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AC`il CERTIFICATE OF LIABILITY INSURANCE
<br />Ill"
<br />DATE IMMIDOtYYYY)
<br />06/01/2016
<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 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 LICENSE NO. 0637431
<br />PATRICK MCRAE INSURANCE SERVICES
<br />1290 N. HANCOCK ST., SUITE 210a
<br />ANAHEIM RILLS, CA 92807
<br />coNrncNAME:r PATRICK MCRAE
<br />PHONE�u (714) 779-B999 ac, N.L714) 779-6903
<br />DRESS: P.mcrae@sboglobal.net
<br />INSURERS AFFORDING COVERAGE NAIC#
<br />INSURERA; COLONY INSURANCE COMPANY 39993
<br />X
<br />INSURED
<br />INSURERS: INSURANCE COMPANY OFTHE WEST 27847
<br />INSURERC; CENTURY -NATIONAL INSURANCE CO. 26905
<br />CROSSTOWN ELECTRICAL & DATA, INC.
<br />5463 DIAZ STREET
<br />IRWINDALE CA 91706
<br />INSURER O: TOPA INSURANCE COMPANY 18034
<br />_
<br />INSURERS: TOKIO MARINE SPECIALTY INSURANCECOI 23850
<br />INSURER F:
<br />LA.I1AaFIA!l7I A:\ LIO IM!\ 11aI0 I 11P4:1ZI: A clTJL9r.l1ff1I1 ;rl -
<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 />POLICY NUMBER
<br />MM pI pV EYY
<br />MMI�OIYYVY
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MAGE ❑X OCCUR
<br />X XCU
<br />X
<br />X
<br />103 GL 0014267-00
<br />DEDUCTIBLE $5,000 PER
<br />OCCURENCE
<br />06/03/201606/03/2017
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />ISA AGE r0_R_E_NTff T_
<br />PREMISEs Fao.curan.a
<br />$ 100,000
<br />MED EXP (Any ane pars.,)
<br />$ 5,000
<br />X OCP
<br />PERSONAL&ADV INJURY
<br />$ 1,000,000
<br />GENT AGGREGATE LIMIT APPLIES PER:
<br />POLICY C11 PES 11 LOC
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />_
<br />PRODUCTS-COMPIOP AGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />C
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANYAUTO
<br />X
<br />BAP0171987 -
<br />11/05/201511/05/2016j°aas,dERNcLEUMIT
<br />$ 1,000,000_
<br />BODILY INJ URY(Per parson)
<br />$
<br />X
<br />ALL OOWNEDSCHEDULED
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS aPe
<br />eODILYINJURY(Pereccldsm)
<br />$ -
<br />PROPERTY DAMAGE
<br />ecodenl
<br />$ -
<br />$
<br />-E--UMBRELLA
<br />X
<br />UAB
<br />E%CESSLIAB _
<br />x
<br />OCCUR
<br />CLAIM&MADE
<br />PUB542883
<br />UNDERLYING LIMITS;
<br />GL; AL; EL POLIGIES
<br />06/03/201606/03/2017
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />AGGREGATE
<br />_
<br />$ 10,000,000
<br />X
<br />OED RETENTIONS 0
<br />$
<br />B
<br />WORKERS COMPENSATI TV YIN
<br />ANYPROPRIETORIPARTNERIEXECUTIVE
<br />OFFICERIMEMBER EXCLUQED9 a
<br />(Mandatory in NH)
<br />If OE SC RIP TION OF OPERATIONS below
<br />NIA
<br />x
<br />WVE 5030354-01
<br />06103/201606/03/2017
<br />X s RTUTE GERH.AND
<br />�_—
<br />51, EACH ACCIDENT
<br />--
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />_
<br />$ 1,000,000
<br />EL DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />PROPERTY &
<br />PC 6600295
<br />790,840 BUILDING
<br />CONTRACTORS
<br />EQUIPMENT
<br />$1,000 DEDUCTIBLE
<br />COV. INCL. THEFT
<br />04/10/2016
<br />04/10/20 17
<br />$385,790 BPP -$300,00061 WI EE
<br />$116,318 SCHEDULED EQ.
<br />$50,000 MISCELLANEOUS TOOLS
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, may be attached If more space Is re ulead
<br />THE CITY OF SANTA ANA, ITS DIRECTORS COM ISSIONERS, OFFICERS, EMPLOYEES, AGENTS, AND VOLUNTEESFSS ARE NAMED AS ADDITIONAL INSURED WITH
<br />RESPECTS TO THE ABOVE MENTIONED POLICIES PER ATTACHED ENDORSEMENT(S). COVERAGE IS PRIMARY & NON-CONTRIBUTORY AS REQUIRED BY
<br />WRITTEN CONTRACT, PER ATTACHED ENDORSEMENT FORMS, WAIVER OF SUBROGATION APPLIES, IF REQUIRED BY WRITTEN CONTRACT.
<br />"SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, A 30 DAY WRUTEN NOTICE WILL BE ISSUED.
<br />i
<br />RE: PROJECT NAME: "SERVICE AGREEMENT FOR ADVANCED TRAFFIC MANAGEMENT SYSTEM AND COM ONICA_T N MAINTENANCE AND REPAIR SERVICES
<br />CROSSTOWN JOB 42413EVIEVVEO BY: - EUNICE HEREDiA (PG �OF}
<br />- , m___w__..�
<br />CITY OF SANTA ANA
<br />20 CIVIC CENTER PLAZA M-36
<br />SANTA ANE, 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 />REPRESENTATIVE
<br />© 1988.2014 ACORD CORPORATION. All ri0hts rpsprved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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