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,gCc�Ra CERTIFICATE OF LIABILITY INSURANCE 06/011IM'IDDIYYYY, 06/O 1 /2417 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE, [TOES 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! 15 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 endorsement(s). PRODUCER CONTACT NAME: PAYCHEX INSURANCE AGENCY INC 15G SAW'GRASS DR ROCHESTER, NY 14620 AJC, No, Ext : 877 .362.6785 FAX No , 877 sal -coal E-MAIL ADDRESS: paychex@travefers.com INSURERS) AFFORDING COVERAGE NAIL # (87'7) 362-6785 INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA INSURED........ AMERICA ON TRACK INSURER B: INSURER C: 600 W SANTA ANA BLVD INSURER D: STE 710 SANTA ANA, CA'92701 _.._._.__. INSURER E; INSURER F: COVERAGES CERTIFICATE NUMBER., 665311030581251 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. NOTWWTHSTANIDING 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 ADDL INSO SUBR WV'D POLICY NUMBER POLICY EFF MMIDDIYYYYMMIDDFVYYY POLICY EXP LIMITS COMMERCIAL GENERAL LIIABIL6"r't' CLAIMS -MADE [:]OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrenca $ MED EXP (Any one Berson, $ PERSONAL 8. ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- OHE LOC R: JECT GENERAL AGGREGATE $ PRODUCTS -COMPIOPAGG $ OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) ANY AUTO} ALL OWNEDSCHEDULED AUTOS AUTOS .,.� BODILY INJURY (Per accident) - HIRED AUTOS NON -OWNED AUTOS, PROPERTY DAMAGE (Per accident) UMBRELLA LIARBLAWS-MADE CCUR EACH OCCURRENCE .$ ""."'..... EXCESS LIAR AGGREGATE,$ DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN NIA LIB -603M4278-17 01/01/2017 01/01/2018 X 1F1E.R11U1E oNTH- E.L. EACH ACCIDENT ,000,000 ANY PROPRIETORIPARTNERPEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatary in NH) E.L. DISEASE - EA EMPLOYEE $ 1 ,000,400 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT' $1,000,000 DESCRIPTION OF OPERATIONS d LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) q, J LsCr%r Ir" -M I I= rTvt..Lrr.lr% 1L AIVIrtLLA I RUIN 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 @ 1988-2414 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD