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STRADIS•01 RHONDAC <br />CERTIFICATE OF LIABILITY INSURANCE DAT2/212016 (MMMDNYYY1 <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 confor rights to the <br />certificate holder in lieu of such endorsements). <br />PRODUCER License # 0252636 <br />3allant Risk & Insurance Services, Inc. <br />LEYrLID <br />Straub Distributing Co. LTD <br />4633 La Palma Ave. <br />Anaheim, CA 92807 <br />INSURER E: <br />INSURER F: <br />of the West <br />COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT VNTH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 v POLICY EFF POLICY EXP <br />LTR TYPE OF INSURANCE INSD D POLICY NUMBER JMM1DDfYYYYi, MMIDDIYYYYJ LIMITS <br />A X I COMMERCIAL GENERAL LIABIUTY.__ <br />Attn: Silvia Cuevas <br />....................... <br />EACH OCCURRENCE a" 1,000,00 <br />CLAIMS MADE � OCCUR X <br />60472392 0210112016 0210112017 <br />PREMISES Earence $ 300,00 <br />MED EXP (Any one person) $ 5,00 <br />Santa Ana, CA 92702 <br />PERSONAL &ADV INJURY $ 1,000,00 <br />GENERAL AGGREGATE i' $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APnPLIES PER <br />POLICY JJECT L—J LOC <br />PRODUCTS - COMP/OP AGO $ 2,000,000 <br />OTHER <br />$ <br />_ <br />AUTOMOBILE LIABILITY <br />_ <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />Ea accident <br />A X ANY AU'r0 X <br />60472392 02/01/2016 02/01/2017 <br />BODILY INJURY (Par person) $ <br />ALLOWNED SCHEDULED <br />BODILY INJURY (Per accident) $ <br />AU709 AUTOS <br />___ <br />NON -OWNED <br />PROPERTY <br />edAMAGE $ <br />HIRED AUTOS <br />X UMBRELLA LAS X OCCUR <br />EACH OCCURRENCE$ 10,000,000 <br />............... <br />A EXCESS UAa CLAIMS -MADE <br />60472392 0210112016 0210112017 <br />AGGREGATE 16,000,00 <br />$ <br />DED X RETENTION$ 0 <br />WORKERS COMPENSATION <br />X SH <br />TATUTE EOR <br />ANDEMPLOYERS'LIAMLITY YIN <br />B ANY PROPRIETORfPAR1NERIEXECUTIVE <br />WS0602056504 02/01/2016 02/0112017 <br />E.L. EACH ACCIDENT $ 1,000,000 <br />OFFICER/MEMBER FXCLUDED9 NIA <br />—----- <br />1,000,000 <br />(MandatoryinNH) <br />E. L. DISEASE - EA EMPLOYEE $ <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 (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />RE: Anheuser Busch Fiehir:strI94_' <br />The City of Santa Ana, its officers, employees, agents and representatives aro listed as additional insured in regards to general liability and auto liability Per <br />the attached policy forms. Coverage is primary and non-contributory per the attached policy farms. <br />30 day notice of cancellation.; <br />SCBE CANCELLED BEFORE <br />WILL BE DELIVERED IN <br />ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DE: <br />Cit of Santa Ana, Parks, Recreation & Community Services <br />City y <br />THE EXPIRATION DATE THEE <br />ACCORDANCE WITH THE POLICY <br />Agency -M23 <br />Attn: Silvia Cuevas <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />PO Box 1988 <br />Santa Ana, CA 92702 <br />SCBE CANCELLED BEFORE <br />WILL BE DELIVERED IN <br />ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD <br />