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CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYY) <br />8/21/2016 <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 Ileu of such endorsement(s). <br />PRODUCER <br />TIB Transportation Ins Brokers <br />425 West Broadway, Suite 400 <br />Glendale CA 91204_Igli,,,2lLuregul@tlblnsurance.com <br />CONCT <br />Jaure ul <br />PHO. 818 x <br />INSURER(S) AFFORDING COVERAGE <br />NAIL A <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑X OCCUR <br />INSURERA:The BUrlln ton Insurance Co <br />907EW36284 <br />INSURED BIGRE-1 <br />INSURERS: Scottsdale Insurance Company <br />41297 <br />Dulac Enterprises dba: Big Red Bus <br />James Dulac <br />INSURERC:General Star Indemnity Cc <br />37362 <br />6400 E. Pacific Coast Hwy#158 <br />Long Beach CA 90803 <br />INSURER D: <br />INSURER E: <br />INSURER F <br />DV INJURY $1,000,000 <br />nAGGREGATE <br />COVERAGES CERTIFICATE NUMFER. 648482432 REVIS!DN 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. <br />INTRR <br />TYPE OF INSURANCE <br />ADULISUSH <br />SD <br />D <br />POLICY NUMBER <br />MfIIDDIYYYY <br />POLICY EXP <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑X OCCUR <br />Y <br />907EW36284 <br />4111)2016 <br />4/11/2017 <br />ENCE $1,000,000 <br />ON UEe ce $100,000 <br />ne arson) $5,000 <br />DV INJURY $1,000,000 <br />nAGGREGATE <br />GE14L AGGREGATE LIMIT APPLIES PER; <br />POLICY j�� E LOC <br />REGATE- $1,000,000 <br />OMP/OP AGO $1,000,000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />Y <br />CAS0102437 <br />6/16/2016 <br />6/1612017 <br />COMBINED SI NCLELI $ <br />Es accident 1,000,000 <br />ANY AUTO <br />BODILY INJURY (Per person) $ <br />ALL OWNED X SCryEOULED <br />AUTOS AUTOS <br />NEO <br />HIRED AUTOS AUTOS <br />AUTO$ <br />BODILY INJURY Per accident) $ <br />( ) <br />PROPERTY GE $ <br />DAM <br />Per accident <br />_ <br />C <br />UMBRELLA LIAR <br />X <br />OCCUR <br />Y <br />IXG41916713 <br />6/16/2016 <br />6/1612017 <br />EACH OCCURRENCE $4,000,000 <br />X <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE $ <br />DED I RETENTION$ <br />$ <br />WORKERS COMPENSATIONPER <br />AND EMPLOYERS' LIABILITY Yl N <br />ANY PROPRIETOWPARTNERIEXECUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED? <br />N/A <br />OTH- <br />STATUTE ER <br />_ <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE -Eq EMPLOYE $ <br />(Mandatory In NH) <br />N yes, describe under <br />E.L. DISEASE -POLICY LIMIT 6 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD lot, Additional Remarks Schedule, may be attached if more space Is required) <br />Certificate holder is included as additional insured as respects the operation of the named insured. <br />r <br />fIt, V, <br />City of Santa Ana <br />P.C. Box 1968 <br />Santa Ana CA 92702 <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 rinhts <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />