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<br />A� " CERT !LATE OF LIABILITY INSUR ICE
<br />DATE (MMIDDIYYYY)
<br />10/27/2014
<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(les) 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 />Commercial Lines - (415) 541 -7900
<br />Wells Fargo Insurance Services USA, Inc. - CA Lich: OD08408
<br />CONTACT
<br />NAME:
<br />PHONE FAX
<br />AIC-N.. EW, _ A/C NO
<br />EMAIL
<br />ADDRESS:
<br />AFFORDING COVERAGE
<br />NAIC0
<br />45 Fremont Street, Suite 800
<br />_
<br />INSURERA _ ACE American Insurance Company
<br />22667
<br />San Francisco, CA 94105 -2259
<br />INSURED
<br />INSURER B: ACE Property and Casualty Ins. Co.
<br />20699
<br />ABM Onslte Services— West, Inc.
<br />INSURER C:
<br />$ 2,0Dg000
<br />an ABM Industries Incorporated Company
<br />INSURER D;
<br />INSURER E:
<br />_
<br />1775 The Exchange SE, Suite 600
<br />INSURER F:
<br />Atlanta, GA 30339
<br />COVERAGES CERTIFICATE NUMBER: 8333639 REVISION NUMBER: See below
<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 />AUDL
<br />D
<br />SU BR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MMIDDIYYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />F-171 OCCUR
<br />CLAIMS -MADE
<br />XSLG27339177
<br />11101/2014
<br />11/0112015
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />DAMAGE T -RENTED
<br />PREMISES (Ea occurrence )
<br />$ 2,0Dg000
<br />MED EXP(Any one person)
<br />$ Excluded
<br />X
<br />$1000, 000 SIR
<br />X
<br />_
<br />XCU
<br />_
<br />PERSONAL B ADV INJURY
<br />$ 2,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />X
<br />POLICY El PRO LOC
<br />JECT
<br />PRODUCTS - COMP /OP AGG
<br />$ 2,000,000
<br />_
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />ISAH08829779
<br />11/01!2014
<br />11/01/2015
<br />COMBINED SINGLE LIMIT
<br />_tEa accident)-,
<br />$ s,DOO,DOo
<br />x
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />x
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY(Paraccident)
<br />$
<br />_
<br />x
<br />PROPERTY DAMAGE
<br />Per accident)
<br />$
<br />NON -OWNED
<br />HIRED AUTOS x AUTOS
<br />___
<br />B
<br />X
<br />UMBRELLA LIAR
<br />I x
<br />IOCCUR
<br />XOOG27636184
<br />11101/2014
<br />11/01/2015
<br />E_ACH OCCURRENCE
<br />$ 5,000,000
<br />_
<br />AGGREGATE
<br />$ 5,000,000
<br />EXCESS LIAB_
<br />CLAIMS -MADE
<br />_
<br />DED x RETENTION $ 25,000
<br />$
<br />'4
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS'LIABILITY YIN
<br />ANY PROPRIETOR/ PARTNER /EXECUTIVE
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />N I A
<br />WCUC48138378
<br />CA_$1000,000 SIR
<br />OH WA OR IL MI - $500K SIR
<br />11/01/2014
<br />11/01/2015
<br />x PER OTH-
<br />STATUTE
<br />_ -.. ____ER
<br />E.L. EACHAC_CIDENT
<br />$ 1,000,000
<br />E.L. DI_ti_EASE -EA EMPLOYEE
<br />1 000,000
<br />$
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />_
<br />1.000,000
<br />$
<br />A
<br />Professional Liability
<br />G23645233009
<br />11101/2014
<br />11/01/2015
<br />$5,000, 000 Each claim
<br />$5,000,000 Aggregate
<br />$1,000,000 Retention
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltlenal Remarks Schedule, may be attached If more space Is required)
<br />Job #3733 Jobsite: Parks, Recreation & Community Services Agency City of Santa Ana 20 Civic Center Plaza, Santa Ana, CA.
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insureds as respects general liability as
<br />required by written contract with the Named Insured. If required by the written contract or agreement with said additional insureds, this insurance shall be
<br />primary insurance to any other insurance available to said insured covering the same loss. Such other insurance available to said additional insureds shall
<br />be excess to and non - contributing to this insurance. Thirty (30) days written notice of cancellation or non - renewal shall be given to the additional insured(s)
<br />in the event of cancellation of the general liability, automobile liability, workers' compensation and umbrella policy(ies).
<br />City of Santa Ana
<br />Attn: Silvia Cuevas
<br />20 Civic Center Plaza m -23
<br />Santa Ana, CA 92701
<br />Reviewed by:
<br />Silvia Cuevas
<br />PRCSAIAdmin' 1
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />gr L
<br />006R11 The ACORD name and logo are registered marks of ACORD © 1988.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD25(2014 /01) 11111111111111111111 IN 11! 11 IN 11111111111111111111111111111111111111111111111111111
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