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DATE (MM)DDIYYYY) - CERTIFICATE OF LIABILITY INSURANCE 04/07/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Page Toflghi Arc Light Insurance Services, Inc. ao°NN Est), (310) 55_0-6862 _ INC.AX Ne (310) 55 47 E Colorado Blvd. Sidle B 'MAZE L . page@arclightinsurance.com _ Pasadena, CA 91105 INSURERS) AFFORDING COVERAGE Phone (310) 550-6862 Fax (310) 550-6863 INSURERA: Colony Insurance Company INSURED INSURER B, Luis Fernandez dba Global Satellite INSURER C : 16105 Victory Blvd. Space 7G I'"'°"`" u i INSURER E Van Nuys CA 91406 - -- ___ INSURERF: 1 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: r THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS -FED BELOW HAVE BEEN ISSUED TO TI1E INSURED NAMED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT ABOVE FOR THE POLICY PERIOD 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 ADD L UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE 1R WVD_ POLICY NUMBER MMIDD/YYYY MMIDDIYYYY LIMITS f� E/ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 CLAIMS -MADE OCCUR DAMAGE O TRENTED PREMISES Ea occurre.,H $ 100,000.00 ❑ MED EXP (Any one person $ 5,000.00 A l GL4080259 09110/2015 09/10/2016 -_—_ PERSONAL _&ADV INJURY $ 1,000,000.00_ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000.00 IG�EEN'L IT_I POLICY ❑ PRO- 1:1LOG JECT PRODUCTS -COMPIOP AGG $ 2,000,000.00 ❑ OTHER $ _..._ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT IEa accident) $ _ BODILY INJURY (Per person) $ ANY AUTO ❑ AUTOSNED ❑ SCHEDULED AUTOS BODILY INJURY(Peracedent) $ NON OWNED L HIRED AUTOS ❑ AUTOS PROPERTY DAMAGE Leracnde'cL_- $ I_, L] 7 Li UMBRELLA LIAB El OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAD ❑ CLAIMS.MADE AGGREGATE $ ❑ DED ❑ RETENTION $ $ WORKERS COMPENSATION _ ❑PER OT I - ❑ AND EMPLOYERS' LIABILITY YIN STATUTE ER _- E. L. EACH ACCI DENT $ ANY PROPRIETORIPARTNERIEXECUTIV -- OFFICERJMEMBER EXCLUDED? NIA -- E.L. DISEASE - EA EMPLOYE $ ----'— (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below —'--- F.I_, DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Certificate holder, Its officers, agents, and employees are named as Additional Insured. X,/,/11,,,"1'((("`✓✓✓""",,, a� G Pdm��• I ��\J�a CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: PRCSA 20 Civic Center Plaza -M23- Santa Ana, CA 92701 AUTHORRED REPRESENTATIVE -- "--- — - © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) OF The ACORD name and logo are registered marks of ACORD