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,.,,•.� INZIUK-T ur IU: in
<br />CERTIFICATE OF LIABILITY INSURANCE DATEIMMI°DITYYYj
<br />�..---' 4812212415
<br />THIS CERTIFICATE 15 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(ies) 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 endorsementlsl.
<br />Inc.
<br />INSURED Insure Protective Security Inc
<br />8200 Stoneridge Mail #300
<br />Pleasanton, CA 94588
<br />Central Insurance
<br />D:
<br />Insurance Cc
<br />Auto
<br />rnvRGACH=Q rFRTIFIr.ATP NIIMRRR• REVISION NUMBER:
<br />877.243.8995
<br />2938
<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
<br />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 />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />INSR—....�...... ADDU U
<br />LTR TYPE OF INSURANCE { p POLIGY NUhIHER
<br />POLIC7EHIr-i�P�LIXP
<br />MM;DDPfYYY - MMfgWYYYY LIMITS
<br />Employees, Agents, Volunteers
<br />A { X I COMMERCIAL GENERAL LIABILDY [ 1
<br />( � EACH OCCURRENCE &
<br />1,000,00
<br />CLAIMS -MADE T XOCCUR X LS66023.0
<br />$7221 09122206 -CAMAea -5.
<br />PREMre
<br />{00,00t
<br />!XTAssault $cBattery
<br />;M EDEXP(Anyarepersonj�$
<br />5,00
<br />X 1 Erimrs 5r Omission (
<br />; PERSONAL &ACV INJURY j $
<br />1,000,00
<br />GEN'L AGGREGATE LIMIT APPLIES PER -.
<br />GENERAL AGGREGATE j s
<br />2,000,00
<br />jEpT F
<br />PRODUCTS-COMPIOP AOG 5
<br />{,000,000
<br />POI ICY LOC
<br />OTHER:
<br />AUTOMOBILE LIABILITY '',,�
<br />COM8INED SINGLE LIMIT jt
<br />Ee accident
<br />1,000,000
<br />rO III 504.56321.8423-001
<br />107110/20{81 071'10/20'17 BODILY INJURY(Per person) $
<br />ANYAUNED SCHEDULED
<br />AUTOS SCHEDULED
<br />AIT I
<br />BODILY INJURY (Per accident)
<br />�ANVAU
<br />NON -OWNED
<br />PROPERTY DAMAGE -'--^-----
<br />£
<br />IHIREDAUTOS `I AUTOS
<br />", LieraccidErt)_.
<br />UMBRELLA LIAR X I OCCUR
<br />I EACH OCCURRENCE S
<br />{,000,000
<br />C X EXCESS LIAR ) CLAIMS -MADE EXC10005712301
<br />09122/2016, 0912212016: AGGREGATE S
<br />1,000,00
<br />OED X Ir RETENTION 8 10,044'.
<br />—_ _ —__
<br />WORKERS COMPENSATION 1
<br />(
<br />X PER
<br />ER H
<br />AND EMPLOYERS' LIABILITY
<br />Y
<br />D ANVPROMFMB RIPARTNERIEXECUTNE 9{00626.16
<br />05%2$/20{6 05126120{7 EL_ EACH ACCIDENT s
<br />1,000,00
<br />OFFICER(MEMBEREXCWDED4 ❑NIA
<br />(Mandatory in Not
<br />EL DISEASE -EAEMPLCYEE$
<br />1,000,000
<br />'r ae, doscnbe under -
<br />DESCRIPTION OF OPERATIONS below
<br />E. L. DISEASE - POLICV LIMITS
<br />1,000,000
<br />�r
<br />N I LOCATIONS I VEHICLES ACORD 101 Addltloml Remarks Schedule may be attached if more space is required)
<br />DESCRIPTION OF OPERATIONS ( Y p � +
<br />The Clty of Santa Ana, it's officers, ern loyeos, agants and representative �J2a
<br />included insured the General Liablility with
<br />are as additional on policy
<br />the insured
<br />4
<br />respects to the operation of named only.
<br />t e''4a's'
<br />r`LUTUdu-ATc unl nan rANOPi I ATION - a"A2,N.
<br />CITYSA3
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana Its officers
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Employees, Agents, Volunteers
<br />and Representatives
<br />20 Civic Center Plaza�;/,�"
<br />AUTHORIZED REPRESENTATIVE
<br />"
<br />Santa Ana, CA 92701
<br />(01960-ZU14 ALLIKU i:UKYVKA i IVN. Ali ngrus resolvent.
<br />ACORD 25 (2014101) The ACORD name and logo are registered mars of ACORD
<br />
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