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----1Policy Number: Date Entered: 9/25/2014
<br />`�� �® CERTIFICATE OF LIABILITY INSURANCE 5/5DAfE
<br />/2015 WDDIYYYY)
<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 rlghts to the
<br />IDxla]a1rTR
<br />INSURED
<br />ASL Insurance Services
<br />3533 North Verdugo Road
<br />Glendale, CA 91208
<br />Insure Protective Security Inc.
<br />1260 North Hancock Steet Suite# 102-D
<br />Anaheim, CA 92807
<br />(818) 957-3366 FAX w., (818) 957-3369
<br />INSURER(S) AFFORDING COVERAGE NAICN
<br />INSURER A; Scottsdale Insurance Company
<br />INSURER 8; Infinity Commercial Auto -
<br />-
<br />INSURERC;State Compensation Insurance Fund
<br />INSURER D
<br />INSURER E:
<br />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
<br />TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSA- _ _ -ADDL-SUER
<br />LTR TYPE OFINSURANCE y POLICY NUMBER
<br />POLICY EFF POLICY EXP - - --
<br />MMIDD/YYYY) (MMIODIYYyr LIMITS
<br />A COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MAGE OCCUR X CPS1992289
<br />9/23/2014 9/23/2015 DAMAGE TO RENTED
<br />mnce$
<br />$100,000.
<br />X ERRORS & OMISSIONS
<br />_MED ExP (Anyone person)
<br />$ 5, 000
<br />PERSONAL &ROY INJURY
<br />$1,000,000
<br />GEM'L AGGREGATE LIMIT APPLIES PER
<br />GENERAL AGGREGATE
<br />$3,000,000
<br />JE LOG LOG
<br />_X Poucv PRG'.
<br />PRODUCTSCOMP/OP AGO
<br />3 000,000
<br />$ ,
<br />OTHER;
<br />$
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />LE4iteden0_._._
<br />$ 1, 000, 000
<br />_ _..__..
<br />$ ANY AUTO 504-61007-0156-001
<br />5/5/2015 5/5/2016 BODILY INJURY(Pe,persool
<br />$
<br />ALL OW NED SCHEDULED
<br />AUi05
<br />BODILY INJURY (Per acctlanb
<br />$
<br />.� PUT
<br />NON -OWNED
<br />PROPERff
<br />$-
<br />HIREOAUTOS IAUTOS
<br />(Per ,i facctlenl)
<br />UMBI EA
<br />$300,000
<br />UMBRELLA LIAB OCCUR
<br />EACH OCCURRENCE
<br />_$
<br />EXCESS LIAB CLAIMS -MAGE
<br />AGGREGATE
<br />$
<br />17 OED RETENTION$
<br />$
<br />WORKERS COMPENSATION
<br />PER
<br />STATUTE RRH
<br />AND EMPLOYERS' LIABILITY YIN
<br />_
<br />E. EACH
<br />_
<br />ANY ECUTIVE F7 MIA 9100826-14
<br />C
<br />5/28/2014 5/28/2015 L. ACCIDENT
<br />$1,000,000
<br />OFFICERIMEMBRI EXCLU�ED9
<br />(Mandatory in NH)
<br />E.L. DISEASE- EA EMPLOYEE
<br />S 1, 000, 000
<br />_
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E L. DISEASE POLICY LIMIT
<br />$ 1, 000,000
<br />B Commerical Automible 504-61007-0156-001
<br />5/5/2015 5/5/2016 UMBI EP
<br />100,000
<br />UMPD
<br />3,500
<br />Medical
<br />5,000
<br />DESCRIPTION OP OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is required)
<br />The City of Santa Ana, it's officers, employees, agents,
<br />and representative are included as
<br />additional insured on the General Liability policy with
<br />respects to the operation of the named
<br />insured only.
<br />* Except 10 day for non-payment of
<br />p �y
<br />notice of cancellation
<br />premium. v\e,14eAi
<br />,
<br />City of Santa Ana, Its officers, SHOULD ANY ORTFIE ABOVE -QP FPIFD POLICIES BE CANCELLED BEFORE
<br />Employees, Agents, Volunteers and Representatives THE EXPIRATION DATE �yp^,f�:'fpiE4'JJ NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE
<br />iiia, ,..-..., •e 1-°�+J
<br />JAIME LOGO
<br />® 1988.2014 ACORD CORPORATION. All rights reserved
<br />ACORD 25 (2044/01) The ACORD name and logo are registered marks of ACORD
<br />Produced using Forms Boss Plus sofrmare, www. FormsBoss.00m; Impressive Publishing 800 208 1977
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