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Cllent #: 29857
<br />OCLABORFI
<br />ACORD,., CERTIFICATE OF LIABILITY INSURANCE DATE o9l1012015 of2o15
<br />I E
<br />HIS GRI HUAI E IS ISSUED AS A MAI TER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTERTHE COVERAGE AFFORDED BYTHE 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 hoidol' Is an ADDITIONAL INSURED, thtr pollcy(les) must be endoraod. If SUBROGATION IS WAIVED, sub)och 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 HeU of such endorsement(s).
<br />Barney and Barney, A Marsh & McLennan
<br />A!c a oN�—
<br />L_KXR) 948-900.1213
<br />Insurance Agency LLC Company
<br />EMAIL mmolthen nuwes
<br />noon[ SS:_,,,,,,,
<br />101 Enterprise, #330 CA License #OH18131
<br />,,@__ „___..._..
<br />Aliso Viejo, CA 92656
<br />....._ ......._. INSURER(9) AT
<br />INSURERA Seneca Insurance
<br />INSURCO
<br />OC Labor Federation
<br />ISURER a
<br />N
<br />'-'- -- --” "- "-- " "
<br />INSURER C:
<br />309 N. Rampart Unit A -E
<br />------- __
<br />Orange, CA 92868
<br />INSURER O:
<br />LIABILITY
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER
<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 CONTRACTOR 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 />ATP
<br />....... TYPE OF INSURANCE
<br />AOUL EVER
<br />TINIER J.-
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<br />POLICY NUMBER _LIpDIYYYY)
<br />PO ICYEFF
<br />POUCYEXP
<br />MMIOOIYYYY
<br />... LIMITS
<br />A
<br />GENERAL
<br />LIABILITY
<br />X
<br />EAIC.IHH OCCpURrtENCE
<br />----- ....
<br />$1 000 000
<br />X�ronmlrnrlw.
<br />GENERAL Lwmmv
<br />. CI AI.19 -MADE X1 OCCUR
<br />UCM5342097
<br />8126/201508/26/201
<br />°PaA 1sT oPN.tt,
<br />EM IER
<br />-MeD EXP (Any one person)
<br />..........
<br />$5 99D
<br />PERSONAL &ADV INJURY
<br />sE%cluded
<br />_
<br />GENERAL AGGREGATE
<br />32,000,000
<br />_...
<br />OF
<br />AGGRCGATE LIMIT APPLIES PER:
<br />-7
<br />(POLIGYI _LSPSS LOC
<br />PRODUCTS - OOMPlOP AEG
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<br />51,000000
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<br />LIABILITY
<br />AUTOMOBILE
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<br />ANY AUTO
<br />900IL 1LV INJURY (PO p rs n)
<br />5
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<br />An OS SCHEDULED
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<br />HIRED AUTOS AUTOS
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<br />DED -: RETENTIONS
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<br />EACH OCCURRENCE
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<br />WORKERS A ANU EMPLOYEES' LIABILITY
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<br />ANY PROPRIErCRJPARTNEPoEXECUTIVE
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<br />EL DISEASE - EA EMPLOYEE
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<br />DEGCRIPTION OF O PERATIGNS belo,
<br />E.L. DISEASE - POLICY LIMIT 4
<br />DESCRIPTION OFOPERATIONSILOCATIONS IVBHICLES) Attach ACOR0101, AAAIilonnl Ramarka Schednla, Ilmora space is rogrimd) `�( ) ,X.v
<br />City of Banta Ana, Its officers, agents, Volunteers and representatives are named as additional insured
<br />with respect to the operations of the named Insured, Such Insurance is Primary and Non - Contributory. �-
<br />tl I r,
<br />City of Santa Ana
<br />1000 E. Santa Ana Blvd., Suite
<br />200
<br />Santa Ana, CA 92701
<br />ACORD 25 (2010!05) 1 of 1
<br />#8504164lM487774
<br />SHOULD ANY BETTIS ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />AUTHORIZED REPRLSENTAI'IVE
<br />C) 1915; -YU1U ACURU CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />EXHIBIT I HISA
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