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AC"RbF CERTIFICATE OF LIABILITY INSURANCE <br />DIDDIY <br />10/5/0/5/2015 <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 pollcy(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 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 AIC No: (949)261-1911 <br />E-MAIL <br />SS <br />INSURERS AFFORDING COVERAGE <br />NAICN <br />INSURER A:Travelers Casualty Insurance <br />19046 <br />INSURED <br />Reprographics Fax Group, Inc„ DBA: C3 Office <br />Solutions; C3Office Solutions LLC <br />1536 E Warner Avenue <br />Santa Ana CA 92705 <br />INSURER B:Travelers Property Casualty <br />5674 <br />INSURERC: <br />wsuRERD: <br />INsuRERE: <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 />ILTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY SEE <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDM'YY <br />LIMITS <br />GENERALLIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 7XI OCCUR <br />6809BO1177715 <br />/23/2015 <br />/23/2016 <br />77AMA E T RENTED <br />REMISES Eecccurrence <br />$ 300,000 <br />MED EXP(Any one person) <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />$ 2,000,000 <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER'. <br />PRODUCTS - COMP/OP AGG <br />$ 4,000,000 <br />X POLICY <br />PRO LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />EO COMBINED SINGLE LIMIT <br />$ 1,000,000 <br />A <br />X <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />ABB85091915 <br />/23/2015 <br />/23/2016 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />Medical payment. <br />$ 5,000 <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEp I I RETENTION$ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YINDRY <br />ANY PROPRIETORIPARTNERIEXECUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED? <br />(Mantletory in NH) <br />NIA <br />IGUB4039T88715 <br />10/2/2015 <br />0/2/2016 <br />X TWO STATU- I OTH- <br />LIM <br />E.L. EACH ACCIDENT <br />$ 1 000 000 <br />E.L. DISEASE - EA EMPLOYE <br />$ 1 000 000 <br />If yes, descnbe under <br />DESCRIPTION OF OPERATIONS below <br />E. L. DISEASE -POLICY LIMIT <br />1 $ 1 000 000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 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, CGD037 0405 6 ILT400 1209 <br />CERTIFICATE HOLDER CANCELLATION <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 />�7 <br />Stanley Tutton/ALEX <br />ACORD 25 (2010105) © 1988.2010 ACORD CORPORATION. All rights reserved. <br />INS025 (201005),01 The ACORD name and logo are registered marks of ACORD <br />'� v�we3� �•�; A1.0-1reLcaA-) <br />/ o/_T 0 /ram <br />