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AC'C�RI'►�DlYYW) <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMrn <br />7/13/2017 <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 lieu of such endorsement(s). <br />PRODUCER <br />TIB Transportation Ins Brokers <br />425 West Broadway, Suite 300 <br />Glendale CA 91204 <br />CONTANAME: Arcy Jaure UI <br />PHONE 818-246 2800 FAX 818-246-4690 <br />E-MAIL a sure ui tlbinsurance.com <br />1 g @ <br />INSUREI AFFORDING COVERAGE NAIC # <br />4/11/2017 <br />INSURER A :The Burlin ton Insurance Co <br />EACH OCCURRENCE $1,000,000 <br />INSURED BIGRE-1 <br />INSURERB:Scottsdale Insurance Company 41297 <br />Dulac Enterprises dba: Big Red Bus <br />-INSURER C:General Star Indemnity Co 37362 <br />James Dulac <br />GENERAL AGGREGATE $2,000,000 <br />4140 Paramount Blvd., <br />INSURER D: <br />INSURER E: <br />Lakewood CA 90712 <br />INSURER F <br />Y <br />COVERAGES CERTIFICATE NUMBER: 586164736 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 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 />ITR <br />L <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />MM QDNYYY <br />MPOLICY <br />lYYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 7 OCCUR <br />Y <br />907HW39370 <br />4/11/2017 <br />411112018 <br />EACH OCCURRENCE $1,000,000 <br />DAMAGE T RENTED <br />PREMISES Ea occurrence $100,000 <br />MED EXP (Any one person) $1,000 <br />PERSONAL & ADV INJURY $1,000,000 <br />GEI AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ PRO- <br />JECT El <br />OTHER: <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS - COMP/OP AGG $2,000,000 <br />$ <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />AUTOWNED X AUHOSULED <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />Y <br />CAS0102913 <br />611612C17 <br />6/16/2018 <br />0 NED ac1I LE $1,000,000 <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />C <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />Y <br />IXG419167C <br />6/1612017 <br />6/16/2018 <br />EACH OCCURRENCE $4,000,000 <br />AGGREGATE $ <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUT€VEElN!A <br />OFFICERIEXCLUDED? <br />MEMBER <br />(Mandatory in NH) <br />If yes, descrihe under <br />DESCRIPTION OF OPERATIONS below <br />PER CH - <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE. EA EMPLOYE $ <br />E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 161, 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 />�•�~ � I 1. e� ! <br />CERTIFICATE HOLDER CANCELLATION <br />Cit of Santa Ana <br />P.O Box 1988 <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 />REPRESENTATIVE <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2414101) The ACORD name and logo are registered marks of ACORD <br />