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A r hie CERTIFICATE OF LIABILITY INSURANCE
<br />�✓'
<br />DATE 10 /152mm
<br />10/1 G/201G
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT APFIRMATIVELY 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(8), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the poliey(les) 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 eonfor rights to the
<br />cortifloate holder In fieu of such ondorsoment (s).
<br />PRODUCER TeChServe Allianoe Services Corp.
<br />1420 Kingg Street; Suite 610
<br />Alexandra, VA 22314
<br />www.techaerveolfiRoca,arg
<br />M7T
<br />PHDrve ), 703. 997.4271 �ic N0 703.2@7.7727
<br />8 e
<br />INSURERS AFFORDING COVERAGE
<br />NAM
<br />INSURERA; Start Insurance Compen
<br />INSURED
<br />Comdyn Group Iro., The
<br />100 E. Thousand Oaks Blvd,
<br />Sulie 284
<br />Thousand Oaks CA 01360
<br />INSUIZERB I ProCentUP [Is nCe COm an
<br />NSURe c
<br />11
<br />INSURER a I National &qoialtY Insurance Com an
<br />NDAD791984
<br />INSURER e I
<br />6116/2016
<br />INSURER P
<br />$ 1,000,000
<br />PMVRRAf6RC CFRTIFICATF NIIMRFR• nannavac RFV RMI'd 14I1MRFR•
<br />THIS 19 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICAMD• 101WI'YHSTANDING 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 EYPAID CLAIMS,
<br />I OR
<br />TYPE DP INSURANCE
<br />I Do
<br />NFO
<br />8 e
<br />POLICYNUMBER
<br />aI
<br />11194AWI
<br />LIMITS
<br />D
<br />COMMERCIALGENER�AL LIABILITY
<br />11
<br />NDAD791984
<br />611512015
<br />6116/2016
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE 4V -J OCCUR
<br />P4AREMISES Ea eeaTur<enas
<br />$ 1,CDD,CDD
<br />MED EXPMwoperaont
<br />$ 10,000
<br />PERSONAL a ADV INJURY
<br />§ 1,Oaa,aCa
<br />LIMIT APPLIES FEEL'
<br />GENERAL AGGREGATS
<br />$ 2,000,000
<br />DEN'LAGGREGI
<br />✓
<br />FOLICY❑M- El LOC
<br />PRODUCTS - OOMP /OP Ass
<br />$ 2,000,000
<br />$
<br />HE I
<br />D
<br />AUTOMDRI6E1
<br />✓
<br />ND607919f14•
<br />6/16/2016
<br />6115!2016
<br />C FlMe raol G. MT
<br />g 1,000000
<br />RODIKY INJURY (For snare)
<br />•$
<br />ANY AUTO
<br />OM LY INJURY(Pw amldent)
<br />$
<br />✓
<br />AUTO I &D AUTOS LLD
<br />NON-OWNED
<br />HIRED AUTOS ✓ AUI
<br />Phi aPCftRY'dXAd� "—
<br />(PernaddI
<br />,� '—
<br />-
<br />$
<br />A
<br />uMBRELLAUAS
<br />occUR
<br />,/
<br />UM07919B4
<br />611512.015
<br />ef16/2016
<br />EA•H OCCURRENCE
<br />1,000,000
<br />I AGGREGATE
<br />1,000,000
<br />EXCESS MAO
<br />jZd
<br />CLAIMS -MADE
<br />DED I V I RErvNTv)N 1110,000
<br />1 ___._,
<br />y4,
<br />B
<br />WORKERS COMPENSATION
<br />AND IMP LOYER3' LIABILITY
<br />ANYPROPnIa 'I'ORIPAR'I'NEWE%ECUTIVE YIN
<br />OFFIOEWNEMBEREXCLUOE01
<br />(Mandawry ln NH)
<br />If yyes doaorlUededet
<br />D 9 RIPTIONOFOPERATIONSIF01MY
<br />N1A
<br />W00791964
<br />6116!2015
<br />611512016
<br />ER o�H-
<br />-
<br />E,L EACH ACCIORNY
<br />1,000,000
<br />C.L. UleEASE• EA EMPLOYEE
<br />8 1,000,000
<br />F.L. DISEASE - POLICY LIMIT
<br />$ 1,onooa
<br />b
<br />A
<br />EAO /Professional Liab
<br />Crime - 3rd Party Blanket
<br />NOA0791984
<br />OR0701984
<br />6 1115/20ifi
<br />6/18/2016
<br />6/15/2016
<br />6/16/2016
<br />$1,000,000 Ea Claiml$1,000,000Aggregale
<br />$25,000
<br />DHSCNIN7IDN 07 tllaE %ATIONS I LOCAI'ION6 f VR111CLE3 {ACCRD 101, Addltll0nal Remarks So edule, maybe atteaNa l Ir ears spaao le NRulred)
<br />City of Santa Ana, Its Officers, A07ants and Emplaysoc are Additional Insured as respects to General Llabllity
<br />per attached 0320101093 Additiional Insured Endorsement. Should any of the above described policies be cancelled or reduced before the expiration
<br />data thereof, the IMUIng Insuror ondlor agent WIII endeavor to mall 30 days written notlDO the tho CaltlI Cato Holder, but fEllure to do so shall
<br />Impose no obligation or Ilabillly of any kind upon the Insurer, Its agents or representatives.
<br />City of Santa Ana, SHOULD ANY OF Y11E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />D THE BXPIRATON DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Its f icerS, Agents, and Employees ACCORDANCE WITH THE POLICY PROVISIONS,
<br />20 Civic Center Pla<a
<br />Santa Ana CA 92702
<br />AUTHORIZED REPRESENTATIVE
<br />O 1908.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name slid logo aro raglstered marks of ACORtD n
<br />Alg0735 I Wmdyn Inc 15 -1e Approval CnrElfLC%La I atll Nortm 1 10/15/2015 2:57i11 EM IBDSR I Page a of 2 /
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