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AC<:)R1` CERTIFICATE OF LIABILITY INSURANCEDATE <br />2/31/2016 <br />IMMIDDIYYYY) <br />12/18/2015 <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 pollay(les) must be endorsed, If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an ondoreoment. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endowement(s). <br />PRODUCER Lockton Insurance Brokers, LLC <br />CA License #OF15767o <br />Two Embarcadero Center, Suite 1700 <br />San Francisco CA 94111 <br />(415) 568-4000 <br />POLICY NUMBER <br />_ <br />E#: <br />- L <br />_._ <br />INSURERCS) AFFORDING COVERAGE MAID 0 <br />_„_ <br />INSURER A: National Fire Insurance CO Of Hartford 2047$ <br />INSURED Transfirst Group, Inc. <br />1391467 1393 Veteran's Memorial Highway <br />Suite 307-S <br />Hauppauge NY 11788 <br />INSURER a; The Continental Insurance Company 5289 <br />N URERC; <br />INSURER D <br />_ <br />INSURER E, <br />OCCURRENCE ] 000000 <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 />I R <br />TYPE OF INSURANCE <br />AODL <br />SUB0. <br />POLICY NUMBER <br />YEFF <br />12/31(2015 <br />PO C <br />12/31/2016 <br />LIMITS <br />A <br />COMMERCIALGENERALLIABILITY <br />CLAWS -MADE X OCCUR <br />Y <br />N <br />6016715612 <br />EACH <br />OCCURRENCE ] 000000 <br />A <br />A RENTED 1000,000 <br />uee <br />MEDEXP An one arson 15,000 <br />PERSONAL&ADV INJURY $ 1,000,000 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />POLICY❑,�8T LOC <br />OTHER <br />GENERAL AGGREGATE 52000000 <br />PRODUCTS-COMPIOP AGO $ 2000000 <br />$ <br />A <br />AUTOMOBILE <br />X <br />X <br />LIABILITY <br />ANYAUTO gg <br />AUTOSULEO <br />ALLOWNEDPOA <br />HIUURTTE0D6AUTOSgUTpSWNED <br />Comp. Dud $Coll.Ded $1,0 <br />N <br />N <br />6016715576 <br />12/31/201.5 <br />12/31/2016 <br />1 CSN. 7 1,000,000 <br />BODILY INJURY (Perpsrson) $ XXXXXXX <br />BODILY INJURY (Per accident $ <br />_XXXXXXX <br />d20PER�' AMAGE $ XXXXXXX <br />er l n <br />$XXXXXXX <br />UMBRELLA LIAR <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />NOT APPLICABLE <br />EACH OCCURRENCE $ XXXXXXX <br />AGGREGATE s XXXXXXX <br />CEO I I RETENTION $ <br />5 <br />IIWORKERS <br />$ <br />COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPMETORIPARTIMCNEXECUTIVE YIN <br />OFFICERIMEMBER EXCWDEb1 FNI <br />tbandarory in NN) <br />0 SCRIPTION OF OPERATIONSbelow <br />NIA <br />N <br />6016715593 AOS) <br />60167!5626 CA) <br />12/31/2015 <br />12/31/2015 <br />12/31/2016 <br />12/31/2016 <br />PE 0 - <br />X STATUTE <br />E.L. EACH ACCIDENT 5 1,000,000 <br />E.L. DI5EASE-EA EMPLOYEE 1,000,000 <br />El DISEASE -POLICY LIMY S 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached If more apace Is mqulmd) <br />RE: City of Santa Ana, its officers, employees, aggents, volunteers and representatives are Additional Insured to the extent provided by the policy <br />language or endorsement issued or approved by the Insurance carrier. Insurance provided to Additional Insured(s) is primary and non-contributory as per the <br />attached endorsements or policy language. <br />jlc��-gp�`-ars <br />13646184 9 ■ ROVE <br />City of Santa Aria 44rl'�cf ' <br />20 Civic Plaza (� <br />Santa Ana CA 92701 1110V f/'� <br />26 (2014101) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />rhe ACORD name and logo are registered marks of ACORD <br />