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Client#: 1261188 305CDCEINC ACORDTM CERTIFICATE OF LIABILITY INSURANCE D121012016YV) 12/01/2016 THIS CERTIFICATE IS ISSUED AS A 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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to 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 CONTACT Kathy Waters BB&T Insurance Services PHONE FA AICNo,E,t:714941-2938--_.-------.-taAc,nlo):___ of Orange County ADDRESS: KWaters@bbandt.com 2400 Katella Avenue Ste 1100 Anaheim, CA 92806 INSURER(S) AFFORDING COVERAGE NAIC_# —_ _ INSURERA:Transportation Insurance Compan 20494 INSURED INSURER a: American Casualty Co of Reading _ 20427 CDCE Inc INSURERC: American Fire and Casualty Co 24066 22641 Old Canal Road _ Yorba Linda, CA 92887 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 NAMEDABOVE 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. INSR LTR TYPE OF INSURANCE ADDL WSR SUER WVq POLICY NUMBER POLICY EFF MM/DDIYYYV POLICY E%P MMIDDIVYVY1 LIMITS A X COMMERCIAL GENERAL LIABILITY 4013661900 3/09/2016 03/09/2017 EACH $1 000,000 CLAIMS -MADE OCCUR _ q �OCCURRENCE PR EMISESaoccurrDencel . $1 000,000 MED EXP (Any one person) $15,000 PERSONAL& ADV INJURY I$1,000,000 POLICYXl JECT LOC GENERAL AGGREGATE —.—.-- I$2,000,000 GEN'LAGGREGATELIMITAPPLIESPER PRODUCTS-COMP/OP AGG $2,000,000 I $ OTHER: O AUTOMOBILE LIABILITY BAA56405095 03/09/2016103/09/201 COMBINED SINGLE LIMIT (Ea accident) $ 1 000,000 ._ X — BODILY INJURY(Perperson) I$ ANY AUTO !i AOSCHEDULED AUTOS AUTOS NON -OWNED AUTOS HIREDAUTOS X AUTOS � BODILY INJURY (Per accidenpl$ PROPERTY DAMAGE (Per accident) �$ I$ A X UMBRELLA LIAB ! X OCCUR 4013661914 3/09/2016, 03/09/201 EACH OCCURRENCE $5 OOO O00 AGGREGATE $5 000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION$10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE""Ii OFFICERIMEMBER EXCLUDED? L (Mandatory, in NH) J NIA —_—...._ WC401647777 .... 6108120161061081201 JEER OTH XISSATILE._.--. ERA EL EACH ACCIDENT _ I !F$1000�000_ EL.DISEASE - EA EMPLOYEEi$1i000,000 —""—"""---'--- f yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LI_$1,000,000 LIMIT --_ — DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana,its officers, employees, agents, and representatives are named as Additional Insured as respects General Liability as required by written contract per endorsement CNA74872XX 0115, Technology General Liability Extension Endorsement, 1. Additional Insureds, a. Who is an insured, attached. ® Primary Wording applies to General Liability per endorsement CG00010413, attached. /4P�Prl vut (See Attached Descriptions) City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 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 ACORD 25 (2014101) 1 Of 2 #S17177749/M16268267 © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A'IddN1l