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NECCORP -01 ESPINESENMI
<br />A�o�tz r° CERTIFICATE OF LIABILITY INSURANCE
<br />D TE `
<br />3t3112015
<br />3131 /20/6
<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(ios) 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 andorsement(s ).
<br />PRODUCER
<br />CONTACT
<br />NA E•
<br />Wills of Texas, Inc.
<br />c/o 26 Century Blvd
<br />_ _
<br />PHONE .677) 945.7376 Fnrx, Nof� i666) 467.2376 _....
<br />Ar
<br />E -MAIL
<br />ADDRE. S;,,,,
<br />P,O. BOX 305191
<br />Nashville, TN 37230.5191
<br />-._ _ -,_„_^ _,,.T_„_.........
<br />INSURER(S) AFFORDING COVERAGE NAICq
<br />INSURER A: Travelers Indemnity Co. GfAmerica 25666
<br />MsURED
<br />INs,RERa: mvGIGm Property Casualty Company of America 25674
<br />NEC Corporation of America, Inc.
<br />INSURER C: Travelers Property Casualty insurance Company 3$161
<br />_
<br />INSURER D: Charter Oak Fire Insurance Connpan 25615
<br />6535N State "161
<br />Irving, TX 75039
<br />_..... _
<br />INBUREft E :_
<br />INSURER F:_
<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 />IN TYPE OF INSURANCE A POI -ICY NUMBER POLCYEFF i POLICY LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ $ 1,000,000
<br />CLAIMS -MADE P11 OCCUR X X HK- GLSA - 16206431- IND -15 04/0112015 04/01/2016 DAM c01,,rn ,,,,
<br />$ 300,000
<br />MED EXP(Any one person) $ 10,00
<br />PERSONAL a ADV INJURY W $ 1,000,00
<br />GEN. AGGREGATE LIMIT APPLIES PER GENERALAGOREGATE $ 2,000,00
<br />POLICY El PRO- JECT 1:1 LOD PRODUCTS - COMP/OP AGO $ 1 ,000,0
<br />OTHER: $
<br />AUTOMOBILE LIABILITY COMBINED SINGLE LIM $ 1,000,DD
<br />fja ecMtleni) _
<br />B X I ANY AUTO X X HRO- US- 4E339258 -15 0410112015 04/0112016 BODILY INJURY IF person) $
<br />U
<br />ALLOVJNEO SCHEDULED BODILY NJRYPeraccltlonl $
<br />AUTOS AUTOS ( _ )
<br />NON OWNED P PERTY DAMAG
<br />HIRED AUTOS AUTOS -Tv accceno _
<br />X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,00
<br />B Excess una _ CLAIMS -MADE X X HSMJ- CUP- 162D642A -TIL75 04/01/2015 04/0112018 AGGREGATE a 5,000,00
<br />DEC X R E'rl N$ 10,000 IZA
<br />WORKERS COMPENSATION P R AND EMPLOYERS'LIABILIT' YIN X STATUTE tin ANY PROPRIETOR /PARTNEWEXECUTIVE X UB- 162D644.3.14 0410112015 04101 /2016 E.L. EACH ACCIDENT OFFICERIMEMSER EXCLUDED? �N /A OUndiaory in NN) EL. DISEASE- EAEMPDESCRIPTION OF OPERATIONS below F., L. DISEASE - POLICY
<br />D Workers Compensation HRO- UB4E399258.15 04/01/2015 0410112016 See Attached:
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD tai, Additional Ramerka Schedule, may be a @ached If mare space is requirod)
<br />The City of Santa, 20 Civic Center Plaza, Santa Ana, California, its Officers, Employees, Agents, and Volunteers are Included as Additional Insured with regard
<br />to liability and defense of suits arising from the operations and uses performed by or on behalf of the Named Insured. With respect to bodily injury or property
<br />damage claims arising out of the operations performed by or on behalf of the Named Insured, such insurance as Is afforded by this policy is primary and is
<br />not additional to or contributing with any other insurance carried by or for the benefit of the Additional Insured provided claims that give rise are from the
<br />Named Insured Is negligence and arising out of operations performed for the City of Santa Ana. This insurance applies separately to each insured against
<br />whom claim is made or suit is brought except with respect to the company's limits of company's limits of liability. The inclusion of any person or organization
<br />as an Insured ahall not affect any right which such person or organization would have as a claimant If not so included.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE NTH THE POLICY PROVISIONS.
<br />The City of Santa Ana,
<br />its Officers, Agents and Employees AUTHORIZED REPRESENTATIVE
<br />Attn: Carl Marek
<br />PO Box 1986
<br />Santa Ana. CA 92702
<br />1968'- y2�n {�'y�v* POtiA At r. h erved.
<br />ACORD 25 (2014101) The ACORD name and logo are registers A ACORD - ,
<br />LISA mkomoy I
<br />ASStstant C
<br />
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