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IV <br />AC"R" CERTIFICATE OF LIABILITY INSURANCE <br />11*� <br />DATE(MMIDDIYYYY) <br />2/24/2017 <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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER tary son Casualty Insurance Services, Inc. <br />AOME:ACT <br />3777 Long Beach Blvd., 5th Floor <br />Long Beach, CA 90807 <br />PHONE 562-435 4267 akX <br />c No: 562 951 5747 <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />www.brysonfinancial.com QF89838 <br />INSURER A: Travelers Casualty Insurance Co. of America <br />19046 <br />INSURED <br />Bunnell Enterprises <br />Total Network Soultions <br />INSURER B: Scottsdale Insurance Company <br />41297 <br />INSURER C : <br />5150 Park Tower Suite 530 <br />Long Beach CA 60804 <br />INSURERD: <br />INSURER E <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER::14R7anRR REVISION NIIMRFR• <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM!❑DIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />A <br />r/ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIM&MADE ✓ OCCUR <br />✓ <br />680-313082516-16 <br />3/5/2017 <br />3/5/2018 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 300,000 <br />MED EXP (Any one parson) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />✓ POLICY JEC LOC <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS-COMPIOP AGG <br />$ 2,aaa,QQa <br />Hired/NonOwned <br />$ Included <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />COMB <br />cd DtSINGLELIMIT <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS ED NONI-CWNED <br />AUTOS ONLY ✓ AUTOS ONLY <br />680-36082516-16 <br />680.313082516-16 <br />3/5/2017 <br />3/5/2017 <br />3/5/2018 <br />3151201E <br />✓ <br />BODILY INJURY Per accident <br />( ) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />A <br />UMBRELLA LIAS <br />✓ <br />OCCUR <br />CUP-8D959001-16 <br />3/5/2017 <br />3151201E <br />EACH OCCURRENCE <br />$ 1,000,000 <br />AGGREGATE <br />$ 1,000,000 <br />EXCESS LIAS <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETO W PARTNERlEXECUTIVE <br />OFFICERIMEMBEREXCLUDED? <br />NIA <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory In NH) <br />If yes, descrlbe under <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS below <br />A <br />Business Personal Property <br />2516-16 <br />3/5/2017 <br />3/5/2018 <br />$27,5831$500 Deductible <br />B <br />Errors & Omissions <br />T728 <br />7EK <br />10/24/2016 <br />10/24/2017 <br />$1,000,000 1 $5,000 Deductible <br />B <br />Employment Practices Liability <br />390 <br />6/19/2016 <br />8/19/2017 <br />$1,000,0001$15,000 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remark$ Schedule, may be attached if more space Is required) <br />City of Santa Ana, its officers, agents and employees are named as additional insured on the General Liability as their interest may appear per <br />attached CGT3301188. <br />30 Day Notice of Canceilation 1 10 Day Notice of Nonpayment <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />y <br />Attn: Purchasing Department <br />20 Civic Center Plaza <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 />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Brett H Hlista <br />O 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />3437903E i '17 Pkg/XS; '16 E&O; '16 EPLI I Gina Gradillaa 12/24/2017 16:09:45 AM (PDT) I Page 1 of 1 <br />