l` _ n® CERTIFICATE OF LIABILITY INSURANCE 9/21/2o1e
<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 endomement(s).
<br />PRODUCER
<br />NAMEp�I Stacey Campbell
<br />KIA Insurance Associates, Inc.
<br />FACNo,
<br />1661)835-4500
<br />License # 0415101
<br />soli lL .scampbell@kernins.com
<br />ik-,e.tcampbell@kernins.com
<br />P.Q. BOX 11390
<br />INSURERSAFFORDING COVERAGE
<br />NAICN
<br />Bakersfield
<br />CA 9338-T9-1390
<br />INSURER A:Travelers Insurance Co
<br />INSURED
<br />� 0j11..O%a
<br />- INSURER&:Travelers CasualtyInsurance
<br />Co
<br />19046
<br />Infinity Communications
<br />_
<br />& Consultin6, Inc.
<br />INSURER CNational Fire Insurance of
<br />20478
<br />P.O. BOX 999
<br />N._ ^�MIAt"1_ns.1
<br />iV OCl/r V �WJ
<br />INSURERDAs en Specialty Ins Co
<br />INSURER E:
<br />Bakersfield
<br />CA 93302
<br />1 INSURER F:
<br />COVERAGES
<br />CERTIFICATE NLJMBER-18-19
<br />RFVIRIONNIIMRFR-
<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 />DDL
<br />INSR
<br />US R
<br />MD
<br />POUCYNUMBER
<br />POLICY EFF
<br />MMIDDIYYYY)
<br />POLICY EXP
<br />fMMIDDrfYYYI
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE FxIOCCUR
<br />6800015742131
<br />/17/2018
<br />/17/2019
<br />_15AMA ET RENTED
<br />PREMISES Ea occurrence
<br />$ 300,000
<br />MED EXP(Any one person)
<br />$ 5,000
<br />PERSONAL& ADV INJURY
<br />$ 2,000,000
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />GEN'L AGGREGATE
<br />LIMIT APPLIES PER:
<br />PRODUCTS-COMPIOP AGG
<br />$ 4,000,000
<br />X POLICY
<br />PRO- LOC
<br />IFQT
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />EOeartleDISINGLE LIMIT
<br />1,000,000
<br />X
<br />BODILY INJURY (Par person)
<br />$
<br />B
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BIU8109M96A
<br />0/24/2018
<br />0/24/2019
<br />BODILY INJURY (Per aWcenq
<br />$
<br />NON -OWNED
<br />HIRED AUTOS AUTOS
<br />PROPERTY DAMAGE
<br />Per ecd0ent
<br />$
<br />Uninsured motorist combined
<br />$ 1,000,00
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />X
<br />M
<br />AGGREGATE
<br />$ 2,000,000
<br />A
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DEC) I RETENT
<br />$
<br />PUP002,7348555
<br />/17/2018
<br />/17/2019
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? ❑
<br />(Mandatory In NH)
<br />NIA
<br />4018266026
<br />/1/2018
<br />/1/2019
<br />X WC STATU- OTH-
<br />E.L. EACH ACCIDENT
<br />$ 1 000 000
<br />E.L. DISEASE - EA EMPLOYE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1 000 000
<br />D
<br />Professional Liability
<br />R163369
<br />/19/2018
<br />8/19/2019
<br />perdaim 2,000,000
<br />claims made
<br />aggregate 2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is requlmd)
<br />RE: Santa Ana Public Library. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701;
<br />its officers, employees, agents and representative are named as additional insureds and coverage is
<br />primary and non-contributory for General Liability per written contract and attached ndorsements
<br />SCuevas@santa-ana.org
<br />City of Santa Ana
<br />Attn PRCSA
<br />20 Civic Center Plaza M-23
<br />Santa Ana, CA 92702
<br />SHOULD ANY OF THE ABO F stJK �E CANCELLED BEFORE
<br />THE EXPIRATION DA HER , !M WILL BE DELIVERED IN
<br />AUTHORIZED REPRESENTATIVE
<br />Perkins/STACEY �
<br />ACORD 25 (2010105)
<br />©1988-2010 ACORD CORPORATION. All rights reserved.
<br />INR025ontmsm Tho ArnPI'l nomn and Innn nrn ranic*nrcd mer4c of ArOP17)
<br />
|