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AC"R" CERTIFICATE OF LIABILITY INSURANCE k..� 8/1/2017 DATE(MM/DD/YYYY) 1 5/24/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LOckton Companies CONTACT 444 W. 47t11 Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 PHONE Ext): AC No): E-MAIL ADDRESS: INS IS) AFFORDING COVERAGE NAIC # 8/1/2016 INSURER A: Zurich American Insurance Company 16535 ._.__.. INSURED WACHTER, INC. 6969 16001 WEST 99TH STREET INSURER B: Great American Insurance CO Of New York 22 136 INSURER C: _ $ 5 000 LENEXA KS 66219 INSURER D: INSURER E INSURER F: PERSONAL & ADV INJURY $ 1,000,000 COVERAGES * CERTIFICATE NUMBER: 14711718 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSURANCE ADDL:SUBR INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X_ COMMERCIAL GENERAL LIABILITY C'. OCCUR N N GL0552579804 8/1/2016 8/1/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED FIR MISES Ea occurrence) _ - $ 300,000 MED EXP (Any one person) _ $ 5 000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY Lz' J JECT LOC GENERAL AGGREGATE $ 2 000 000F�l PRODUCTS - COMP/OP AGG _ $ 2 000 000 $ OTHER: A AUTOMOBILE LIABILITY N N BAP552579904 8/1/2016 8/1/2017 EO aBINEDtSINGLE LIMIT $ 1 000,000 BODILY INJURY (Per person) $ XXXXXXX X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS (Per accident) BODILY INJURY(Pident) $ XXXXXXX X NON -OWNED AUTOS ONLY AUTOS ONLY HIRED Ll PROPERTY DAMAGE$ Per accidentI _ XXXXXXX Corm/Coll Deds. $ 1,000 PHYS DAM B UMBRELLA LIAB X OCCUR N N UMB1800419 8/1/2016 8/1/2017 EACH OCCURRENCE $ 2000,000 X EXCESS LIAB CLAIMS -MADE AGGREGATE $ 2,000 000 DED I I RETENTION $ $ XXXXXXX A WORKERS EMPLOY EMPLOYERS' AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. OFFICER/MEMBER EXCLUDED? NI N N / A WC552580004 8/1/2016 8/1/2017 X STATUTE �RH EACH ACCIDENT $ 1.,000,000 E.L DISEASE - EA EMPLOYEE — $ 1,000,000 ---- (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) FOR CANCELLATION FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, THE INSURER(S) WILL SEND 30 DAYS NOTICE OF CANCELLATION TO THE CERTIFICATE HOLDER, CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES IS/ARE ADDITIONAL INSLIRED(S) ON A PRIMARY AND NON-CONTRIBUTORY COVERAGE BASIS AS RESPECTS LIABILITY COVERAGE FOR THIS PROJECT. INSURANCE SHOWN APPLIES ONLY TO EXTENT OF WRITTEN CONTRACT. %.en i irtr,,ra i e nvLuen t�ANUt=LLA I IUN ,5eC Ht[acnment a , ws ,°h 1 J 1 1.1I 1 14711718 CITY OF SANTA ANA 20 CIVIC CENTER PLAZA (M-30) SANTA ANA CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTA 0)1g88L2015 ACORD CORPORATION_ All rinhtc racarvari ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD