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IPSSE-1 OP ID: JE
<br />14` ftl�', CERTIFICATE OF LIABILITY INSURANCE
<br />�^"'
<br />DR04121/2017TE Y}
<br />04I2112017
<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 />Central Insurance AgencyInc.
<br />g y,
<br />93 East Main Street
<br />CONTACT
<br />NAME:._ Central Insurance Agency
<br />_
<br />PHONE FAX
<br />_fAIC• No Ext):877-242-9600 (Arc Ne}, 877-243-8995
<br />Smithtown, NY 11787
<br />George Gavaris
<br />p DARIE SS: certificates@Ciainsures.com
<br />-
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />IN SURER A:Acceptance Casualty Ins Co
<br />10349
<br />INSURED IPS Security, Inc.
<br />6200 Stoneridge Mall Rd,Ste300
<br />Pleasanton, CA 94588
<br />INSURER B;United Financial Casualty
<br />11770
<br />INSURER C:Employers Assurance Company
<br />26402
<br />INSURER D
<br />INSURER E :
<br />INSURER F ;
<br />COVERAGES CERTIFICATE NUMBER: RRVllglC)N 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 />VVVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM1DDlYYYY
<br />POLICY EXP
<br />MMIDDIYYYY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE ' $ 1,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ® OCCUR
<br />X
<br />{
<br />I
<br />DAMAGE TO REN
<br />PREMISES Ea occurrence i $ 100,000
<br />MED EXP (Any one person) 5 5,000
<br />PERSONAL& ADV INJURY $ 1,000,000
<br />X Errors & Omission
<br />CL0096GS30
<br />1 09/2212016
<br />0912212017
<br />X
<br />Assault & Battery
<br />GENERAL AGGREGATE $ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS-COMPIOPAGG $ 1,000,000
<br />X :POLICY �i PRO- - ` LOC
<br />JECT
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />_(Ea accident).__,
<br />$ 100 OOU
<br />$
<br />B
<br />ANY AUTO
<br />039577650
<br />1011 B12016
<br />10118/2017
<br />BODILY INJURY (Per person) i
<br />ALL OSVNFD X SCHEDULED
<br />HIRED AUTOS NON -OWNED
<br />AUTOS
<br />I
<br />BODILY INJURY (Per accident)
<br />5
<br />PROPERTY DAMAGE
<br />PER ACCIDENT
<br />SV
<br />UMBRELLA LIAB i X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />AGGREGATE
<br />$ 1,000,000
<br />A
<br />X
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />XL00450188
<br />09/22/2016
<br />0912212017
<br />DED RETENTION $
<br />5
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNERIEXECUTIVE v r N
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />N 1 A
<br />I
<br />,EIG 2418484-00
<br />i
<br />10/28/2016
<br />1012812017
<br />X WC STATU- OTH-
<br />.__. T-.ORY LIMITS ER
<br />_
<br />E L. EACH ACCIDENT
<br />$ 1,000,000
<br />E,L. DISEASE - EA EMPLOYEE
<br />--
<br />$ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1,000,000
<br />j
<br />I
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) .. iN i
<br />The City of Santa Ana, it's officers, employees, agents, and representat L
<br />are included as an additional insured under the general liability with
<br />respect to the liability created by the negligent acts, errors and omissions ; �10�
<br />of the named insured herein as required by written contract.
<br />CERTIFICATE HOLDER CANCELLATION
<br />CITYSA3
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana Its officers
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Employees, Agents, Volunteers
<br />AUTHORIZED REPRESENTATIVE
<br />and Representatives
<br />20 Civic Center Plaza
<br />�9
<br />Santa Ana, CA 92701
<br />©1988-2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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