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ACOR�dD CERTIFICATE OF LIABILITY INSURANCE
<br />o'61'22/2o11YsYY
<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 polley(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 Ilea of such endorsement(s).
<br />PRODUCER
<br />Denise K Hudson Insurance Agency, InorFone
<br />Np �Fi LORRI E SASAN
<br />Ax--`-_, _.__---
<br />License # OB86530
<br />f .L 11:714.633-6118 qlNpI;714,633.3720
<br />ARDRess:.lorde@denisekhudson,com
<br />StateFarfn ,
<br />1045 W Katclla Ave Ste 240
<br />-- -- --
<br />Orange, CA 92867
<br />_INSURCR(9iAFrORDING COVERAGE NAIC/t
<br />INSURER A State Paan Cerleral Insurance Company
<br />.
<br />05/16/2017
<br />INSURED WEBTCRN AIV INC' mm l
<br />INSURER e 5tata.Farm Mutual Automobile nauranGB Company20170
<br />----- —� — — --
<br />1592 N BATAVIA ST STE 2
<br />INSURER c:
<br />ORANGE, CA 92867
<br />11 LsUReRp;_„_
<br />INSURER E
<br />...INSURERFf
<br />COVERAGES CERTIFICATE NUMBER; REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 1'O 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 18 SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />IN9R
<br />TYPE OF INSURANCE
<br />IND
<br />POLICY NUMBER
<br />MIDDIYYYY
<br />MM D Y VY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS.MADE LJ OCCUR
<br />Y
<br />92 -EX -51664
<br />05116/2016
<br />05/16/2017
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />PgEMI9iE8_{Ea
<br />300,000
<br />I MEP EXP(Any, cnaramo�_
<br />PERSONAL S ADV INJURY
<br />$ 1,000,000
<br />GFNEPAL AGGREGATE
<br />$ 4,000,000
<br />GEN'L
<br />^,,,,,^,,,_,,,,_,_,._„-,___.,.._
<br />AGGREGATE LIMIT APPLIES PER',
<br />T
<br />_
<br />PRO.
<br />POLICY .,�JECT El LOC
<br />oniER,
<br />PRODUCTS-COMP/OPA00
<br />BUSINESS PROP
<br />..___—..._........--
<br />3 4,000,000
<br />$ 230,100
<br />B
<br />,AUTOMOBILE LIABILITY
<br />•�."-"''
<br />375 9392 -F17 -75P
<br />0611712016
<br />12117/2016
<br />CONIBIN D SINGLE LIMIT
<br />Ea Ov^clSlenlJ
<br />$ 1,000,060
<br />BODILY INJURY (Per parson)
<br />$
<br />ANY AUTO
<br />�
<br />___
<br />BODILY INJURY (Per uccidanl)
<br />$
<br />__
<br />ALL OWNED SCHEDULED
<br />X X
<br />_- AUTOS -- AUTOS
<br />..X HIRED AUTOS X, AUTOS
<br />PROPERTY DAMAGE
<br />„(PuracrltloptL...__...._. _. _
<br />A
<br />X
<br />UMBRELLA LIAR 1 X OCCUR
<br />12114/2015
<br />1
<br />2714/261602•XC-0351.6
<br />OCCURRERENCE
<br />$
<br />—EACH
<br />AGGREGATE _
<br />_,._....51000,000
<br />_
<br />$
<br />_._._____....._._._._.
<br />$
<br />._i.-._..._
<br />EXC BSS LIAB OLAIM9-p1ADE
<br />-.._....._...__....L..._._..,.. _......--....-......
<br />DED RETEMI'IDN$
<br />A
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'LIABILIry YIN
<br />ANY PROPRIETOWPARTNER/EXECUTIVE r'�
<br />OFFICEPoMEMbER EXCLUDEDP
<br />(Mmdet.Orm NHl -”`
<br />NIA
<br />92,L4-6790.1
<br />61/0112016
<br />0110112017
<br />X PER „a -
<br />�rnnlTE ER
<br />E.L.EACH ACCIDENT
<br />$ 1.000,000
<br />.-.........__..._,.._......T
<br />E.L. UISEABE-EA EMPLOYEE
<br />....._.........................._.._.—.._
<br />-._.-.,..,..__..
<br />$ 1,000,000
<br />_ __.....__._.._......_.
<br />Ryes dascrlbeunder
<br />DE36RIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$ '1,006,000
<br />Ones PTION OF OPERATIONS I LOCATIONS [VEHICLES (AGORD 1111, Audit[ onal Remarks Schedule, Ivey he attached if more space is requlmd)
<br />AUDIO VISUAL SERVICE & INSTALLATION
<br />Business Location #1 6353 Corte Del Abeto, Suite 106, Carlsbad, CA 92011/Business Looatlon #2 1592 N Batavia St., Ste 2, Orange, CA 92867
<br />Certificate Holder, City of Santa Ana, its officers, employees, agents, volunteers & representatives are additional Insur it
<br />fdEVIEWED,BY: EUWCE HEfREgIA (PG / 4F.)
<br />CERTIFICATE HOLDER CANCELLATION
<br />© 1988.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 1001486 132849.0 02-04-2014
<br />25A-40
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />CITY OF SANTA ANA
<br />'THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 CIVIC CENTER PLAZA
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />SANTA ANA, CA 92701
<br />AUTHORIZED REPRESENTATIVE
<br />© 1988.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 1001486 132849.0 02-04-2014
<br />25A-40
<br />
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