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<br />..-^""'�► NECCORP-01 FISERMA
<br />a CERTIFICATE OF LIABILITY INSURANCE
<br />__-
<br />°"TE2912017
<br />3/29/2017
<br />PHIS 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 have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endomement(s).
<br />PRODUCER
<br />Willis of Texas, Inc.
<br />c/o 26 Century Blvd
<br />P.O. Bole, TN 37
<br />Nashville, TN 37230-5191
<br />CONTACT
<br />E:
<br />aC°,Ne Ext): 877) 945-7378 ac Ne :(688 467-2378
<br />E A LESS -
<br />S:
<br />INSURERS AFFORDING COVERAGE
<br />INSURERS)
<br />NAIC4
<br />INSURER A: Travelers Indemnity Company
<br />25658
<br />INSURED
<br />INSURERS: Travelers Indemnity Company of America
<br />25666
<br />INSURER c: Travelers Property Casualty Company ofAmerica
<br />25674
<br />NEC Corporation of America
<br />INSURER o: Charter Oak Fire Insurance Company
<br />25615
<br />3929 W. John Carpenter Freeway
<br />Irving, TX 75063
<br />-
<br />INSURER E:
<br />'
<br />INSURER F:
<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 CONTRACTOR 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 />TYPE OF INSURANCE
<br />ADDLSUBR JUM
<br />MDPOLICY
<br />NUMBER
<br />POLICVEFF
<br />POLICY EXP-kTJL
<br />112018
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERALLIABILITY
<br />CLAIMS ADE [X OCCUR
<br />X
<br />X
<br />HK-GLSA-162D6431-17
<br />I7¢/}1J/2 1
<br />EACH OCCURRENCE $ 1,000,000
<br />DAMAEREMGE TO RRENTED 300,000
<br />MED FXP An one person)$ 10,000
<br />g
<br />A
<br />'lLCC..11
<br />PERSONAL &ADV INJURY $ 1,000,000
<br />O
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<br />//..y�_Lis �.
<br />1.15
<br />r�r+K
<br />OF e
<br />y Attorn
<br />�/7 /
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<br />BERL AGGREG❑A:HE LIMIT APPLIES PER:
<br />POLICY JECT X LOC
<br />OTHER:
<br />GENERAL AGGREGATE $ 2,000,000
<br />PRODUCTS - COMPIOP AGO $ 1,000,000
<br />$
<br />B
<br />AUTOMOBILELIABILITY
<br />X
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />OWNS ONLY SCHEDULED
<br />X
<br />X
<br />HJ -CAP -162D6416-17
<br />04/01/2017
<br />04/0112018
<br />COMB INEDtSINGLE LIMIT $ 1,000,000
<br />BODILY INJURY Per Person)$
<br />BODILY INJURY Per accident $
<br />P OPEC Y DAMAGE $
<br />AUTOS ONLY ABIOS ONLB
<br />C
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EACH OCCURRENCE 6,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />X
<br />X
<br />HSMJ-CUP-162D642A-17
<br />04/01/2017
<br />04/01/2018
<br />AGGREGATE $ 5,000,000
<br />DEO I X I RETENTION$ 10,000
<br />C
<br />AOELCOMPENSATION
<br />NMPOVERSiILITY
<br />AApN�Y PRgOePRIETggO��RRpAPARTNERIEXEGUTIVE YIN
<br />lmendatoryBn NH) EXCLUOE04
<br />f yes, describe under
<br />""''I"''
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />X
<br />HC2JUB-162D6443-17
<br />04101/2017
<br />04/01!2016
<br />X PER OTH-
<br />-aATUTE
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE F.EMPLOVE $ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT $ 1,000,000
<br />D
<br />Workers Compensation
<br />HROUS-4E339258-17
<br />04/01/2017
<br />04/01/2018
<br />See Attached:
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
<br />The City of Santa, 20 Civic Center Plaza, Santa Ana, California, its Officers, Employees, Agents, and Volunteers are Included as Additional Insured with regard
<br />to liability and defense of suits arising from the operations and uses performed by or on behalf of the Named Insured. With respect to bodily injury or property
<br />damage claims arising out of the operations performed by or on behalf of the Named Insured, such insurance as Is afforded by this policy is primary and is
<br />not additional to or contributing with any other insurance carried by or for the benefit of the Additional Insured provided claims that give rise are from the
<br />Named Insured 'a negligence and arising out of operations performed for the City of Santa Ana. This insurance applies separately to each insured against
<br />whom claim is made or suit Is brought except with respect to the company's limits of company's limits of liability. The inclusion of any person or organization
<br />as an insured shall not affect any right which such person or organization would have as a claimant if not so included.
<br />CERTIFICATE HOLDER CANCELLATION
<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 />The City of Santa Ana,
<br />AUTHORIZED REPRESENTATIVE
<br />CCG�i
<br />its Officers, Agents and Employees
<br />Attn: Carl Marek
<br />PO Box 1988
<br />SaUta Ana. CA
<br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered (narks of ACORD
<br />
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