A WHITE AND YELLOW CAB INC. - 2015

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ACC>Rv® CERTIFICATE OF LIABILITY INSURANCE o2 flo92oiY5 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 Ilau of such andorsemen4 (s). PRODUCER Hahman Hitaraf NOVA INSURANCE SERVICES PHCNB ,213- 388 -5100 FAX .213- 386 -7262 3407 W 6TH STREET STE 618 E-MAIL ZORESS: _ INSURERS AFFORDING COVERAGE NAICB LOS ANGELES CA 90020 -2553 INSURERA:New York Marine and General Ins Cc 16608 INSURED INSURERB:Goldea Bear Insurance Co. 39861 A White and Yellow Cab Inc INSURER C: H DHA: A Taxi Cab INSURER D I -- - -.. -- N 2406 S Main St INSURER E: Banta Ana CA 92707 1 INSURER F; GENERALAGGREGATE COVERAGES CERTIFICATE NUMBER: 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, MSRR TYPE OF INSURANCE OL SUER POLICY NUMBER POLICY SEE O POLICY EXP LIMITS & GENERAL LIABILITY COMMERCIAL GENERAL UASILITY CLAIMS-MADE OCCUR GHL09376 02/14/15 02/14/16 EACH OCCURRENCE DA AGET-6 RENTED PREMISES Eeoccurao a s 1,000,50 $ 501000 FED EXP A,... person) $ EXCLUDED PERSONAL S ADV INJURY S 1 000 000 H Y N 2500 BI /PD DED GENERALAGGREGATE 5 2/000/000 GEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ 11000,000 POLICY PRO- LOO $ AUTOMOBILE LIABILITY AU2014TLP00048 11/16/14 11/16/15 E. arse ®SING ELIMIT S BODILY INJURY (Per person) $ ANY AUTO 'A AUTOS NEO SCHEDULED Y N BODILY INJURY (Per aodo nl) S NONAWNEO HIRBO AUT09 AUTOS PROP ERTY DAMAGE S $ UMBRELLA LIAB OCCUR EACH OCCURRENC AGGREGATE EXCESS LIAR CLAIMS -MADE OED RETENTIONS WORKERS COMPENSATION WC 9TATU. ANDEMPLOYEft3'LIABILITY YIN ANY PROPRIETORIPAR7NERIEXECUTIVEE.L. EXCLUDED? N I A EACH ACCIDEOFFICERIMEMBER E,L.DISEASE -EA (Mandatory in NH) If yyse descdbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - PO DESCRIPTION OF OPERATION 51 LOCATIONS I VEHICLES (Abash ACORD 101, Additional Remarks Schedule, If more apace Is required) Taalaab Operatlbne. ♦10 DAYS NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM. e ^CERTIFICATE IS SUSDICT TO POLICY LIMITS, CONDITIONS AND EXCLUSIONS. 'a CRRTIFICATIE SOLDIER IS NAMED AS ADDITIONAL INSURED AS TOXIN INTERNET NAY APPEAR. Thee City of Santa AAA, its pLEivata, Agents and Employees are based additional insures annallo, the Awo gad General Liability as resPioto oparatioa of the nnmed insured. 1000 E Santa Me Blvd. Santa Me, CA 92701 A WHITE & YELLOW CAB, INC. AGR# A -2011 -013 REVIEWED BY: Gr�i9- l�y EUNICE HEREDIA (PG. 1 of 3) CERTIFICATE HOLDER CANCELLATION City of Santa Ana - Public Works Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1000 E. Santa Ana Blvd THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE & ©1988.2010 ACORD CpF PORA+fION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD /