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CERTIFICATE OF LIABILITY INSURANCE DATE
<br />/ 2014IYYYY,
<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: If the certificate holder Is an ADDITIONAL INSURED, the pollcyl 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 rights to the
<br />certificate holder In lieu of such endorsement a ,
<br />PRODUCER
<br />Dealey, Renton & Associates
<br />P. 0. BOX 1 0550
<br />CD C
<br />NA E: Karin Thn
<br />PHONE P No
<br />Santa Ana CA 92711.0550
<br />.MAIL
<br />ADD ss in
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />TYPE OF INSURANCE POLICY CFF POLICYEXP
<br />SR VD POLIC NUMBER MIDDIYVVY MMIDDIYYyY
<br />INSURCR A T(aVP al It
<br />INSURERS ;
<br />INSURED
<br />Wllldan Homeland Solutions
<br />2401 E. Katella Avenue, Ste, 220
<br />INSURER C:Cha F I a C
<br />INSURER O
<br />EACH OCCURRENCE
<br />Anaheim CA 92806
<br />COMMERCIAL GENERAL LIABILITY
<br />INSURER E
<br />COVERAGES
<br />NSURER F
<br />$1,000,000
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN
<br />ISSUED TO THE INSURED NAMED 7;1' OVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
<br />DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES
<br />DESCRIBED HEREIN IS SUBJECT TO
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED
<br />ALL THE TERMS,
<br />BY PAID CLAIMS,
<br />ILTK BR
<br />TYPE OF INSURANCE POLICY CFF POLICYEXP
<br />SR VD POLIC NUMBER MIDDIYVVY MMIDDIYYyY
<br />LIMITS
<br />A GENERAL LIABILITY Y 301168PO20 11/912014 1/9/2016
<br />X
<br />EACH OCCURRENCE
<br />$1,000,000
<br />COMMERCIAL GENERAL LIABILITY
<br />MA 't T7�1 ENT�-
<br />-
<br />P EMS Ea ere
<br />$1,000,000
<br />CLAIMS-MADE � OCCUR
<br />X
<br />DFPD,
<br />MI EXP An one remon
<br />$10,000
<br />CU vl
<br />X BFGGREGA
<br />PERSONAL &ADVINJURY
<br />$1,000000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$2, 'IQ ,9oU
<br />PR
<br />POLICY X
<br />PRODUCTS - COMPItlP AGO
<br />$2,900,000
<br />LCC - -
<br />$
<br />A AUTOMOBILE LIABILITY 8101158P020 11/9/2014 119/2015
<br />X ANY AUTO
<br />E ccl de
<br />,7000000
<br />AU OS SCHEDULED
<br />BODILY INJURY (Per person)
<br />$
<br />AUTOS
<br />AIRED AUTOS
<br />Y` X
<br />BODILY -INJURY (P., eccldan0 $
<br />HIRED AUTOS AUTOSWNCO
<br />ROPE
<br />`
<br />Id. tDAMAGE
<br />$
<br />UMBRELLA LIAB OCCUR
<br />5
<br />EXCESS LAG CLAIMS -MADE
<br />EACHOCCURRENCE
<br />5
<br />AGGREGATE
<br />$
<br />DED RETENTION$
<br />C WORKERS COMPENSATION U87p417816 11/912014 1/9/2015
<br />AND EMPLOYERS' LIABILITY
<br />X WC STATU- 0TH-
<br />$
<br />OFFICERIMENTOER CXCLUO D? ECUTIVE F
<br />F
<br />NIA
<br />(Mandatary In NH)
<br />E,L, EACH ACC �EN7
<br />$1,000,000
<br />" 06deecrlhIPTION e under
<br />E.L. DISEASE - EA EMPLOYE
<br />$1,000,000
<br />DESCR OF OPERATIONS below
<br />B Professional Llablllty
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />ED977441115 11/9/2014 1/9/2013
<br />Claims Made
<br />Per Claim
<br />Annual Aggragato �.—O
<br />$$1,000,000
<br />$ 0,000
<br />DESCRIPTION PFOPERAT IONS ILOCAHVN8 IVEHICLES(gMech ACORD ipl, Atltlltlonal Remarks Sahatlule, IPmore Apace lnrequlrxtl(
<br />^•
<br />General Liability pO(lcy excludes claims arising out of the performance of professional services.
<br />t^�1'
<br />Independent Contractors are Included as respects to General Liability,
<br />30 Dap N0G /10 Day for Non Pay of Pram
<br />City Santa
<br />-r•I,
<br />of Ana, its officers, employees, agents, volunteers and representatives are additional insured
<br />to General Liability as required by written contract. Primary and Non- Contrlbuting
<br />as respects°)
<br />coverage, Cross Liability -
<br />coverageappliestoGLasrequiredbywrittencontract
<br />.(WHS)
<br />,m�e'•„
<br />M"
<br />`•'1
<br />T
<br />CERTIFICATE HOLDER
<br />City of Santa Ana
<br />Attn: Clerk of the City Council
<br />20 Civic Center Plaza(M -30) / PO Box 1988
<br />Santa Ana CA 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AU HORIZEDREPRjE
<br />Hall
<br />•,_.+..ter... rrarne arm logo are registered marks of ACORD
<br />-- - - - -- - _.....�___- ._ -- Vag A �f -
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