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<br />1 fWM1 e t TI
<br />A1CC)RON
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />05/30/2018
<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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the termsand conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER LIC #0056172 1-888-845-2248
<br />CONTACT
<br />NAME:
<br />McSherry E Hudson
<br />PHONE FAX
<br />IC No Ertl' 408-550-2130 __ Alc Nol: 408-550-2119
<br />160 West Santa Clara Street
<br />E-MAIL
<br />ADORES$:
<br />Suite 715
<br />05/19/19
<br />EACHOCCURRENCE $2,000,000
<br />San Jose, CA 95113
<br />_._.____INSURERIS) AFFORDING COVERAGE
<br />NAIC9
<br />INSURERA: TRAVELERS PROP CAS CO OF AMER
<br />25674
<br />_
<br />INSURED
<br />INSURER B: HISCOX INS CO INC
<br />10200
<br />Tanko Street Lighting, Inc.
<br />DBA: Tanko Lighting
<br />INSURERC:
<br />INSURER D:
<br />PERSONAL S ADV INJURY $ 1,000,000
<br />220 Bayshore Blvd.
<br />INSURER E:
<br />San Francisco, CA 94124
<br />_
<br />INSURER F:
<br />COVFRAr:PS CPRTIFIOCTP MUFARFR- 5294g243 RFVIRION NUM UPR -
<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 TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSPOLICY
<br />R
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />UBTT
<br />POLICY NUMBER
<br />EFF
<br />MMI DIYYYY
<br />POLICY EXP
<br />MMIDUM'YY
<br />LIMITS
<br />A
<br />GENERALLIABILITY
<br />X
<br />X
<br />y -630 -6,1482170 -TIL -18
<br />05/19/1
<br />05/19/19
<br />EACHOCCURRENCE $2,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />DAMAGE TO RENTED
<br />PREMISES Es occo ante $100,000
<br />CLAIMS -MADE 51 OCCUR
<br />MEDEXP(Anyanaperson) $10,000
<br />PERSONAL S ADV INJURY $ 1,000,000
<br />GENERAL AGGREGATE $ 4, 000,000
<br />___
<br />GEWL AGGREGATE LIMIT APPLIES PER
<br />PRODUCTS - COMPIOP AGO $2,000,000
<br />$
<br />POLICY X I PRO- Ll LOC
<br />i A
<br />AUTOMO@LLE LIABILI?Y - --
<br />X
<br />X
<br />BA -63363979 -18 -CAG
<br />05/19/1
<br />05/19/19
<br />COMBINED
<br />ED SINGLE LIMIT 1,000,000
<br />BODILY INJURY (Per person) $
<br />X ANY All
<br />BODILY INJURY (Per accident) $
<br />—....._..___...____
<br />PROPERTY DAMAGE O:?
<br />$-_.________„_�a�r-____
<br />ALL OWNED SCHEDULED
<br />AUTOS ___ AUTOS
<br />NON-OWNED
<br />X HIREDAUT( X AUTOS
<br />A
<br />X
<br />UMBRELLA LIM
<br />X
<br />OCCUR
<br />CUP -6,1534122-18-14
<br />05/19/1
<br />05/19/19
<br />EACHOCCURRENCE $ 3,080,0099....:.
<br />EXCESS UAB
<br />CLAIMS -MAGE
<br />AGGREGATE $ 3,000,001{1"I
<br />DED RETENTION$
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORIPARTNEWEXECUTIVE
<br />OFFICERIMEMBER EXCLUDED?
<br />i'mulaterylnNH)
<br />DE SCRIPTION OF OPERATIONS bd.
<br />NIA------
<br />X
<br />UE -5R373797 -18-4-G
<br />05/19/1
<br />05/19/19WC
<br />X STATU- OTD- ;'er
<br />.IORYUMDS _. ER -- _J_
<br />J
<br />E. L. EACH ACCIDENT $ 1,000,0001_1.9
<br />----------�U-+---
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000:'-,
<br />E.L. DISEASE-POLICYUMIT $ 11000, 1-
<br />B
<br />Pio ese one E&O
<br />MPL 5 3 .1
<br />5 1
<br />5 9-719
<br />Eac Aggregate 2,000,000Ci.
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space Is required)
<br />RE: AnalySea.
<br />Additional Insureds: City of Santa Ana, its City Council, boards, commissions, their officers, employees and agents.
<br />of Santa Ana
<br />Rose Annex
<br />Center Plaza, 3rd Floor Reception
<br />Santa Ana, CA 94087
<br />ACORD 25 (2010105)
<br />sarahsj
<br />52948243
<br />USA
<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 />AUTHORr2ED REPRESENTATIVE �///
<br />W
<br />U 19UU-ZULU AGUKU CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />Ulm
<br />O
<br />M
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