ORANGE COUNTY LABOR FEDERATION 1A - 2016

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Client#: 29857 OCLABORFI ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE 121210 1 2 /211220115 5 THIS CERTIFICATE IS ISSUED ASA 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 t0 the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Barney & Barney, A Marsh & McLennan Ins A LLC 9y 101 Enterprise #330 LICOH18131 Aliso Viejo, CA 92656 CONTACT NAME: - PHONE g49 900.1213 F (949) 643.3719 Ext: A/C No: -MAIL ADDRESS: mmolthen@nuwest.net INSURER(S) AFFORDING COVERAGE NAIL# INSURER A: Seneca Insurance Company, Inc. 10936 INSURED OC Labor Federation INSURERS: Beazley Insurance Company Incor 37540 812612015081261201 309 N. Rampart Unit A-E INSURER C: Orange, CA 92868 INSURER D; INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. LTR TYPE OF INSURANCE ADDL /NSR SUBR NNE POLICYNUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY X UCM5342097 812612015081261201 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE l OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $300,000 MED EXP (Any one person) s5,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000 POLICY PE� LOC $ A AUTOMOBILE LIABILITY UCA5361445 6/27/2015 06/27/207 COMBINED SINGLE LIMIT Eaaccfdn.t $1,000,000 BODILY INJURY (Porpers.n) $ IxANYAUTO ALLOWNED SCHEDULED AUTOS X AUTOS BODILY INJURY (Par accident) $ HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ Por accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCW OED9 NIA _ WC STATU- OTH- TOR L MIT$ E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE [$ (Mandatory In NH) If yes, descdbe undo, DESCRIPTION OF OPERATIONS bolo. E.L. DISEASE -POLICY LIMIT I $ B Abuse/Molestation TBD 12/1712015 112117/201E 2,000,000 Liabiltiy $25,000 Retention DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is regni.d) City of Santa Ana, its officers, agents, volunteers and representatives are named as additional insured with respect to the operations of the named insured. City of Santa Ana 1000 E. Santa Ana Blvd., Suite 200 Santa Ana, CA 92701 ACORD 25 (2010/05) 1 of 1 #S609792/M609791 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 @ 1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MOLM