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A�Ra' CERTIFICATE OF LIABILITY INSURANCE DATEZOizo 5 ) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Buckley & Associates Insurance Services, PHONE IFAX - 2.6651 Gothard Street, Ste. A -1 /AID No E. 11 (714) 841 -5830 (AIC No): EMAIL 7 29 2015 / / 7 29 2016 / / ADDRES_S;___.. Huntington Beach CA 92647 $ 1,000,000 INSURERS) AFFORDING COVERAGE NAIC# $ INSURER A: American Economy Ins Cc 19690 INSURED (714) 528 -3891 Stage Plus, Inc INSURER B _ PERSONAL &ADV INJURY - - -- - -' INSURER C_ Po Box 11060 INSURER D: GATI LIMIT APPLIES PER AGGREGATE E Santa Ana CA 92711 INSURER E: INSURER F: _ COVERAGES CERTIFICATE NUMBER: Cert ID 174 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLISUBR POLICY SEE POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIVYVY MMIDDNWY LIMITS A X COMMERCIAL GENERAL LIABILITY 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 -! n ° EACH OCCURRENCE $ 1,000,000 � CLAIMS -MADE X OCCUR 02BP62805790 7 29 2015 / / 7 29 2016 / / DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ _ PERSONAL &ADV INJURY $ 11000,000 GATI LIMIT APPLIES PER AGGREGATE E $ 2,000,000 1GEN'L GENERAL AGGREGATE X POLICY a PRO- a LOG ECT PRODUCTS - COMPIOP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _(Ed accident) $ $ ANY AUTO BODILY INJURY (Per person) _ ALL OWNED - SCHEDULED AUTOS AUTOS BODILY INJURY(Peraccident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accitlent $ $ _ _ UMBRELLA LIAB OCCUR EXCESS LIAB CLAIM6N�ADE - -- DED RETENTIO� � \ ��a, �eJ e � \�� II 1i EACH _ _ AGGREGATE $ _ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE VIN (Mandatory OFFICER/MEMBER EXCLUDED? NIA. V V PJ G r� \'�\� \G ORH- 1$ - -- — �$ E.L. EACH ACCIDENT E L. DISEASE EA EMPLOYEE/ fyet,dlnNH) pyes,RIPTI I \\ P DESCRIPTION OF OPERATIONS below NOFO EL DISEASE - POLICY LIMIT $ A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required) The City of Santa Ana, it's officers, employees, agents, and representative are named as additional insured with respect to the General Liability as their interest may appear. Primary & Non - Contributory wording applies. 10 days notice of cancellation due to non - payment of premium. CERTIFICATE HOLDER CANCELLATION ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Page 1 of T SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 -! n ° ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Page 1 of T