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ACI °�'�'� CERTIFICATE OF LIABILITY INSURANCE oei�5mli2017
<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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the polioy(les) must be endorsed. if SUEROGATION 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 />INSURANCE LAND INSURANCE SERVICES (AA/6 P�v.In11 213-388-3505.__ ", "_..__._._-_f LAIc N°' 213-388-7148
<br />4032 WILSHIRE BLVD E-MAi INSURANCELANDOGMAIL,COM
<br />,AO-DRE a __.. ..._.. .. .._..
<br />SUITE 309 PROQU ER
<br />_ __mER ..._. .__
<br />LGS ANGELES CA 50010 INSURERa APPOR01 Na COVERAGE NAIC4
<br />INSURED ..__. _ anl�� `.� r✓ INSURERA WESTERN WORLD INSURANCE COMPANY I _
<br />VALLEY MAINTENANCE .CORP. INSURERS: FINANCIAL INDEMNITY COMPANY I
<br />INSURER e: UNITED STATES LIABILITY INS CO
<br />10002 PIONEER BLVD. SUITE 101 INSURERD; ICW GROUP
<br />SANTA FE SPRINGS CA 90670 INsuRER e: TRAVELERS CASUALTY AND SURETY4-E0-:
<br />INSURER F:
<br />(tr)VFRAfAFS r.PRTIPQ7'ATF 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 />INSRI__.._.._,......-.._,..,..__.-._.,._-.---fAotiT 5T7DR "'."` _. ....:....... POLICYEFF POLICY EXP _.... ... ..e..... ._—.......,
<br />LTR TYPE OF INSURANCE V POLICY NUMBER MWQDIYYYYI (MMIODNYYYI LIMITS
<br />-
<br />GENERAL LIABILITY
<br />—/-
<br />y COMMERCIALGENERALLIABILON
<br />CLAIMS MADE © OCCUR '
<br />I
<br />NPP8472118
<br />-
<br />0e/13l2017
<br />oe/131am,8
<br />EACH OCCURRENCE
<br />PREMISES IEa owuv nca)
<br />MED EXP (Any ane person)
<br />$ 1, 000, 000
<br />--------- --
<br />$.., 100,0g0
<br />5, 0_00
<br />PERSONAIL &ADVINJURY
<br />$ 1,0D0,000
<br />A
<br />_
<br />-
<br />g
<br />(
<br />GENERAL AGsREGAIT
<br />$ 21000,000
<br />P"tODUCTS-COMPlOP.4GG
<br />$ INCLUDED
<br />GENL AGGREGATE LIMIT APPLIES PER
<br />i
<br />7-1 . PRG I LOC
<br />POLICY 17
<br />j NTRL,. Pwve,mY mnzRs
<br />$ $25,000
<br />' AUTOMOBILE
<br />--
<br />LIABILITY Y
<br />CCFIMV4036462-01
<br />06/10/2017106/30/2018
<br />!
<br />COMBINED SINGLE LIMIT
<br />IER andnanlj
<br />�$ 11000,000
<br />E
<br />�zj
<br />F.—I
<br />7
<br />ANYAVrO
<br />AL4 OWNED AUTOS
<br />i SCHEOUI.En AUTOS
<br />HIREDAU'r0'a
<br />EDGILY INJURY fPer paro°N
<br />�$
<br />BODILY INJURY (Psr aS01-1)
<br />----.__.._— _..._.
<br />PROPERTY DAMAGE
<br />(Per acCidant)
<br />- $
<br />$
<br />NON-OWNEO AUTOS
<br />AGGRDGATE
<br />S_"- 1 000y_000
<br />I
<br />�.
<br />$
<br />U MORELIA LIAR"
<br />- •OCCUR
<br />IXL1578400- µ
<br />5/02/20175/02/201B,EACH
<br />OCCURRENCE
<br />$ 3,000,000
<br />G
<br />EXCESS LIAR
<br />iCLAINiS-MADE
<br />i
<br />AGGREGATE
<br />PRODUCTS-COW/OP AGO
<br />$ 3,000_000
<br />8 �1,000,000
<br />_ _
<br />DEDUCTIBLE
<br />PERSONAL 6 AUY TRJ RY
<br />$ 11000,000
<br />RETENTION $
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPMCTORMARTNEMEXECUTIVE VIN;
<br />OFPICERIM-NIBER EXCLUDED?
<br />(hi°ndat°ryin NH
<br />)
<br />jNIA
<br />.WSA5037498
<br />I
<br />I
<br />%i8/13/2017
<br />i
<br />8/13/2018
<br />_
<br />OTH
<br />WC STATU- E
<br />IIOftY NTA-L ,
<br />El. EACH ACCIDENT
<br />S 1, ODD, 000
<br />E.L DISEASE - EA EMPLOYEd1
<br />1,000,000
<br />I E-I DISEASE POLICY LIMIT'S
<br />1, 000, 000
<br />If 2es66tleec
<br />DCN6e antler
<br />RIP -PION OF opt-T�TION93�imY
<br />E
<br />I
<br />-CRIME E
<br />(105620659
<br />5/z4/2o17�s/aa/a.U151
<br />1
<br />T-
<br />TAI I1 ARTY 11000,000
<br />'�
<br />DE$CRIPTIONOPOPERATIONSILOCAIIONSIVEHICLES(AltnchllAC�-OROIE1, Additional Remarks Schatluln, If mar°apacais reyWr°tl)
<br />CERTIFICATE HOLDER IS AS AN ADDITIONAL INSURED.
<br />CITY OF SANTA ANA SHOULD ANY OF THe„aenOVE DO POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION l ATE THE]0 , NOTICE WILL. BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 CIVIC CENTER PLAZA
<br />AUTHORIZED REPRESENTATIVE
<br />SANTA ANA CA "92702
<br />ACORD 26 (2009109) The ACORD name and logo are registered marks of ACORD
<br />
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