XANADU SERVICE SYSTEM (FNA BELL BUILDING MAINTENANCE INC.) 3D -2016

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ACCW& CERTIFICATE OF LIABILITY INSURANCE OATE(MMA)DIYYYY) i`4,... —''' 1 05/25/2016 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may reLjuire an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NXMTA11 JIN KIM 4..., INSURANCE LAND INSURANCE SERVICES PHONE. 213- 388 -5505 _...� q)G I,Iq; 213 - 388 -'7146 4032 WILSHIRE BLVD s. no insuranceland6sbeglobal.net STE 309 INSURERj9)AFFORDING COVERAGE NAICN L08 ANGELES CA 90010 INSURERA: COLONY INSURANCE COMPANY 39993 INSURED INSURERS; EMPLOYER PREFERRED INSURANCE 10346 XANADU SERVICE SYSTEM, INC. INSURERC: I14TEGON PREFERRED INSURANCE _ 31488 3010 WILSHIRE BLVD. SUITE 315 PRODUCTS COMP /OPACIG ............... $ 1, 000, 000 INSURERD L. INSURER E LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS NNO IN OWNED LOS ANGELES CA 90010 INSURER F; 06/04/201506/04 COVERAGES CERTIFICATE NUMBER: 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 INSURANd 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. NSR LTR TYPE OF INSURANCE o R POLICY.NUMBER POLICY EFF MMIDONYYY I POLICY ESP UNITS A SANTA ANA CA 92701 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR �J ® Y Y GL4171421 09/15/2015 —(MMMONYYYI 09/35/2016 EACH OCCURRENCE $ 1,000,000 GEHL ETORE TED" ,p6,EMI5E9 tEa occurrencgl ..$ 100,000 MED EXP(Any one Person) $ 5 000 _ PERSONAL B ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: PRO- POLICY JEOT � LOC OTH R; GENERAL AGGREGATE S 2,000,000 PRODUCTS COMP /OPACIG ............... $ 1, 000, 000 L. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS NNO IN OWNED 2003172588 - 06/04/201506/04 /2016 Ea accifi LE LIMIT g 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Par accident) $ PROPERTY DAMAGE $ -� LJ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DED . RET NTI N $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER /EXECUTIVE ��--� OFFIOERIMEMBER EXCLUDED? p (Mandatory In NH) L=1 If yes, describe under DESCRIPTION OF OPERATIONS below NIA EIG 1663447 03 04102/2016 04/02/2017 lHhK I I or F- .§IAT_UTE I ER E.L. EACH ACCIDENT $ 1,000,000 E.L, DISEASE - EA EMPLOYEE $ 1, 000, 000 EL DISEASE - POLICY LIMIT $ I, 000 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be akached If more space is required) //J� y( CERTIFICATE HOLDER IS AS AN ADDITIONAL INSURED. %CevlewalJ7 /2y CERTIFICATE HOLDER CANCELLATION CLERK OF THE COUNCIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF SANTA ANA 20 CIVIC CENTER PLAZA (14-30) AUTHORIZED REPRESENTATIVE SANTA ANA CA 92701 ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD