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'�� °!zOu CERTIFICATE OF LIABILITY INSURANCE io�5�2015Y' 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(ies) 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 lieu of such endorsement(s). PRODUCER CONTACT NAME: Tutton Insurance Services, Inc. 2913 S Pullman Street License #OB89376 PHONE (949)261 -5335 FAX No: 19997261 -1911 E -MAIL RE INSURERS AFFORDING COVERAGE NAIC# INSURER A:Travelers Casualty Insurance 19046 Santa Ana CA 92705 INSURED INSURER B:Travelers Property Casualty 25674 INSURER C: Reprographics Fax Group, Inc., DBA: C3 Office INSURER D: 5/23/2015 Solutions; C3 Office Solutions LLC 1536 E Warner Avenue INSURERS: MED EXP(Any one person) INSURER F: PERSONAL &ADV INJURY Santa Ana CA 92705 COVERAGES CERTIFICATE NUMBER:15 /16 GL /BA /WC 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. INSR LTR TYPE OF INSURANCE ADOL SUBR MD POLICY NUMBER POLICY EFF MMIDD POLICY EXP WMIDOIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 6809BO1177715 5/23/2015 /23/2016 A T RENTED PRE (,Ee occurrence $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL &ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 4,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY ECOMBINED et SINGLE LIMIT 1,000,000 A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS ASB85091915 /23/2015 /23/2016 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE Per accident $ Medical a menot $ 5 000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ 3W WORKERS COMPENSATION AND EMPLOVERS'LIABILITY YIN X WC STATU- OTH- TRY I E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOMPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NHl If yes, describe under NIA IJUS4039T88715 10/2/2015 O/2/2016 E.L. DISEASE -EA EMPLOYE $ 11000,000 E.L. DISEASE - POLICY LIMIT 1 $ 11000,000 DESCRIPTION OF OPERATIONS below DESCH PTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insured per attached forms CGT4911188, CGD037 0405 & ILT400 1209 CERTIFICATE HOLDER - CANCELLATION ACORD 25 (2010105) © 1988.2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD A t-v-,l CoLSTE L t J nJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 Stanley Tutton /ALEX ACORD 25 (2010105) © 1988.2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD A t-v-,l CoLSTE L t J nJ