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ACORH CERTIFICATE OF LIABILITY INSURANCE lli.i 12/31/2015 F DATEIMMIDONYYY) 1 6/23/2015 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(ies) 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 Lockton Insurance Brokers, LLC CA License #OF 15767 TWO Embarcadero Center, Suite 1700 San Francisco CA 94111 CONTACT NAME: PHONE FA) Ext AIC No e MAI�o ADDRESS: INSURERS AFFORDING COVERAGE NAIC # (415) 568 -4000 INSURER A: National Fire Insurance Cc of Hartford 20478 12/31/2014 INSURED TCan5Flr51 Group Holdings, Inc, 1391467 5400 LBJ Freeway, Suite 900 INSURER B : T Insurance Conl an 352 INSURER C: PREMISES �Eacccurmnea) Dallas TX 75240 INSURER D: CLAIMS -MADE OCCUR INSURER E INSURER F: COVERAGES TRAGROl CERTIFICATE NUMBER: 13545194 REVISION NUMBER: XXXXXXX 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 LTR TYPE OF INSURANCE ADOL ISO SUBR "a POLICYNUMBER POLICY EFF MM /DDNYYY POLICY EXP MMIDD/YYYY LIMITS • X COMMERCIAL GENERAL LIABILITY N N 6016715612 12/31/2014 12/31/2015 QCU 2QCURRENCE s 2,000,000 PREMISES �Eacccurmnea) $ 1,000,000 CLAIMS -MADE OCCUR MEDEXP An v one person) $ 150 PERSONAL &ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER POLICY ❑ PRO ❑ ECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS- COMP /OPAGG $ 2,000,000 $ OTHER: • AUTOMOBILE LIABILITY N N 6016715576 12/31/2014 12/31/2015 MBINEO SINGLE LIMIT (Ea accident) $ 1.000.000 BODILY INJURY (Par person) $ XXXXXXX ANY AUTO ALL OS SCHEDULED AUTOS AUTOS Ix BODILY INJURY Par accident XXXXXXX PROPERTY DAMAGE $ XXXXXXX HIREDAUTOS `Y AUTOSWNED $XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS -MADE AGGREGATE I $ XXXXXXX DED I I RETENTION$ $ XXXX XX B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER /EXECUTIVE ❑NIA OFFICERIMEMBER EXCLUDED? N N 6016715593 12/31/2014 12/31/2015 X STATUTE - ER E, L. EACH ACCIDENT $ 100000 E. L. DISEASE - EA EMPLOYEE $ 1 000000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLI CY LIMIT $ 1 OO(I OOO DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional Insured to the extent provided by the policy language or endorsement issued or approved by the insurance carrier. Insurance provided to Additional Insured(s) is primary and non - contributory as per the attached endorsements or policy language. 6,, Z3' , � f S' c rev �;PPRYED 13545184 City Of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 Civic Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Aria CA 92701 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRI C 1 rights reserve ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 5