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INSURA OP ID: CT
<br />ACC?IZL7' DATE tMWDDrYYYO
<br />CERTIFICATE OF LIABILITY INSURANCE 09126/2016
<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(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(Sl.
<br />PRODUCER
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY
<br />CONTACT
<br />Central Insurance Agency
<br />Central insurance Agency, Inc.
<br />83 East Main Street
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE
<br />PHONE PAX
<br />(AID, AID,c, Nnl; 877.243.8995 No, Extt:877.242-9600
<br />Smithtown, NY 11787
<br />George Gavarls
<br />E-MAIL --
<br />ADDRESS CertiftCate$@ciainsuros.com ......_. "'.
<br />POLICY EFF... PoucY EXP ..... .........
<br />1MID01YYYY},(.MMlODtYYYYt LIMITS
<br />-_-_ -.
<br />INSURERS] AFFORDING COVERAGE _ MAIC # 1
<br />-
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<br />„
<br />INSURER A: Houston Specialty Insurance Cc 12936
<br />INSURED Insure Protective Security Inc
<br />fin
<br />wsugrTa Inity CcImerciai Auto
<br />6200 Stoneridge Mail #300-
<br />Pleasanton, CA 94588
<br />..5,000_..
<br />-- ---- -
<br />INSURER C Endurance Risk Solutions _
<br />_
<br />PERSONAL&ADVINJURY 3
<br />1,000,000
<br />INSURER D:State Insurance Fund
<br />{
<br />�wJ r+I`, 4•:3 .�1LI,Lj,.
<br />f ( !
<br />2,000,000
<br />INSURER E:
<br />PRODUCTS' COMP/OP AGO S
<br />-.. -. ......
<br />1,000,000
<br />INSURERF:
<br />COVFRAr4FS r.r PTIFICATF MInAPi
<br />kll Iaao Co.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY
<br />CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH
<br />THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE
<br />POLICIES OE$CRIBED 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 ........ . _. __-. ADOL SUER .... _ _..... .__
<br />LTR TYPE OF INSURANCE &SD POLICY NUMBER
<br />POLICY EFF... PoucY EXP ..... .........
<br />1MID01YYYY},(.MMlODtYYYYt LIMITS
<br />-_-_ -.
<br />A X 00MMEROIAL GENERAL LIABILITY
<br />_
<br />EACHO.,CURRENCE S
<br />1,g00,gOq
<br />CLAIMS -MADE X OCCUR X ALS660236.00
<br />_.
<br />08122/2016 DW22/2018- 75AMAr3ES"o RENTED
<br />_PREtAiSE_S.tEa_ocrPxre )
<br />X Assault & Battery
<br />(AnY oIro➢srson} g
<br />..5,000_..
<br />X Errors&Omission _..
<br />_
<br />PERSONAL&ADVINJURY 3
<br />1,000,000
<br />GEN'LAGGRiA']ELINITAPPUES PER._
<br />GENERAL AGGREGATE S
<br />2,000,000
<br />X„ POLICY JELOC
<br />.. _-.
<br />PRODUCTS' COMP/OP AGO S
<br />-.. -. ......
<br />1,000,000
<br />OTHER:
<br />3
<br />.._.. _.
<br />BI
<br />AUTOMOBILE IJALITY
<br />._
<br />OMBI NEDSINGLE LIMIT S
<br />{E accdenlj
<br />1,Qg0,gq0
<br />00
<br />B ANY AUTO 504-88321-8423-001
<br />_.
<br />07/10/2016 07/1012016 BODILY lNJunv (Per person) 8 s
<br />_
<br />ALLOWNEOSCHEDULED
<br />.. AUTOS X AUTOS
<br />BOD ILY INJURY (Per awldend u
<br />HIftEU AUTO5NON-ObVNED
<br />_. AUTOS
<br />PROPERTVDAMAGE
<br />_ (Per acmdenl)
<br />S
<br />UMBRELLA LIAS X OCCUR
<br />EACH OCCURRENCE 3
<br />2,000,000
<br />B X EXCESSUAB CLAIMS -MADE EXC10005712301
<br />0912312055 0872212016 AGGREGATE $
<br />2,000,04
<br />DED X RETENTION$ 10,000
<br />S
<br />COMPELI ATION
<br />X PER 01H,
<br />AND EMPLpYBRS' LU1BILITY
<br />AND EMPS YIN
<br />STATUTE ER
<br />D ANY PRaaRIEroR�PARTNERrExecunvE 9100826.15
<br />0-512812015 05128/2016 EL EACH ACCIDENT S
<br />1,000,000
<br />OFFOER/MEMBFR EXCLUOEWNIA
<br />-
<br />(MandatoryinNHl
<br />EL DISEASE - EA EMPLOYEES
<br />11000,000
<br />If yes, deschbe under
<br />DESCRIPTION OF OPERA,TIONSbei. _
<br />- — -- - --- --
<br />E.L. DISEASE -POLICY LIMIT S
<br />-- --
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Additional Remarks Schadule, may be
<br />The City of Santa Ana, it's officers, employees,
<br />attached if more specs Is mgWed! n
<br />wants, and representative
<br />are included a& additional insured on the Genera Liability with
<br />policy
<br />respects to the operation of the named insured only.
<br />vt
<br />Va
<br />CITYSA3
<br />City of Santa Ana Its officers
<br />Employees, Agents, Volunteers
<br />and Representatives
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />©1988.2014 ACORD CORPORATION. All rights reserved
<br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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