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AII RQ'� CERTIFICATE OF LIABILITY INSURANCE <br />10/5201 YY' <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(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 confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Tutton Insurance Services, Inc. <br />2913 S Pullman Street <br />License #OB89376 <br />Santa Ana CA 92705 <br />CONTACT <br />NAME: <br />PHONE (949)261-5335 FAC No: (949)261-1911 <br />E-MAIL <br />D R <br />INSURERS AFFORDING COVERAGE NAICN <br />INSURER A:Travelers Casualty Insurance 19046 <br />INSURED <br />Reprographics Fax Group, Inc., DBA: C3 Office <br />Solutions; C3 Office Solutions LLC <br />1536 E Warner Avenue <br />Santa Ana CA 92705 <br />INSURER B:Travelers Property Casualty 5674 <br />INSURER C: <br />INSURER O: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER:15/16 GL/BA/WC 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY) <br />POLICY EXP <br />(MMIDDIYYYYI <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 2,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITYT <br />CLAIMS -MADE FXI OCCUR <br />6809601177715 <br />/23/2015 <br />/23/2016 <br />RE TED <br />PREMISES Ee occu encs $ 300,000 <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL & ADV INJURY $ 2,000,000 <br />GENERAL AGGREGATE $ 4,000,000 <br />GEHL AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ 4,000,000 <br />X POLICY <br />PRO LOC <br />]1FQT F-1 <br />$ <br />AUTOMOBILE <br />LIABILITY <br />EeOMBINdEED1 SINGLE LIMI $ 11000,000 <br />BODILY INJURY (Per person) $ <br />A <br />X <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />8885091915 <br />5/23/2015 <br />INJURY (Per accident) $ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />F/23/2016BODILY <br />PROPERTY DAMAGE $ <br />Per accident <br />Medical Pavmems $ 5,0001 <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESSLIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE❑ <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory in full <br />NIA <br />IJUB9039T88715 <br />10/2/2015 <br />0/2/2016 <br />X WC STATU-1 171 - <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEF $ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACERB 101, Additional Remarks Schedule, If more space is required) <br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional <br />insured per attached forms CGT4911188, CGDO37 0405 & ILT400 1209 <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br />INS025 (201005),01 The ACORD name and logo are registered marks of ACORD <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 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />Stanley Tutton/ALEX <br />ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br />INS025 (201005),01 The ACORD name and logo are registered marks of ACORD <br />