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A�CO20® CERTIFICATE OF LIABILITY INSURANCE 7/28/2016DIvvvv) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES 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 IS WAIVED, subject to the terms and conditions of the policy, certain policies may rsqulre an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Woodruff -.Sawyer & Co. 50 California Street, Floor 12 Sen Francisco CA 94111 CONTACT PHONE PAX . 415-391-2141 A U 415-989-9923 ADDRESS DARE INSURERS AFFORDING COVERAGE NAICq X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1 OCCUR INSURER A:Chubb Custom Insurance Company '38989 INSURED AMERLOG-01 INSURER B: Cabco Yellow, Inc. dba John Wayne Airport Yellow Cab Service 520 W Dyer Rd„ Suite A INSURER C: INSURER O: INSURER E: _ Santa Ana CA 92707 INSURER F: —r COVERAGES CERTIFICATE NUMBER: 463049216 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, NOTWITHSTANDING 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, ILTR TYPE OF INSURANCE INSO I aR� WVO POLICY NUMBER POLICY EFF MMIODIYYYY PO ICY EXP nAMIDDNYYYI -- LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1 OCCUR Y 79965269 11/1/2015 111112016 EACH OCCURRENCE $1,000,000 DA LED PREMISES Ex occuoenca 1 $100,000 U, MED PXP (Any one person) $5,000 I _— PERSONAL& ADV INJURY $1,000,000 CENT AGGREGATE LIMIT APPLIES PER'_ X POLICY 0jECT LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPIOP AGG $2,000,000 S OTHER: AUTOMOBILE LIABILITY DINED SINGLt LJMI I $ ANY AUTO BODILY INJURY'(Perperson) $ AUTOS NED AUI7iO5ULE0 HIRED AUTOS NON -OWNED AUTOS BODILY INJURY(Peracclden0 $ PROPERTY A GE Per accldenl $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAS CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OR"' STATUT ER E.L. EACH ACCIDENT $ — ANY PROPRIETORIPARTNEWEXECUTIVE ❑ OFFICER1MEMSER EXCLUDED? NIA - E.L. DISEASE - EA EMPLOYEE $ (MandatorylnNH) Dfyyes, describe under ESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS (VEHICLES (ACORD 101, Additional Remarks Schiedam, maybe attached if more space Is required) The City of Santa Ana, its agents, officers, employees and volunteers are Included as additional insured as required by written contract. REVIEWED 6Y: EUNICF HE 11A (PC City of Santa Ana 20 Civic Center Plaza PO Box 1988 Santa Ana CA 92702 ACORD 25 (2014/01) 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 © 1988.2814 The ACORD name and logo are registered marks of ACORD reserved.