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A -2-015 - 1l 6
<br />INFOS-1 OF in: NO
<br />a
<br />H<7C)IwI.L a
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE{MWODNYY'/)
<br />a1/271zo1s
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO WORTS 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 pollcy(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 confer rights to the
<br />certificate holder In lieu of such endorsement s .
<br />PRODUCER
<br />Friedmann & Friedmann ins Svcs
<br />CA License #0789373
<br />3990 Westerly Place Suite 100
<br />CONTACT Kevin K, O'Connor
<br />�9' --
<br />PHONE . M-263.5000 { G No) 949-263.60a9 �
<br />f.
<br />Newport Beach, CA 92660
<br />KevinK.O'Connor
<br />—--
<br />INSUREIRS) AFFORDING COVERAGE
<br />NAtC If
<br />INSURER A: Cbubir Group of Insemrwe Go' -
<br />INSURED INFOSENO, Inc.
<br />Razaland Son, LLG
<br />a6SURERe:A%7saUYPluslps4mncNCompany
<br />2662a
<br />ry
<br />4240 E. La Palma Ave
<br />INSURER c:
<br />- .........................
<br />INSURER D:
<br />.._...
<br />Anaheim, CA 92807
<br />INSURER E:
<br />_
<br />INSURER F :
<br />COVFRAnFR CFRTIFIf^.ATE NIHV IFR! RP\/191rTN NI IMPFR.
<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 />HER
<br />C
<br />TYPE OF INSURANCEADOL SUN
<br />FOLIC FF
<br />POLICY NUMBER M OD:YYYY
<br />pQLI YfXP
<br />M D
<br />�
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY 1
<br />EACHOCCU'iRENCE $ 1,000,00
<br />CLAIM64ADE L'�j OCCUR X
<br />136031149 0212VZOIS
<br />0212412017
<br />FREMISES Es rsmce 5 1,000,00
<br />MEO E%P{An one arswr $ 10,00
<br />PERSONAL &ADV INJURY $ 1,000,00
<br />_
<br />GENERAL AGGREGATE $� �2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY JECT 0 LOC
<br />PRODUCTS - COMP/OP AEG S 2,000,000
<br />$
<br />HER:
<br />AUTOMOUILELIABILITY
<br />_
<br />LEUMI $
<br />Ee cni1,000,000
<br />(Ea
<br />_
<br />BODILY INJURY (Per person) $
<br />A
<br />ANY AUTO
<br />73687120 02/1812016
<br />0211W2017
<br />ALL OWNED SCHEDULED
<br />AUTOS X AUTOS
<br />BODILY INJURY (Par eccltlanp $
<br />X X NON -OWNED
<br />HIREDAUT05 AUTOS
<br />PROPERTY DAMAGE $�
<br />Peraccidant
<br />X UMBRELLA LUf6 X OCCUR
<br />EACH OCCURRENCE S 5,000,000
<br />A
<br />UCESSLIAB GLAIMS-MADE
<br />9896866 0212412016
<br />02124/2017
<br />AGGREGATE S Sr000,00
<br />DEG RETENTIONS
<br />$
<br />WORKERS COMPENSATION
<br />i'
<br />STATUTE ER
<br />A
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY ECUTIVE X
<br />71749812 02/0112010
<br />02H)112047
<br />E.L. EACH ACCIDENT S 1,000,00
<br />GFFIOfOPRIE GRIII E%CLUDRIE
<br />O NIA
<br />u0mratory In NH)
<br />E.L DISEASE - EA EMPLOYE S 1,000,000
<br />I( LyM PI T'10"N 41Uer
<br />DE5 ION PERATIONS below
<br />— 1,
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />B
<br />Ermm AOmiaslono
<br />MON000222831501 12/0112016
<br />1ZO1/2016
<br />Limit 6,000,000
<br />Deductibl 25,000
<br />DESCRIPTION OF OPERATIONS ILOCATIONS IVEHICLES (ADORE) 101, Addltlonel Emmett. Schedule, may bo aeachod If mom space is omHrm )
<br />The City Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701;
<br />of
<br />its officers, employyees agents, volunteers and representatives are hereby r v1)
<br />named as an additional Insured with regards to General Liability. Waiver of
<br />subrogation applies to workers compensation.
<br />e
<br />GCttilYltiHIG rIVLVCR 6HN`MLLH IIUN
<br />SAN2003
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Cityof Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />PO Box 1954
<br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE
<br />01988.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 26 (2014101)
<br />The ACORD name and logo are registered marks of ACORD
<br />
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