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<br />DAT E'M 511.0 SYYY)
<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(les) must be endorsed. If SUBROGATION IS WAIVED, subject 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 endorsements).
<br />PRODUCER
<br />AOn Ri5k Insurance Services West, Inc.
<br />LOS Angeles CA Office
<br />CONTACT
<br />NAME:
<br />11 (800) 363
<br />jAlc nlo. Exp: (866) 283-]iZ2 ac. -0105
<br />E-MML
<br />ADDRESS:
<br />707 Wilshire Boulevard
<br />Suite 261)0
<br />INSURER(5) AFFORDING COVERAGE NAIC N
<br />LOS Angeles CA 90017-0460 USA
<br />INSURED
<br />INSURER A: National Fire Ins. CO. of Hartford 20478
<br />William Homeland Soluti 0115
<br />INSURER e: The Continental Insurance Company 35289
<br />2401 E. Katella Avenue, Ste. 220
<br />Anaheim CA 92806 USA
<br />INSURER C: Lexington Insurance company 19437
<br />INSURER P,
<br />INSURER E:
<br />INSURER F.
<br />DA AG WN O $1,000,000
<br />PREMISES occurrence
<br />rCrVFRAaas CERTIFICATE NUMBER: 570060054695 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 />INSR1
<br />LINE
<br />LTR
<br />TYPE OF INSURANCE
<br />ASIDE
<br />INSO
<br />SUER
<br />WVD
<br />POLICY NUMBER
<br />MPO MIODM'YY
<br />M"
<br />LIMITS
<br />D
<br />X COMMERCIALOENERALLIAHILITV
<br />20 civic Center Pl azo (M-30)
<br />PO Box 1988
<br />Santa Ana CA 92702 USA
<br />EACH OCCURRENCE $1,000,000
<br />CLAIMSMAOE X�OCCUR
<br />DA AG WN O $1,000,000
<br />PREMISES occurrence
<br />MED EXP (Any one person) $15,000
<br />PERSONAL &Any INJURY $1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />GENERAL AGGREGATE $2,000,000
<br />POLICY EPRO [X] LOC
<br />ECT
<br />PRODUCTS - COMPIOP AGG $2,000,000
<br />OTHER'.
<br />A
<br />AUTOMOBILE LIABILITY
<br />6020541619
<br />11/09/201511/09/2016
<br />COMBINED SINGLE LIMIT $1,000,000
<br />Ea apedect
<br />BODILY INJURY( Per person)
<br />X ANY AUTO
<br />BODILY INJURY (Per accident)
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />NDN-OWNED
<br />HIRED AUTOS AUTOS
<br />PROPERTY DAMAGE
<br />Per l
<br />acci0en
<br />UMEHOLLALIA9 OCCUR
<br />EACH OCCURRENCE
<br />AGGREGATE
<br />EXCESS LIAR CLAIMS -MADE
<br />H
<br />OED RETENTION
<br />IB.-
<br />WORKERS COMPENSATION AND
<br />EMPLOYEROLIABILIICY YIN
<br />ANY PROPRIETOR I PARTNER I EXECUTIVE
<br />FFICERIMEMBER EXCLUDED? EN
<br />In NH)
<br />NIA
<br />6022641,
<br />Workers CompensdDIOn ADS
<br />6020541572
<br />Workers CompensatiOn CA
<br />11/09 2015
<br />11/09/2015
<br />11/09/2016
<br />11/09/2016IManaamry
<br />X PTATUTE ERH
<br />P.L. EACH ACCIDENT $1,000,000
<br />E.L. DISEASE -EA EMPLOYEE 51,000,000
<br />ye descrme unserDESCRIPTION OF OPERATIONS below
<br />E. L. DISEABE-POLICY LIMIT $1,000,000
<br />Contractor Prof
<br />028174912
<br />Professional Liability
<br />11/09/2015
<br />11/09/2016
<br />Per Claim $1,000,000
<br />Aggregate 82,000,000
<br />SIR $250,000
<br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />City of Santa Ana, its officers, employees, agents, volunteers and
<br />representatives are additional Insured as respects to General and Auto Liability policies; and the General Liabilitypolicies
<br />evidenced herein is primary and non-contributory to other insurance available) In accordance with the policy provisions. Crass
<br />Liability coverage applies to General Liability. (VIES). General Liability poll cy excludes claims arising out of the performance
<br />focal , erlIces. Independent Contractors are included as respect, General Liability.
<br />CERTIFICATE HOLDER
<br />CANCELLATION
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<br />©1988-2814 ACORD CORPORATION. TAll rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD Ej d • T E, R. F
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<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE
<br />CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
<br />IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />City of Santa Ana
<br />AUTHORIZED REPRESENTATIVE
<br />Attn: Clerk of the City Council
<br />20 civic Center Pl azo (M-30)
<br />PO Box 1988
<br />Santa Ana CA 92702 USA
<br />JYon JL�aYJar.�LtaRxee-nua��✓RJB
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<br />©1988-2814 ACORD CORPORATION. TAll rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD Ej d • T E, R. F
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