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,G►e' RbP CERTIFICATE OF LIABILITY INSURANCE <br />06i(04 2019 <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 Ileu of such endomement(s). <br />PRODUCER <br />CONTACT KENNY CHOI <br />NAME: <br />INSURANCE LAND INSURANCE SERVICES <br />�CNEO 1,213- 388 -5505 aCNO:213- 388 -7148 <br />4032 WILSHIRE BLVD <br />EMAIL <br />INSURANCELAND@SBCGLOBAL. NET <br />ADDRESS: <br />STE 309 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />LOS ANGELES CA 90010 <br />INSURERA:COLONY INSURANCE COMPANY <br />$ 5,000 <br />INSURED <br />INSURER B; EMPLOYERS PREFERRED INSURANCE <br />A <br />XANADU SERVICE SYSTEM, INC. <br />INSURER C: INTEGON PREFERRED INSURANCE <br />INSURER D : <br />3660 WILSHIRE BLVD. SUTIE 506 <br />GENERAL AGGREGATE <br />2,000,000 <br />INSURER E: <br />LOS ANGELES CA 90010 <br />1 INSURER F: <br />___$_ <br />PRODUCTS - COMP /OPAGG <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />S <br />ILTR <br />TYPE OF INSURAN CE <br />ADOL <br />IN <br />INSIR <br />SUER <br />MD <br />POLICY NUMBER <br />POLICY SEE <br />MMIDDNYYY <br />POLICY EXP <br />MM/DDNYYY <br />LIMITS <br />GENERALLIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 14 OCCUR <br />GL4136354 <br />09/15/2014 <br />09/15/2015 <br />EACH OCCURRENCE <br />A RE ED <br />PREMISES Ea occurrence <br />$ 11000,000 <br />$ 100,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />S 1,000,000 <br />A <br />GENERAL AGGREGATE <br />2,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER', <br />___$_ <br />PRODUCTS - COMP /OPAGG <br />$ 11000,000 <br />POLICY PRO- LOO <br />_- <br />$ <br />AUTOMOBILE <br />LIABILITY <br />2003172588 <br />06/04/2015 <br />06/04/2016 <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />C <br />_ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />HIREDAUTOS NON -OWNED <br />_ AUTOS <br />PROPERTY DAMAGE$ <br />Per accitlent <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />_ <br />$ <br />EXCESSLIAB <br />CLAIMS -MADE <br />DEB RETENTION$ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY ECUTIVE� <br />OFFICER /MEMBEER EXCLUDED? <br />NIA <br />EIG 1663447 02 <br />04/02/2015 <br />04/02/2016 <br />WCSTATU- OTH- <br />9SY_LN <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE -EA EMPLOYE <br />'- -' <br />$ 11000,000 <br />(Mandatory In NH) <br />es, d scope under <br />E.L. DISEASE - POLICY LI MIT <br />$ I 000 00 <br />U SCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) <br />eA <br />V <br />CERTIFICATE HOLDER IS AS AN ADDITIONAL INSURED. F;e'Ve" \�P/ <br />>000�0000' <br />CERTIFICATE HOLDER CANCELLATION laQ <br />CLERK OF THE COUNCIL <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />CITY OF SANTA ANA <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE Wl;H J POLICY PROVISIONS. <br />20 CIVIC CENTER PLAZA (M -30) <br />AUTHORIZED REPR ENTATI E <br />SANTA AN CA 92701 <br />,,, <br />© CORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered a s of ACORD <br />