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AC Or CERTIFICATE OF LIABILITY INSURANCE
<br />DATE YY)
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN., THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />69/29/2016 i
<br />912 0 1
<br />_
<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 have ADDITIONAL INSURED provisions ar be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and condlHGns of the policy, corlaln policies may require an endorsement. A statement on
<br />this certificate does not Confer rights to the certificate holder in lieu of such endorsements .
<br />PRODUCER
<br />VI G, LLC.,dbafThe Vestavia Group
<br />2090 Columbiana Road, Suite 4400{.n} /Tl�]]
<br />Birmingham, AL 35216 °,~""�I�
<br />NONFAGT
<br />PHONE 205-552-0244 FAX 2D5-244-0072
<br />G Nc:
<br />-
<br />AQPBE.MAIL Susan.train(-alvesCavlagroup.com
<br />ONSURERa AFFORDING COVERAGE NAIOq
<br />INSURERAI ProAssurance CasualtyCompany "A+" XII 38954
<br />INSURED
<br />NaphCare, Inc.
<br />2090 Columbiana Road, SURE, 4000
<br />INSURER, e: The Traveler$ InsuranceCompan "A++I' XV 19046
<br />INSURER C:
<br />INSURER o:
<br />INsuREREi
<br />Birmingham AL 35216
<br />INSURER F:
<br />v.. ,{ylY1GGR:
<br />THIS IS TO CERTIFY THAT THE 06LICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
<br />PERIOD
<br />INDICATED, NOTWITHSTANDING ANY RECIUIREMENT, 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 />INSR7UN
<br />LTR
<br />TYPE 4FINSUaAHC6
<br />MapL
<br />POLICYNUM©RR
<br />P FF
<br />MIUtl
<br />POLICY UP
<br />MMR0NYYYI
<br />UMRS
<br />A
<br />I COMMERCIAL GENERAL LIABILITY
<br />N
<br />ES1640
<br />09/30116
<br />09/30/17EACH000'URRENCE
<br />$ 1,000,000
<br />CLAIMSMNDE OCCUR
<br />L -.'J
<br />PR MISES a n 5 50,000
<br />MEO EXP IAnY ma PinoP $ 6,000
<br />....__
<br />PER20NA43 ARV INJURY $ 11000,000
<br />GENL AGGREGATE LIMIT "PLIES PER:
<br />F0L10YE PRJECT O'1:1
<br />GENERALAGGREGATE $ 5,000,000
<br />PRODUCTS -COMPIOP Ann $ 11000,000
<br />LOC
<br />OTHER:
<br />$
<br />AUTOMOBILELIABILITY
<br />NIGt Appilcable
<br />CEOaM�NaRSI Gt.LIMITMY S X,. )!j(X
<br />O
<br />SOOILYINJURYtPes Person) S XXXXXX
<br />OWNED
<br />OWNED SCHEDULED
<br />HIRED ONLY AUTOS
<br />BODILYINIDRWtPBrRCeftlentj $ Xxx%)iX
<br />NON OWNED
<br />AV OS ONLY AUT SONLY
<br />R PERTY DAMAGE. $
<br />Pa, artildan XXXXXX
<br />UMRRELLAUAS OCCUR
<br />Not Applicable
<br />EACHCCCUHRENCE $ XXXXXX
<br />EXCESS LIAS CLAIMS -MADE
<br />AGGREGATE .., 5 XXXX.'LX
<br />DEO RET NTlONS
<br />N
<br />TUNUB-42,5113723.16
<br />09/30116
<br />09130/17TH-
<br />_
<br />$
<br />TATUSE
<br />B
<br />WORNERSCOMPENSAnoN
<br />ANDEMPLOYE`RS'LIABILRY YIN
<br />TROUB-42518760-a6
<br />,Y.`,
<br />E.L. EACH ADCIOENT S 1,000,000
<br />MYPROPFUETORrPARTNERADeCUTIVE
<br />OFFICERIMEMBEREXCLUDE07
<br />RdrA
<br />(Myandalpry fa NH)
<br />OE3CRIF¢aTI hN aO�F
<br />EL.OIGEA5E�VAEMPLOYEE S 11000,000
<br />E.L. DISEASE- POLICY LIMIT S 1,000,000
<br />ppERAnON9 eahwr
<br />A
<br />Professional Liability
<br />Y
<br />N
<br />ES1846
<br />9/30/1
<br />D9/30/1
<br />Each Med. lncide t $1,000,000
<br />Claims Made
<br />Ann. Aggregate $5,000,000
<br />OESCRIPDCN OF OPERATIONS/LOCATIONS T VEHICLES !/1CORD 1 o1, AddElanal RsmaAs Schedule, may ha altacMd{mora rpecn Is rogalmtl)
<br />The City of Santa Ana is named as Additional Insured as respects liability. Policies Will not be cancelled or
<br />materially modified with providing thirty (30) days written notice to the City.
<br />Y , h
<br />City of Santa Ana
<br />Attn: Purchasing Department
<br />20 Civic Center Plaza
<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 />All richts
<br />.Vmv LD t<UToloat The ACORD name and logo aro registered marks of ACORD
<br />
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