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sorra CERTIFICATE OF LIABILITY INSURANCE
<br />DATH(MMIDDIYYYY)
<br />A
<br />12128/2016
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATLDER, 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(los) must have ADDITIONAL INSURED provisions or be endorsed,
<br />If SUBROGATION IS WAIVED, sub)oct to the terms and conditions of the policy, certain policies may requiro an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder In lieu of such endorsement(s).
<br />PRODUCER Spectrum Risk ManagementryAMC�VN
<br />74 Discovery
<br />Irvine, CA 92618
<br />IAC Account Mona er
<br />PHONE nx -- -
<br />� XW4 949-766-6730 oh 849-766_6740__
<br />1/112017
<br />AOOREFS: once spectrumrislLcom
<br />INSURER(S1AFPOR0ING COVERAGE
<br />NAIC II__
<br />wwwspectrumrisk,cem 0077486
<br />INauRERA I Navlualars SpeciRlty Inaurendo Co
<br />36066
<br />INSURED
<br />TSCM Corporation
<br />TSCM Corporation Of Arizona
<br />Pappano Investment Group, LLC
<br />17791 Jamestown Lane
<br />Huntington Beach CA 92647
<br />INSURER e: American States Insurance Comps
<br />_
<br />79704
<br />—_...
<br />_ lIquaR o;_ National Union Fire Insurance Co. of Pittsburgh PA
<br />____..
<br />_ 1944L
<br />wsuRERo; Cvprass_Insu„r„ence,co,_.__.___ _
<br />INSURER E;�_
<br />4^
<br />,_,,,_
<br />_10e66
<br />i
<br />INSURER FI
<br />—
<br />PERSONAL B ADVINJURY
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ASOVE 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 />_. POLICYICY NUMBER PO CYg/PYl P01D0 VYY ^� s� LIMITS
<br />LTR TYPE OF INSURANCE gbtiL Oaf -
<br />A
<br />COMMERCIAL GENERAL �LIABILITY
<br />CLAIMS -MADE L_✓J OCCUR
<br />-
<br />LAI7CGLO106681C
<br />1/112017
<br />1/1/2018
<br />CACIIOCCURRCNCC ___$
<br />�GTMAQFTOTMNYE6—
<br />1,000000
<br />PR vl ati-murra meJ.,_
<br />E
<br />✓
<br />r✓
<br />asductlble- 2600 _
<br />$-- ..___.._-. _
<br />Contractual Liability
<br />MEDL%P Mr one neraont
<br />�- - -
<br />y _
<br />PERSONAL B ADVINJURY
<br />_ _6,000
<br />S 1,000,000
<br />i OEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY LOC
<br />GENERALAOGREGATE
<br />$ 2.000,000
<br />PRODUCTS-COMP/OP AGO
<br />2,000,000
<br />_$
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILP,
<br />LIABILITY
<br />01-0I.86002010
<br />•111/2097
<br />1/'1/20'18
<br />AO.O,B f1,6i{lunp'NGL L -1A
<br />g
<br />✓
<br />ANY Al176
<br />OWNED SCHEDULED
<br />AUTO80NLY HAUTOS
<br />HIRED NON -OWNED
<br />ONLYAUTOS ONLY
<br />PODILY INJURY (Per person)
<br />3v P-y0Q00�0
<br />BODILY INJURY(Per ncoldond
<br />----
<br />S
<br />PROPCUT11)A A„1�GEAUTOS
<br />$
<br />Dedcuuble-0
<br />C
<br />✓
<br />_
<br />UMBRELLA una ✓ OCCUR
<br />___
<br />RE 08692223E
<br />1/1/'20'17
<br />111!2018
<br />EACHOCCURRENOC
<br />_ �—
<br />S 6000000
<br />EXCESS LIAtl
<br />--T7---
<br />nboRECN'E
<br />$ 6,000,000
<br />✓---I__.C_MS-_MAD—
<br />DED RETENTOV
<br />s
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' UADILITY YIN
<br />ANYPROPRIETDftIPARTNERIEXECUTIVE
<br />OFNOatory ERERCLUpEb?
<br />(mandatory In NH)
<br />If Yyas, describe under
<br />D- CRIPTION OF OPERATIONS low
<br />b
<br />NIAI
<br />TSWC706736
<br />7/1/2016
<br />7/1/2017
<br />PER o'rH
<br />.✓ STAA�UL ,[
<br />ELL, EACH ACCIDEPI7
<br />—.
<br />_
<br />— _
<br />S 1,000,000
<br />E.L. OISEASEEA EMPLOYEE
<br />.------.
<br />_.
<br />$ '1 000,
<br />e.-_. _ coQ
<br />E.L. DISEASE -POLICY LIMIT
<br />S 1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES IACORD 141, Ad<Iltlonnl Ramnrhs Sahvdulc, mny no n(tnahc<I If more apace is ro,rylrndl
<br />Re: Parking lot sweeping services,
<br />The City lie officers, agents, employees are named additional Insureds with resepect to the general liability and auto liability per the attached
<br />blanket carrier form.
<br />�EVIEWEp BY: _ EUNICE HEREDIA (PG I OIQ j
<br />The City of Santa Ana
<br />Community Development Agency
<br />20 Civic Center Plaza M-25
<br />Santa Ana CA 92701
<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 />REPRESENTATIVE _
<br />CORPORATION, All rights reserved.
<br />AUUKU 2b (Zot0IU3) I he ACUKD name and logo are registered marks of ACORD
<br />33BOO652 I einnic 12nti All, Idnes I C1e,+ie nva 4,mnnl:e 112/20/2016 1)tlZf z$ PM (Pn'rl I no, t uf. 9
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