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<br />GERTII=IGATE OF INSURANCE6/26/2017
<br />DATE (MM/DDNYYY)..
<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 CLAIM'S.
<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 CONSTI'TU'TE 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 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 end',orsement(s).
<br />PRODUCER
<br />CONTACT Fernando Rivas
<br />11000,000
<br />$ 000
<br />NAME: _
<br />ISU Insurance Services - Centinel Agency, LLC
<br />PHONE
<br />(15)6-200 o is) �FAX
<br />la1s1657-zoo2i
<br />250 Executive Park Blvd
<br />_..,
<br />E -M
<br />AODREss:AIL fernandoisuca.com
<br />_..-
<br />Suite 4&300.,_...-...
<br />__
<br />INSURERS) AFFORDING COVERAGE NAIL #
<br />San Francisco CA 94134
<br />INSURER A Scottsdale Insurance Compan
<br />INSURED
<br />INSURERS American Fire and Casualty_Co pas
<br />California Barricade Rentals Inc
<br />IINSURERCNational Union Fire Ins Co of
<br />1550 E Saint Gertrude Place
<br />INSURERD State Compensation Ins. Fund
<br />7/1/2018
<br />INSURERE:Hiscox Insurance Co any Inc
<br />Santa ASIA CA 92705
<br />INSURER.F:3.CCinsale Insurance COL an
<br />COVERAGES CERTIFICATE. NUMBER:17 -18 GL, WC, BA, XS, E&O, PL 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 CLAIM'S.
<br />INSRTYPE OF INSURANCEmm ... ............. Ar1DL SUBR
<br />LTR POLICY NUMBER MMfDDMYYY) (MMIODNYYYI LIMITS
<br />X COMMERCIAL GENERAL LIABILITY
<br />OCCURRENCE
<br />11000,000
<br />$ 000
<br />A
<br />CLAIMS -MADE OCCUR
<br />_EACDAMAGE -H
<br />T© RENTED
<br />ISES.-Ea_accurren-C-e.
<br />... _
<br />$ 100,000
<br />BCS0036349
<br />7/1/2017
<br />7/1/2018
<br />MED EXP (Any one person)
<br />$ Excluded
<br />PERSONAL&ADV INJURY
<br />$ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />X!
<br />POLICYE-1 ,RCT 7 LOC
<br />PRODUCTS - COMPIOPAGG
<br />$'..__ 2,000,000
<br />Employee Benefits -_ ...-.
<br />$ 1,000,000
<br />OTHER:
<br />AUTOMOBILELIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accidanf
<br />t )
<br />$. 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />BANY
<br />AUTO
<br />BODILY INJURY(Per accident)
<br />$
<br />ATOSCHEDULED
<br />AUUTOSS AUTOS
<br />I BAA (18) 58 05 63 03
<br />7/1/2017
<br />7/1/2018
<br />HIRED AUTO."+. X NON -OWNED
<br />PROPERTY-6AMAGl=__
<br />.
<br />$
<br />AUTOS
<br />PeraCGldenfl,,,,.,,„_.
<br />UMBRELLA LIAB X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />C
<br />X
<br />EXCESS LIAR -MADE
<br />AGGREGATE
<br />$ 5, 000, 000
<br />. „ .CLAWS
<br />OED,_____ RETENTION
<br />BE 06'5409561
<br />7/1/2017
<br />7/1/2018
<br />$
<br />WORKERS COMPENSATION
<br />X PER OTH..
<br />AND EMPLOYERS” LIABILITY YIN
<br />..........._STATUTE, I I ER
<br />--,._. ._... .,.._
<br />ANY PROPRIETORIPARTNEPJEXECUTIVE
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />OFFICERWEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />NIA
<br />:9063608-17
<br />7/1/2017
<br />7/1./2018
<br />E. L. DISEASE - EA EMPLOYE
<br />_._.,... _.—.
<br />..,., .
<br />$ 1,000,000
<br />If yes, dsscrilie under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />E
<br />Professional Liability
<br />MPL1863490.16
<br />12/1/2016
<br />12/1/2017
<br />Each Claim $110001000
<br />F
<br />Pollution. Liability
<br />0100052798-0
<br />7/1/2017
<br />7/1/2018
<br />Each Pollution Condition $1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) V v^
<br />Those usual to the insured°s operations.
<br />�NIN
<br />�
<br />Parks, Recreation & Community
<br />Services Agency - M23
<br />20 Civic Center Plaza
<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 />AUTHORIZED REPRESENTATIVE
<br />Josh Ferenc/FR
<br />flC 1988-20114 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />INS025 onurii}
<br />
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