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AC(,->RbP CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br />3/29/2017
<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 have ADDITIONAL INSURED provisions or be endorsed,
<br />If SUBROGATION IS WAIVED, subject to tho terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the cortlficate holder in lieu of such endorsement(s).
<br />PRODUCER Phone; (707)996-2912
<br />Fax; (707)996»7912
<br />Apollo General Insurance Agency, Inc. (1)
<br />P. 0. Box 1508
<br />NAME, C Jeritee Lewis
<br />IAIC. No, PHONE E Al Nol:
<br />E-MAIL jerlleol@apgon,com
<br />AD Ess;
<br />INSURERS AFFORDING COVERAGE NA1C #
<br />Sonoma, California 95476
<br />INSURER A: Interstate Fire & Casualty Company 22829
<br />INSURED
<br />INSURERS; American Automobile Insurance Company 21849
<br />American Wrecking, Inc,
<br />INSURER c: Torus Speciality Insurance Company 44776
<br />2459 Lee Avenue
<br />NSURER D : State Compensation Insurance Fund Of California 35076
<br />INsuRERE;
<br />South El Monte, CA 91733
<br />Philadelphia Y
<br />Philadet 23850
<br />I hia Insurance Company P
<br />INSURER F:
<br />1K�3+Jx[,'Ir1� y�.iliy[Ntll��r'Dlrhl-3�: 7�r11`-3C��.�.I�LT
<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 />D
<br />BR
<br />POLICY NUMBER
<br />POLICY
<br />M DD/ Y
<br />MMIDD EXP
<br />LIMITS
<br />A
<br />v/ COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE � OCCUR
<br />DAN 1000415
<br />4/28/2016
<br />4/28/2017
<br />EACH OCCURRENCE $ 1,000,000
<br />AMAGE TO
<br />PREM SES Ea occurrence) $ 300,000
<br />MED EXP JAny one person) $
<br />PERSONAL uAOVINJURY $ 1,000,000
<br />GEN'LAGGREGATELIMITAPPLIESPER:
<br />POLICY a JEC FILOO
<br />GENERALAGGREGATE $ 2,000,000
<br />PRODUCTS - COMP/OP AGO $ 2,000,000
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />IvIXA80320884
<br />9/1/2016
<br />9/1/2017
<br />H seed DtSINOLELIMIT $ 1,000,000
<br />BODILY INJURY (Per person) $
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED,/ NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />BODILY INJURY (Per accident) $
<br />PROPERTYDA AGE $
<br />era dent
<br />C
<br />✓
<br />UN113RELLA LIAB
<br />EXCESS LIAB
<br />19
<br />OCCUR
<br />CLAIMS -MADE
<br />29256E160ALI
<br />4/28/2016
<br />4/28/2017
<br />EACH OCCURRENCE $ 10,000,000
<br />AGGREGATE $ I0,000,000
<br />DED I RETENTION $
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANYPROPRIETOWARTNERIEXECUTIVE YIN
<br />OFFICERIMEM13EREXCLUDED?
<br />(Mandatary In NH)
<br />It yea, deacrlhe under
<br />DESCRIPTION'0 OPERATIONS below
<br />NIA
<br />9161690-16-2
<br />10/1/2x16
<br />10/1/2017
<br />✓ PER OTH-
<br />S7 7UTE ER
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />E.L. DISEASE • POLICY LIMIT $ 1,000,000
<br />E
<br />Pollution Liability
<br />PPK1615467
<br />2/18/2017
<br />2/18/2018
<br />Ila Occurrence: 5,000,000
<br />Polley Auareaate: 5,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required)
<br />Re: Permits and Operations of the Named Insured. The certificate holder is hereby added as Additional rnsured if
<br />required by written contract per endorsement hereto.
<br />RE:VIL ED BY: EUMCE IIEREDIA (PG pcaF )
<br />Holder's Nahire of Interest : Certificato Holder
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<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 />©1988.2015 AdohD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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