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A 0 CERTIFICATE F LIABILITY INSURANCE 10/4/20
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT'S 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(% AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: if the certlflcato 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 CONTACT
<br />PELLETT INSURANCE SERVICES INC NAME: L nn En_e _.,.,,,,.,_,-„ . __ -Ax
<br />29$5 Theatre Drive, Ste 5 a i$05)227-6760 � Arian 505)237-7350
<br />Paso Robles, CA 93446 aoREss:l�Tnn@pellettins.com
<br />BAUBER(a) AFFORDING COVERAGE NAma
<br />INSURERA:AHICO Insurance Company
<br />INSURED Data Ticket, Inc, INSURER B:
<br />DRA: Revenue Experts INSURER C:
<br />2603 Main Street, Ste, 300 INSURER D:
<br />Irvine, CA 92614 INSURER E:
<br />NSUREfl F
<br />COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 />MPOLICY TTn TYPE OF INSURANCE wso POLICY NUMBER MMIR EFF MMPO-/OD LIMITS n n ]{ CgMMERGEN
<br />ERAL NERAL LIABILITY EACH OCCURRENCE $ 2 yQ Q^OUO
<br />fp CLAIMS -MADE ® OCCUR PREMISE Ea accurcenc¢ S, . „_„ 30O L000
<br />ACPBP03037427618 11/1/2017 11/1/2019 MEDExp An an¢Persan) :$...- _ 5�000
<br />A _ X Y PERSONAL&ACV INJURY $ EXCLUDED
<br />GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,0001
<br />POLICY ❑JE° F PROOUCTS-COMP/OPAGO $ 4,000,000
<br />OTHER: $
<br />AUTOMOBILE HABIL11Y
<br />Ea aaclaem s 1,000,000
<br />ANYAUTD 11(1/2017 11/1/2419
<br />AUTOSBODILY INJURY (Per Parson)
<br />A AALL UTOS OWNED SCHEDULED ACPBP0303742761$ BODILY MJURY(Peras"m) $
<br />X HIRED AUTOS }( NON -OWNED
<br />AUTOS tPer waident
<br />$[ UMBRELLA LIAR OCCUR ACPCAA303742761$ 11/1/2017 11/1/2015 EACH OCCURRENCE $ 2,000,000
<br />A EXCEED LIAR CLAIMS-MAOS nGGREOATE s 2, 000 000
<br />DED T RETENTION $ I $
<br />WORKERS COMPENSATION EH
<br />AND EMPLOYERS' LABILITY YIN STATUTE L ER
<br />ANY PROPMETOMPAATNERIEXM"W E.L. EACH ACCIDENT $
<br />OFFICERIMEMBER EXCLUDEOT N,A $
<br />IAtendmary In We E.L. DISEASE - EA EMPLOYE z$
<br />yes, ,PT aU er
<br />DEW
<br />OP OPERATIONS helmv E.L. DISEASE -POLICY LIMIT $
<br />DESCRIPTION OFOPERAMONS I LOCATIONS I VEHICLES (ACORD tei, Addiaoml Remarks Sollodule, may be attached if mare space is required)
<br />IT IS AGREED THAT THE CERTIFICATE HOLDER LISTED BELOW IS INCLUDED AS ADDITIONAL INSURED
<br />INCLUDING A. WAIVER OF SUBROGATION, AS REQUIRED BY WRITTEN CONTRACT, BUT SOLELY AS THEIR
<br />INTERESTS MAY APPEAR IN ACCORDANCE WITH THE PROVISIONS OF THE POLICY FORM. THIS
<br />INSURANCE IS PRIMARY & NON—CONTRIBUTORY.
<br />City of Santa Ana, its Officers, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />employees, agents, volunteers, and THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />repreSantatives, Police Department
<br />60 Civic Center Plaza ALLITREZED REPRESENTATIVE
<br />P.O. Box 19$1
<br />Santa Ana, CA 92702
<br />198E-2D14 ACORD CORP ATION. All rights reserved,
<br />ACORD25(2014101) The ACORD narne and logo are registered marks of AC 11
<br />1l-e1111-0 vim.
<br />
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