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,Acc:ruc.�� CERTIFICATE OF LIABILITY INSURANCE
<br />1012912014 DAEYY'
<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 policy(ies) 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 endorsements .
<br />PRODUCER
<br />Dealey, Renton & Associates
<br />P. nt Box 10550
<br />Santa Ana CA 92711-0550
<br />KaGLLtiOCp._._ �— -----
<br />PHONE
<br />NiNo —`
<br />aoorsEss�{tthQrpQ'I�},gd>_g,Cpl�_ ------------- --------
<br />___INSURERISJAFFORDINGCOVERAGE - _ _HAIG4 _
<br />GENERAL LIABILITY
<br />X`"SAMAGETO-PE'NTE
<br />COMMERCIAL GENERALUABILI I
<br />CLAWS -MADE [X__ 1 OCCUR
<br />5674e—
<br />INSURED
<br />_INSURER 6:
<br />Y1119/20t5
<br />Wittlan Homeland Solutions
<br />M5URERC:CI�a[tQ[Qar (LEI 1QS„tlpa C_A1T]p20K—..--_._.
<br />1.6--
<br />2401 E. Katella Avenue, Ste. 220
<br />Anaheim CA 92808
<br />INSURER e -----
<br />$1,000,000
<br />----- -------"--'
<br />X Contractual
<br />INSURER
<br />INSURER F
<br />X
<br />COVERAGES CERTIFICATE NUMBER: 2084374271 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 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 />LTR
<br />TYPE OF INSURANCE
<br />N
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MMIODIYYYY
<br />_—_--_
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X`"SAMAGETO-PE'NTE
<br />COMMERCIAL GENERALUABILI I
<br />CLAWS -MADE [X__ 1 OCCUR
<br />Y
<br />301158P020
<br />11/9/2014
<br />Y1119/20t5
<br />EACH OCCURRENCE
<br />$1,000,000
<br />MEO EXP {Am11ne parsonl
<br />910,000 ...... _
<br />PERSONAL&ADV INJURY
<br />$1,000,000
<br />X Contractual
<br />X
<br />BFPO, XCU
<br />GENERAL AGGREGATE
<br />5_2,000,000 _
<br />GEN'L AGGREGATE
<br />LIMIT APPLIES PER,
<br />_
<br />PRODUCTS - COMPIOP AGG
<br />$2,000.000
<br />POLICY
<br />X PRO- LOC
<br />$ _—
<br />A
<br />AUTOMOBILE LIABILRY
<br />8101158P020
<br />11/9/2014
<br />11179/2015
<br />(Eenccitlnnt -,___
<br />1-.000000__ _.
<br />BODILY INJURY (Per person)
<br />$
<br />X ANY AUTO
<br />ALL OWNED I SCHEDULED
<br />AUTOS _.y AUTOS
<br />x IHIREDAUTOS X IAOTO5WNED
<br />BODILY IN.IURY tParaccidaMl
<br />$
<br />SV DacidenDAMAGc 'is
<br />-----
<br />$
<br />UMBRELLA LIAR
<br />OCCUR
<br />fiACli OCCURRENCE
<br />5
<br />AGGREGATE
<br />8
<br />EXCESS UAB
<br />CLMMS_MADE
<br />_
<br />DED I I RETENTION$
<br />_
<br />_
<br />5
<br />C
<br />WORKERS COMPENSATION
<br />ANO CMPLOYERS' LIABILiri-ER-----
<br />ANY PROPRIETOWPARTNERIEXECUTIVE �YIN
<br />OFFICERIMF.MDER EXCWDEp4
<br />NIA
<br />UB7D417816
<br />f!)2014
<br />1102015
<br />x �NC STATIC- 1JTH-
<br />E, L.. EACH ACCIDENT
<br />$I 00Q000
<br />—
<br />tMm,datmyinNH) L_J
<br />EL. DISEASE - EA EMPLOYE
<br />$1,000,000
<br />EL DISEASE -POLICY LIMIT
<br />$1000,000
<br />If yyos. desmbe under
<br />OE SC RIPTION OF OPERATIONS no.
<br />B
<br />Profestilonal Liability
<br />Claims Made
<br />I
<br />AED977441115
<br />11/9/2014
<br />1119/2015
<br />1
<br />I
<br />Per Cla IN $1,000;000
<br />Annual Aggregate $2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ADDED ter. Additional Remarks Schedule, it mora space is required) 1^' tT^�^�����----yye+�,,
<br />General Liability policy excludes claims arising out of the performance of professional services. C_GV GVV✓j„+' tj -.
<br />Independent Contractors are included as respects to General Liability.
<br />30D NOC/10 Day far NGnPay of Prem
<br />City of Santa Ana, its Officers, employees, agents, volunteers and representatives are additional insured as respects
<br />to General Liability as required by written contract. Primary and Non -Contributing coverage, Cross Liability
<br />coverage applies to GL as required by written contract. (WHS)
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Attn: Clerk of the City Council
<br />20 Civic Center f IaZa(M-30) / PG Box 1988 AU HORIZED REPRESENTATIVE
<br />Santa Ana CA 92702
<br />J k0l,p
<br />U 1SBS-ZOtD AUUKU C:OKPUKAI IUN. Atl rlgnlS MISerVed.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
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