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CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />09/22/2016 <br />1 <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 policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Aon Risk Services, Inc Of Florida <br />1001 Bri ckell Bay Drive <br />CONTACT <br />NAME: <br />PHONE(g66) 283-7122 FAX 800) 363-0105 <br />(AIC. No. Ext): (A/C. No.: ( <br />Suite 1100 <br />Miami FL 33131 USA <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />GL <br />INSURED <br />INSURER A: National Union Fire Ins Co of Pittsburgh 19445 <br />G4s Secure Solutions (USA) Inc. <br />1395 University Blvd <br />Jupiter FL 33458 USA <br />INSURER B: American Home Assurance Co. 19380 <br />INSURER C: Illinois National Insurance Co 23817 <br />INSURER D: New Hampshire Ins co 23841 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 570063707144 REVISION NUMBER: <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, Limits shown are as requested <br />ILTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />MM/DD/YYYYI <br />(MM/DDIYYYYI <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />GL <br />EACH OCCURRENCE $5,000,000 <br />CLAIMS-MADE❑X OCCUR <br />DAMAGE ToPREMISES Ee occurrence TED $5,000,000 <br />MED EXP (Any one person) Excluded <br />PERSONAL 8 ADV INJURY $5,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $5,000,000 <br />X POLICY PRO LOC <br />JECT <br />PRODUCTS - COMP/OP AGG $5,000,000 <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />CA 293-59-68 <br />AOS <br />10/01/2016 <br />10/01/2017 <br />COMBINED SINGLE LIMIT <br />Ea accident) $5,000,000 <br />BODILY INJURY( Per person) <br />A <br />X ANY AUTO <br />CA 293-59-69 <br />10/01/201610/01/2017 <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />MA <br />CA 293-59-70 <br />10/01/2016 <br />10/01/2017 <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE <br />Peraccldem <br />HIRED AUTOS NON -OWNED <br />ONLY AUTOS ONLY <br />VA <br />UMBRELLA LIAR <br />EACH OCCURRENCE <br />EXCESS LIAB <br />HOCCUR <br />CLAIMS -MADE <br />AGGREGATE <br />DED RETENTION <br />D <br />B <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR / PARTNER / EXECUTIVE <br />OFFICER/MEMBEREXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />wCO14112116 <br />AOS <br />WC014112108 <br />CA <br />10/01/2016 <br />10/01/2016 <br />10/01/2017 <br />10/01/2017 <br />X PER OTH- <br />STATUTE E <br />E.L. EACH ACCIDENT $1,000'000 <br />E.L. DISEASE -EA EMPLOYEE $1,000,000 <br />......... <br />E.L. DISEASE -POLICY LIMIT $1,000,000 <br />A <br />Excess WC <br />XWC6583102 <br />10/01/2016 <br />10/01/2017 <br />EL Each Accident $1,000,000 <br />OH -Statutory WC <br />SIR applies per policy ter <br />s &condi <br />ions <br />EL Disease - Policy $1,000,000 <br />EL Disease - Ea Emp' $1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is required) <br />Contract Name: Agreement for Provision of security Guard Services; Service: Security Guard Services; G45 office: LAN. The City <br />of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insured with regards <br />to the General Liability policy. The policies evidenced herein are primary to other insurance available to the certificate <br />holder, but only to the extent required by written contract with the insured. This insurance shall not be cancelled, or <br />materially reduced in coverage or limits except after 30 days written notice has been given to the City of Santa Ana. <br />REVIEWED BY: ,r EUNICE HEREDI[A (PG 1 OFD 0 <br />CERTIFICATE HOLDER CANCELLATION <br />01988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />The City of Santa Ana <br />20 civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 USA <br />c-..X�IJz c(.��dOlG tJf�EJ e/?201 GK �J Gftd� <br />01988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />