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OP ID: YC
<br />'a�oRo CERTIFICATE OF LIABILITY INSURANCE
<br />D01/08ATE /2019 Y)
<br />01/08/2019
<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 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 />Narver Associates Ins Agcy
<br />641 W. Las Tunas Drive(A/C,No
<br />PO Box 1509
<br />San Gabriel, CA 91778-1509
<br />WESLEY HAMPTON HOUSE
<br />CONTACT
<br />June Samarin
<br />PHONE FAX
<br />Exti: 626-943-2237 A/C, No): 626-299-1010
<br />E-MAIL
<br />ADDRESS: jsamarin@narver.com
<br />PRODUCER
<br />CUSTOMER ID #: BULLO-4
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURED BA INC.
<br />800 West 6th Street, Suite 400
<br />Los Angeles, CA 90017
<br />INSURER A: Continental Casualty Company
<br />1,20443
<br />INSURER B: Lloyds of London 15792
<br />INSURER C: Employers Insurance Group 11512
<br />INSURER D:
<br />INSURER E:
<br />06/21/2018
<br />INSURER F:
<br />PREMAGE TO ISES Ea NTEDence $ 300,000
<br />COVERAGES CERTIFICATE NUMBER: 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 CLAIMS.
<br />ILTRR.
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />MMLDDNYYY
<br />MMIDDfYYYY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE $ 2,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE FxI OCCUR
<br />X
<br />6024853577
<br />06/21/2018
<br />06/21/2019
<br />PREMAGE TO ISES Ea NTEDence $ 300,000
<br />MED EXP (Any one person) $ 10,000
<br />PERSONAL SADV INJURY $ 2,000,000
<br />X Contractual
<br />Liability
<br />GENERAL AGGREGATE $ 4,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP/OP AGG $ 4,000,000
<br />POLICY X PRO LOC
<br />$
<br />AUTOMOBILE
<br />LIABILITY REVIEWED
<br />BY:
<br />EUNICE HEREDIA
<br />(PG
<br />OF )
<br />COMBINED SINGLE LIMIT $ 1,000,000
<br />(Ea accident)
<br />ANY AUTO
<br />BODILY INJURY (Per person) $
<br />ALL OWNED AUTOS
<br />BODILY INJURY (Per accident) $
<br />A
<br />X
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />6024853577
<br />06/21/2018
<br />06/21/2019
<br />PROPERTY DAMAGE
<br />(PER ACCIDENT) $
<br />A
<br />X
<br />NON -OWNED AUTOS
<br />6024853577
<br />06/21/2018
<br />06/21/2019
<br />$
<br />X
<br />UMBRELLA LIAB X OCCUR
<br />EACH OCCURRENCE $ 9,000,000
<br />AGGREGATE $ 9,000,000
<br />A
<br />EXCESS LIAB CLAIMS -MADE
<br />6074584249
<br />07/27/2018
<br />06/21/2019
<br />$
<br />DEDUCTIBLE
<br />$
<br />RETENTION $
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
<br />OFFICER/MEMBER EXCLUDED? ❑
<br />(Mandatory in NH)
<br />N / A
<br />EIG 2743312
<br />12/07/2018
<br />12/07/2019
<br />X WC STATU- OTH-
<br />TORY LIMITS ER
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />B
<br />Professional Liab.
<br />ANE1437173
<br />06/20/2018
<br />06/20/2019
<br />Ea.Claim 2,000,000
<br />Aggregate 2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />}2E: Contract #A-2017-080
<br />The City of Santa Ana, its officers, employees agents and representatives
<br />are named as additional insured as respects attached General Liability
<br />endorsement SB -146968, as required by contract. This insurance is primary
<br />and any insurance carried by additional insured shall be non-contributory.
<br />CITYSAN
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<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 />© 1988-2009 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
<br />
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