,000
<br />A
<br />WORKERS COMPENSATION AND
<br />WLRC48137933
<br />0110112015
<br />01/01/2016
<br />X I PER STATUTE I OTH-
<br />ER
<br />EMPLOYERS' LIABILITY YIN
<br />ADS
<br />EL EACH ACCIDENT
<br />$1,000,000
<br />A
<br />ANY PROPRIETOR I PARTNER I EXECUTIVE
<br />F9
<br />NIA
<br />SCFC48137957
<br />01/01/2015
<br />01/01/2016
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />wi
<br />E.L. DISEASE -EA EMPLOYEE
<br />$1,000,000
<br />If yes, descrlbe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$1,000,000
<br />B
<br />Misc Liab Cvg
<br />023173357
<br />01/01/2015
<br />01/01/2016
<br />Occurrence
<br />$1,000,000
<br />Crime
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />RE: Location No. 61053, 61054, 61056, 61057, 61058. The City of Santa Ana and its officers, agents and employees are included
<br />as Additional Insured in accordance with the policy provisions of the General Liability policy.
<br />A Waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General
<br />Liability policy. Insurance charges will include all applicable premiums and costs, as well as retained exposure charges
<br />established by the Named insured.
<br />O
<br />2
<br />d
<br />N
<br />J
<br />v
<br />U
<br />CERTIFICATE HOLDER CANCELLATION i
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />City of Santa Ana AUTHORIZED REPRESENTATIVE I
<br />Community Development Agency j
<br />Sant Contract Administrator I � ` '� ,�I$
<br />PO Box 1988, M -25 CC�Jf/6
<br />Santa Ana CA 92702 USA s6veuD rtl
<br />P �
<br />©1980 O D b O. TIO .A mgit'_hts reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD LOSS �_. c qey
<br />Pysls�ant C1tY g I
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