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BOYS & -2 OP ID: 9G
<br />`' ° CERTIFICATE OF LIABILITY INSURANCE DATE(OM2'12 15
<br />�►_. -- "'" 0710 212 01 5
<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: It 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 />PRODUCER
<br />)ntario Property & Casually
<br />lays of California Ins, Serv.
<br />1200 E, Concours, Suite 350
<br />Its
<br />Sanam Parvizi
<br />250 N Golden Circle Suite 104
<br />Santa Ana, CA 92705
<br />909- 243.5116
<br />INSURER(S) AFFORDING COVERAGE I NAIL#
<br />INSURER A: NY Marine & General Ins Co 15505
<br />INSURER E _ Great American Insurance Co. 16691
<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 CR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED
<br />HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />LTR TYPE OF INSURANCE INSR POLICY NUMBER IMNI (MMODVYYY1
<br />LIMITS
<br />GENERALUASILITY
<br />EACH OCCURRENCE $ 1,000,00
<br />B X COMMERCIAL GENERAL LIABILITY X PAC4614128 02111/2016 02/1112016
<br />FREMI aomu ence S 100,00
<br />CLAIMS.MADE ❑OCCUR
<br />S .. ............................... 5,000
<br />_PERSONAL &ADV INJURY $ 1,000,000
<br />X IMM /3MM
<br />GENERAL AGGREGATE $ 3,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP /OP AGO 3 3,000,000
<br />POLICY F7 PRO LOG
<br />$
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT 100,000
<br />Ea accident _„
<br />B ANY AUTO X CAP4614129 02111/2016 02/11/2016
<br />BODILY INJURY (Par person) $
<br />ALLOVvNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident) $
<br />X X NON OWNED
<br />PROPERTY DAMAGE $
<br />FIIREO AUf05 AUTOS
<br />PERACCIDENT _.._
<br />$
<br />UMBRELLA LIAe OCCUR
<br />EACH OCCURRENCE S
<br />EXCESS LIAR CLAIMS -MADE
<br />AGGREGATE 3
<br />DEC RETENTION $
<br />$
<br />WORKERS COMPENSATION
<br />WC STATU- OTH
<br />AND EMPLOYERS' LIABILITY YIN
<br />A ANY PROPRIETORlPARTNERIEXECUTIVE WC201500005688 0610112015 06[0112016
<br />E,L. EACH ACCIDENT $ 1,000,040
<br />OFFICER /MEMBER EXCLUDED? ❑ N 1A
<br />(Mandatory In NH)
<br />E.L DISEASE- EA EMPLOYES $ 11000,000
<br />If yae, describe under
<br />DE6 RIPTION OF OPERATIONS below
<br />EL DISEASE- POLICYLIMIT $ 1,000,000
<br />B Property PAC4614128 0211112106 02111/2016
<br />BPP 610,000
<br />Deduct 1,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is llmtl)
<br />The City of Santa Ana, its officers, agents, representatives, employees and
<br />volunteers axe named Additional Insured as respects General Liability and
<br />Auto Liability. Insurance is Primacy and Non - Contributory.
<br />30 day notice of cancellation except 10 days for non payment of premiul
<br />t.lVt -ElC l�Yi6
<br />CFRTIFICATG "Of rill CANCFI IATION I
<br />©1988-2090 ACORD CORPORATION, All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City f Santa Ana
<br />Y
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY P jOrl IONS.
<br />20 Civic Center
<br />Santa Ana, CA 92701
<br />AUTHORIZED REPRESENT TIyE""
<br />Kevin Honakgr,.,
<br />©1988-2090 ACORD CORPORATION, All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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