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NECCORP-01 WITKUSJA <br />CERTIFICATE OF LIABILITY INSURANCE DATE 4/4/2016 (MMIDDIYYYY) <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 endorsoment(s). <br />PRODUCER CONTACT Willis Towers Watson Certificate Center <br />NAME. <br />Willis of Texas, Inc. PHONE. 945 -73'78 - Fax - <br />c10 26 Cantu Blvd tr { ) A C, Nor. {888) 467 -2378 <br />'..P.O. Box 305,91 aooasss: certificates wlllis.com <br />Nashville, TN 37230 -5191 '- <br />INSURER B), AFFORDING COVERAGE NAIC iF <br />INSURER A: Travelers Indemnity Com an 25658 <br />INSURED rn - INSURER B:Travelers Property Casualty Company of America 25674 <br />NEC Corporation of America, Inc. INSURER C: Charter Oak Fire Insurance Com any 256.15 <br />3929 W. John Carpenter Freeway INSURER n: _ <br />Irving, TX 75063 INSURER E: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />INS ._. AtiD 771 _......_ _ <br />LTR TYPE OF MSUAANCE POLICY NUMBER L1A1rrS <br />A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br />CLAIMS-MADE FXXXl OCCUR X X HK- GLSA- 162D6431- IND -16 PREMISES Ea occurrence $ 300,000 <br />MED EXP(Any one poison) $ 10,000 <br />PERSONAL & A_DV INJURY $ 1,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ 2,000,00 <br />POLICY PRO- LOD RODUCTS- COMPIOPAGG $ 1,000,000 <br />JECT _ <br />OTHER: $ AUTOMOBILE LIABILITY OMBINED SINGLE LIMIT $ 1,000,000 <br />_ Ea accident _ _ <br />B X ANY AUTO X X HJ- CAP - 16206418- TIL -16 04/01/2016 04/01/2017 BODILY INJURY (Per person) $ <br />ALL OWNED SCHEDULED BODILY INJURY accident) $ <br />AUTOS NON OWNED PROPERTY DA CE $ <br />HIRED AUTOS AUTOS Per accident <br />X UMBRELLA UAS X OCCUR EACH OCCURRENCE $ 5,000,000 <br />B EXCESS LIAR _ CLAIMS -MADE X X HSMJ- CUP- 162D642A -TIL16 04/01/2016 04/01/2017 AGGREGATE W $ 5,000,000 <br />DED X RETENTION $ 10,000 $ <br />WORKERS COMPENSATION X <br />AND EMPLOYERS' LIABILITY STATUTE ERH <br />B ANY PROPRIEFORlPARTNER tEXECl1TtVE Y� IN X HCZJUB- 162DS44.3 -16 04/0112016 04101/2017 E.L EACH ACCIDENT $ 1,000,00 <br />OFFICERIMEMBER EXCLUDED? N N t A <br />. MPLOY 1,000,00 (Mandatory in NH} EL DISEASE <br />I( es, describe under <br />DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICV I.IMrf $ 1,000,00 <br />C Workers CompensatlOn HROUB- 4E33925.8 -16 04/01/2016 04/01/2017 See Attached: <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS t VE ICLES (ACORD 101, Additional Remarks Schedule, may has attached if more space Is reached) <br />The City of Santa, 20 Civic Center Plaza, Santa Ana, California, its Officers, Employees, Agents, and Volunteers are included as Additional Insured with regard <br />to liability and defense of suits arising from the operations and uses performed by or on behalf of the Named Insured. With respect to bodily injury or property <br />damage claims arising out of the operations performed by or on behalf of the Named Insured, such insurance as is afforded by this policy Is primary and is <br />not additional to or contributing with any other Insurance carried by or for the benefit of the Additional Insured provided claims that give rise are from the <br />Named Insured 's negligence and arising out of operations performed for the City of Santa Ana. This Insurance applies separately to each insured against <br />whom claim Is made or suit is brought except with respect to the company's 11 i of company's limits of liability. The inclusion of any person or organization <br />as an Insured shall not affect any right which such person or organizatlonyf ave as a claimant if not so included. <br />ra lF <br />V N P x0 <he SHOULD TIH V DESCRIBED POLICIES CANCELLED <br />BEFORE <br />. S, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Ii CM <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />The City of Santa Ana, <br />its Officers, Agents and Employees AUTHORIZED REPRESENTATIVE <br />Attn: Carl Marek <br />PO Box 1988 i�zew ,J'y's "'��.r✓'-"' <br />Santa Ana CA 92702 <br />©1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD <br />