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JPb® CERTIFICATE, OF LIABILITY INSURANCE <br />�,/ <br />DATE (MMIDOIVYYY) <br />11/1612016 <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 Ilona of such endorsement(s). <br />PRODUCER <br />Brokers <br />TIB TransWest Brotion adway, Suite <br />425 West Broadway, Suite 400 <br />Glendale CA 91204 <br />CONTACT Or'han Atanes an <br />PHONE ,616.246-2600 Pns .818-246-4690 <br />AUDAIL . oatanesyan@tibinsurance.com <br />INSURER(S) AFFORDING COVERAGE MAIC 8 <br />NSURERA:CA State Compensation Ins Fund 35076 <br />INSURED B IG RE -1 <br />INSURER B: <br />Big Red Bus <br />6400 E. Pacific Coast Hwy#158 <br />Long Beach CA 90803 <br />INSURERC: <br />INSURER D: <br />DAMAGE TOREI D <br />PREMISES Es occurmio) $ <br />INSURER E: <br />_ <br />INSUR@R F <br />COVERAGES CERTIFICATE NUMBER. 557370752 RFlnslnKI 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 />ILSR <br />TYPE OF INSURANCE <br />SO <br />POLICY NUMBER <br />POLICY EFF <br />MMDO EXP <br />LIMITS <br />COMMERCIALGENERAL LIABILITY <br />CLAIMS -MAPF OCCUR <br />EACH OCCURRENCE $ <br />DAMAGE TOREI D <br />PREMISES Es occurmio) $ <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ <br />GEN'L AGGREGATE LIMITAPPLIES PER: <br />PRO- <br />POLICY E—I JECIPRO- E]OC <br />GENERAL AGGREGATE $ <br />PRODUCTS - COMPIOPAGG $ <br />It <br />OTHER; <br />AUTOMOBILE <br />LIABILITY <br />EMBIN EO SINGLE $ <br />Ea scc 911k <br />BODILY INJURY(F.,mason) $ <br />ANY AUTO <br />AUTOS NED SCHEDULED <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />BODILY INJURY (Per accldent) $ <br />peraccldant E $ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIM&MADE <br />DED RETENTION <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOWPARTNERIEXECUTIVEE.L. <br />OFFICERIMEMBCR EXCLUDED? L <br />NIA <br />916866916 <br />10/2712016 <br />10/27/2017 <br />X PER OTH- <br />AT TE ER <br />EACH ACCIDENT $1,000,000 <br />E.L. DISEASE - EA EMPLOYE- $1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required) <br />Officer Exclusion Applies - James Dulac <br />��qq h/ <br />9�y#Y�i.d eV <br />City of Santa Ana <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 />REPRESENTATIVE <br />©19882014 ACORD CORPORATION. All riahts rasA"ed. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />