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A6 aiz <br />L e <br />/U- z1l /y8 <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDNYYY) <br />1/4/2016 <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 C NTRACT BETWEEN THE ISSUING INSURER(Sk AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CgRTIT IC ' It HQLDER.;'I I: <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 poll i r�ayy�,regyµ'Pnan endorsemogt A statement on this certificate does not confer rights to the - <br />certificate holder in lieu of such endorsement(s)L,'� � Ct 7' <br />PRODUCER I,,r'., -' <br />COSTANZA INSURANCE AGENCY INC. <br />PO BOX 550 - <br />VERDUGO CITY, CA 110 4 6-0 5 5® <br />91046-0550 - <br />OB80250 ____ <br />NAME, SUE LINDSTROM - <br />E�, 818-542.-3222 - rac,Ne <br />PHONe FAX Mrs. <br />E-MAIL ' <br />ADOREss:S.LINDSTROM@CIA-CA.COM <br />INSURERIS) AFFORDING COVERAGE. <br />NAICk <br />INSURER A: STEADFAST INSURANCE COMPANY_ <br />INSURED DIGISTREAM LOS ANGELES, INC, <br />INSURER B <br />18436 HAWTHORNE BLVD. <br />INSURER c'. <br />SUITES 102 & 104 <br />INSURER D <br />TORRANCE, CA 90504 <br />INSURER <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 DOCUMENTWITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECF TO ALL THE TERMS, <br />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />- <br />1NSIR <br />LTR <br />TYPE OF INSURANCE <br />ADD <br />INSD <br />BUBB <br />NND <br />POLICY NUMBER <br />POLICY EFF <br />MMIDOIVYVV <br />PO ICY P <br />MMNDIYYYY <br />--"""-- <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />... .._" <br />CLAIMS -MADE OCCUR <br />__..�_ <br />EACH OCCURRENCE <br />p (� <br />$ J 0000 000 <br />O -RENTED <br />PREMISES Ea occurrence <br />. <br />$ 100,000 <br />MEDE_XP(Anyoneperson) <br />5,000 <br />X ERRORS & OMISSIONS <br />PERSONAL&ADV INJURY <br />_$_ <br />$ 3,000,000 <br />A <br />X <br />EUL9322020 10 <br />01/2/1601/2/17 <br />GEN'LAGGREGATELIMITAPPLIESPER: <br />X POLICY L_I PEa— LOC <br />- <br />GENERAL AGGREGATE <br />$ 5,000,000 <br />PRODUCTS - COMP/OPAGG <br />-_ <br />$ 5,000,000 <br />_— <br />$ <br />OTHER. <br />AUTOMOBILE <br />_ <br />LIABILITY <br />M INIM <br />Ea addident <br />$ <br />_ <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />_ <br />ALL OSCHEDULED <br />AU. <br />AUTOSS --- NON -OWNED <br />HIRED AUTOS _ AUFOS <br />BODILY INJURY (Per accident <br />— _._ <br />$ <br />PROPERTY DA_ <br />Per accdens <br />--"--"-----" <br />IS <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$______ <br />— <br />EXCESS AB <br />CLAIMS -MADE <br />AGGER GATE <br />DIED <br />DED REI ENTION$ <br />RE ._._ <br />$ <br />WOR IENOld <br />INP <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR)PARTNERIEXEWTIVEE.L. <br />OFFICERIMEMBER EXCI Li <br />NIA <br />NIA <br />—^ <br />,_t STANUTEJ LR <br />EACH ACCIDENT <br />$ <br />—" <br />E.L. DISEASE - EA EMPLOYE <br />—.-- <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />— <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) �- <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES, AND VOLUNTEERS ARE <br />INCLUDED AS AN ADDITIONAL INSURED WITH RESPECTS TO THE OPERATIONS OF THE NAMED <br />INSURED IF REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT. <br />CERTIFICATE HOLDER CANCELLATION <br />CITY OF SANTA ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />ATTN: RISK MANAGEMENT M-28 <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />AUTHORIZED arEPASENTATIVE <br />�t <br />© 1988- 4�ACORD CORPORATION. i�@r1'(ghts reservNA-.? <br />ACORD25(2014/01) The ACORD name and logo are registered marks of A RD <br />J <br />