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A� O� CERTIFICATE OF LIABILITY INSURANCE
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<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 conlfloalu holder Is an ADDITIONAL INSURED, the polley(los) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and condltrons of the polloy, certain policies may require an endorsement. A statement on this cartificate does not confer rights to the
<br />cenilleate holder In Ileu of such endorsement(s).
<br />PRODUCER
<br />Millennium Corporate Solutions
<br />MIA,01 Diem aurkosky
<br />Pfflft IS 49) 679 -6604 1 X , t44e1 $3e•aooa
<br />.C.L.R. 1buncegmosins, mom
<br />License 8 0013480
<br />5530 Trabuco Read
<br />IN$useR s AsFOao HoeovERACe Nac 4
<br />waBRERA:CitisenS Insurance Company of
<br />Irvine CA 92620
<br />a1SUREa
<br />N IUms•
<br />$ 1,000,000
<br />INSURER 01
<br />X COMMERCIAL GENERAL LMaILITY
<br />Acirs, Ins
<br />INSURER D:
<br />211 Simplicity
<br />$ 300 000
<br />INS R
<br />5,009
<br />Irvine CA 92620
<br />COVERAGES CERTIFICATE NHMBER-CL1362421425 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 CR 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 />1111R,
<br />TYPE OP INSURAIIC!
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />CITY OF SANTA ANA
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<br />20 CIVIC CENTER PLAZA, M -36
<br />LIMR8
<br />SANTA ANA, CA 92701
<br />GENERALLIABIDTY
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<br />Diem Ngo /DIEM
<br />as
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />X COMMERCIAL GENERAL LMaILITY
<br />$ 300 000
<br />LIED ane w
<br />5,009
<br />A
<br />CWLIS -MADE OCCUa
<br />B3 A034591 00
<br />16/2013
<br />/6/201.4
<br />PEREONALaADVINJURY
<br />S 1,000, QOO
<br />GENERAL AGGREGATE
<br />S 2,000,000
<br />GENLAGGREOATE
<br />LIMRAPPUES
<br />PER:
<br />PRODUCTS - COMP,OP AGO
<br />S 2,000,000
<br />$
<br />X1 POLICY
<br />P
<br />LOO
<br />AVTOMOSILELABILMY
<br />I E MR
<br />11000,00
<br />BODILY INJURY(PW Pamon)
<br />5
<br />BODILY INJURY(PV*Cddee0
<br />S
<br />A
<br />� OWNED SCHEDULED
<br />3 A034591 00
<br />/6/2013
<br />/6/2014
<br />ROPE DAAIAOE
<br />6
<br />Y HIRED AUTOS X AtGITNOBY"EO
<br />ro FO
<br />M
<br />D AS
<br />$
<br />UMBRELLALL48
<br />OCCUR
<br />EACHOCCURRENCE
<br />S
<br />EXClRetail
<br />CWMSA%DE
<br />,' /n '.I
<br />�J
<br />AGGREGATE
<br />$
<br />DED RETENTION IS
<br />v�R
<br />WORKERS COMP2NeATmN
<br />LBLLCB
<br />eTATU OT
<br />AND EMPLOYERS' LIABILITY YIN
<br />City
<br />SCOTTIOV
<br />EL. EACH ACCIDENT
<br />ANY PROYRIETOR/PARTNERIEXECUI
<br />ASSLSCRnL
<br />El. DISEASE •EAEMPLOYE
<br />•{
<br />$
<br />,ICgEPIM MOOR EXCLUDEDT
<br />MIA
<br />EL. DISEASE - POLICY LIMIT
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<br />NyyasdaRAb MM O)'
<br />DESCRIPTNJN OF OPERATIONS Ed
<br />__ ,.
<br />A
<br />PROFESSIONAL LIABILITY
<br />3 A034591 00
<br />/6/2019
<br />/6/2014
<br />EACH CLAIM LIMIT $1,OCO,000
<br />CLAIMS -MADF. POLICY
<br />AGGREGATE LIMIT 62,000,000
<br />DESCRL"ION OF OPERAr10NS1 LOCATIONS tWiliCLEB (AAtIOACORD 101 Addlaonal R+m+rk+ 86haduR, H PMIO EPan 1a t4mi"d)
<br />The City of Santa Ana is included sa additional insured with primary L non - contributory wording for
<br />general liability per attached form 391 -1006 0609 when required by written contract As respects to the
<br />insureds operations,
<br />*10 days notice of cancellation for non - payment of premium.
<br />ICAT HOLDER CANCELLATION
<br />CERTIF E
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />CITY OF SANTA ANA
<br />20 CIVIC CENTER PLAZA, M -36
<br />AUTHORIZED REPRSBENTATIVE
<br />SANTA ANA, CA 92701
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<br />Diem Ngo /DIEM
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<br />ACORD 25(2010/05) rSr Taaa -zuTD nVUnv wnrv,w nv,.. nu +m +' +A ,a.a' +��•
<br />INS625 (201111 The ACORD name and logo are registered marks ofACORD
<br />25A -64
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