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Client#:1252974 <br />303CABC0YEI <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYV) <br />TYPE OF INSURANCE <br />7/27/2016 <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: It the certificate holder is an ADDITIONAL INSURED, the policy(les) must be andorsetl. If SUBROGATION IS WAIVED, sub)act 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 <br />p <br />NAME: Masoud Shahri <br />BS&T-John Burnham Ins Services <br />acc° Ne E.1:819 231-1010 ac No: 6192369134 <br />750 B Street Suite 2400 <br />EMAIL <br />San Diego, CA 92101 <br />AODREss: <br />619231-1010 <br />INSURERISI AFFORDING COVERAGE MAID If <br />_ <br />INSURER A: Wesco Insurance Company 25011 <br />INSURED <br />Cabco Yellow Inc <br />INSURER B : <br />INSURER C : <br />dba California Yellow <br />INSURER D <br />520 West Dyer Road <br />INSURER E <br />Santa Ana, CA 92707 <br />INSURER F: <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 CONTRACTOR 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 />AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIDp <br />LTRR_ <br />IM" <br />TYPE OF INSURANCE <br />INDS <br />LUNO <br />POLICY NUMBER <br />POLICY EFF <br />EECgLLpAIMS. <br />MMI0I DIYYV`l <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />II�� <br />CLAIMS -MAGE a OCCUR <br />EACH OCCURRENCE $ <br />AqMIUAq EETT <br />PREMI9EEOEe occurtenceI $ <br />MED EXP (Any one person) $ <br />PERSONAL& ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO.PRODUCTS <br />POLICY __- LOC <br />GENERAL AGGREGATE $ <br />-COMPIOP AGO $ <br />OTHER: <br />IS <br />A <br />AUTOMOBILE LIABILITY <br />WPP105185203 <br />10/01/201510/01/201 <br />EOa Gdd.nnISINGLELIMIT 1,000,000 <br />ANY AUTO <br />ALLOWNED SCHEDULED <br />AUTOS X AUTOS <br />HIREDAUTOS NON -OWNED <br />AUTOS <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per acdtlent) $ <br />PROPERTY DAMAGE <br />Psrsccltlent $ <br />UMBRELLA LIAR <br />EXCESS LAS <br />---y----------- <br />OCCUR <br />CLAIMS MADE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />CED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />PECUTIVE�OICIMEM OO <br />FFppRpgEqIXRLUEI <br />NIA <br />O7H- <br />AILIEER <br />E.L. EACH ACCIDENT $ <br />EA. DISEASE - EA EMPLOYEE $ <br />(Mandatory In NH) <br />I yea, deecrlbe under <br />E.L. DISEASE -POLICY LIMIT $ <br />— <br />DESCRIPTION 0ROPERATIONS Inelow <br />r <br />REVIEWED BY: EUNICE HEREDIA (PG flO!'C D <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 901, Addltlonal Remarks Schedule, may be attached If more space is required) <br />Certificate is subject to policy limits, conditions and exclusions. <br />30 Days Notice of Cancellation; 10 Days for Non -Payment <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, <br />volunteers and representatives are named as Additional Insured (AL) per the captioned operations of the <br />named insured. Coverage is primary and non-contributory. <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City Attorney ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza (M-29) Po <br />Box 1988 AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />© 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) 1 oil The ACORD name and logo are registered marks of ACORD <br />#S16586653/M14870680 CMCRO <br />