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.;ORE CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) <br />JUCER 712312015 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOI <br />-P INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATI <br />,601 WEST SLAUSON AVE., SUITE 250 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OF <br />CULVER CITY, CA 90230 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Phone (310) 642.1933 Fax (310) 645.3150 <br />INSURERS AFFORDING COVERAGE NAIL # <br />INSURED CIVIC COLLECTION CORPORATION INSURER A: PENN-STAR INSURANCE CO <br />ATTN: DOUGLAS SHAW INSURER R State Compensation Insurance Fund <br />1565 ELDERTREE wsuRER c: <br />DIAMOND BAR, CA 91765 .....__- _ <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED <br />NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT <br />WITH <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS <br />RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />SUBJECT <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />INSR DD•L <br />LTR <br />GENERAL LIABILITY <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY E% PI RATION <br />M <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />CPV0004862 <br />7/14/2015 <br />EACH OCCURRENCE <br />DA GET RENTED <br />$ 1 000 000 <br />CLAIMS MADE lil OCCUR <br />7/14/2016 <br />PREMISES Ea occurs... <br />$ 100 000 <br />A <br />MED EXP(Any one person) <br />$ 5000 <br />PERSONAL B ADV INJURY <br />$ EXCLUDED <br />GENERAL AGGREGATE <br />$ 2 000 000 <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />$ INCLUDED <br />POLICY <br />PRO- LOC <br />PRODUCTS - COMP /OP AGO <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />CPV0004862 <br />7114/2015 <br />71412016 <br />COMBINED SINGLE LIMIT <br />(Ea.mldent) <br />$ 1,000,000 <br />ALL OWNED AUTOS <br />A <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Perperson) <br />$ <br />HIRED AUTOS <br />X <br />BODILY INJURY <br />(Peraccldent) <br />$ <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accldenq <br />$ <br />GARAGE LIABILITY <br />AUTOONLY- EAACCIDENT $ <br />ANY AUTO <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />EXCESS /UMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />OCCUR CLAIMS MADE <br />AGGREGATE <br />DEDUCTIBLE <br />RETENTION $ <br />EMPLOYERS'LIABILITY 906737314 <br />EMPLOYSCOMPENSATION ILITY AND 8/2/2015 <br />8/2/2016 WCSTATU- OTH- <br />X T VLI <br />B FFICERIMEMBEER EXCLUDED ECUTIVE <br />E.L. EACH ACCIDENT $ 1000000 <br />If yes, describe under YES <br />E.L. DISEASE - EA EMPLOYEE $ 1000000 <br />SPECIAL PROVISIONS below <br />OTHER <br />E.L. DISEASE - POLICY LIMIT $ 1000000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />z J <br />n <br />/ -�/�'/ <br />��� <br />CERTIFICATE HOLDER Arlrli+innal In¢nsn.a ......._.. ._._.. <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA, RM 97 <br />P.O. BOX 1964 <br />SANTA ANA, CA 92702- <br />ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />1988 <br />