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
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