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ACC>Rbr CERTIFICATE OF LIABILITY INSURANCE ----- DATE CAWOUNYYY) INSR LTR 12/14/2015 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 require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorseniont(s). PRODUCER CONTACT NAMEt PAYCHEX INSURANCE AGENCY INC 150 SAWGRASS DR ROCHESTER, NY 14620 PHONE ;)v UVC, N., EM': 877)v No)' (877)877x447 E:MAIL INSURER(S) AFFORDING COVERAGE NAG If (677)$62-6765 INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA INSURED AMERICA ON TRACK INSURER 5: INSURER C; 600 W SANTA ANA BLVD STE 71 Q INSURER D: SANTA ANA, CA 92701 Tx-iLDiiww --- ---- ---- -------- - ----------- -- ------- - — ------ ---- -- .. .......... ------ --------------- RERI, ----- . . ..... . THIS IS TO CERTIFY THAI' 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 INSURANCE 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. INSR LTR TYPE OF INSURANCE ADD L INSO BUSH MD POLICY NUMB TLL—lm POLICY Err POUCYEXP LIMITS .. COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR EACH OCCURRENCE $ DAMAGE TO REN I �D REM15E S (E.O=uyen,&) $ $ MED EXP lArwww P..,) PERSONAL & ADV INJURY IF GEN'L AGGREGATE LIMIT APPLIES PER; POLICY [:]PRO -[:]LOC OTHER: JECT H -9-EIIE GGR GATE $ PRODUCTS - COMPIOP AGO $ $ AUTOMOBILE LIABILITY — COMBINED SINGLE LIMIT IRA aWdPiit) $ BODILY INJURY P., $ ANY AUTO ALI. OWNED SCHEDULED AUTOS AUTOS BODILY INJURY( Pat aacidnniJ $ HIRED FlUTDS NON -OWNED AUR OS PROPE DAMAGE (P.rG.1 .nU $ ---- UMBRELLA LIAR EXCESS UAS OCCUR CLAIMS -MADE EACH OCCURRENCE $ DEULJ BET ENTION I$ AGGREGATE $ _M:603M4278-16 A WOMERSCOMPENSAIRON AND EMPLOYERS' LIABILITY YIN NIA 0110112016 01/01/2017 X 0TUTE 'Q'TH- Bill- EACH ACCIDENT $1000000 ANY PROPRIE10R)PAR INERILXECUTIVE OFFIC5111MV Ell DISEASE LA EMPLOYEE $1,000,000 (Mandatory in NH) If n., de.aiba wdar DESCRIPTION OF OPERATIONS Wm E.L. DISEASE POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS (VEHIZES IACORD 101, Addillari.l ftria,ks Schedule, ..y b. aiaidl.d If more 1P.. In 1.10.d) CITY OF SANTA ANA 20 CIVIC CENTER PLAZA M25 SANTA ANA, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE (. Qc) 1960-2014 ACORD CORPORATION, All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD