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%'AC",�br CERTIFICATE OF LIABILITY t INSURANCE <br />A <br />Ilb <br />DATE(MMIDDNYYYI <br />3/30/2017 <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(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 endorsement s . <br />PRODUCER Bolton & Company <br />3475 E. Foothill Blvd., Suite 100 <br />NAME: CONTACT <br />PRONE --------'PAX -- —` <br />Pasadena, CA 91107 <br />i82tiZ799-7000 <br />1E.h AG Ns.�ntt. _.. _1.LIc,.HSL.._...—(6Z61 583-2117_ <br />AIL <br />-A948R$.S•___.—_..-.____--............................_.._._...._...._-..� <br />INSURER(S)AFPORDINGCOVERAGE NAICs <br />vnvw.boitonco.com 0008309 <br />INSURERA New York Marine And General Insurance Co 16608 <br />INSURED <br />CWF, Inc. <br />INSURERB <br />251 Party Rentals <br />251 E. All Pe Stre n <br />INSURERO_, _ _ �� <br />Covina CA 91723 <br />INSURER <br />INSURER E' ._._.___ .....-._._._. <br />�. <br />INSURER P. <br />COVERAGES CERTIFICATE NUMBER naaneaRR RFa/IRUTAI NIIMIiCD. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOp <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT <br />OR OTHER DOCUMENT WITH RESPECT TO WHICH <br />THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ._......... ..... ...... _ ..._........A UgUER1-..-.. _. POL�ICY EFP <br />LTR� TYPEOFIN$URMCE I POUCYNUMaER Wall DIY Y <br />OtbCY E%P... .._.._.-_.. .. ._........_.._._--__ <br />1 IYYVY I LIMITS <br />A �I. COMMERCIAL GENERAL LIABILITY ✓ PK201700007271 <br />2/1/2017 <br />2/1/2018 <br />EACHOCCU_RRENCE <br />$ <br />1,000,000 <br />1 CLAIMS -MADE OCCURDiCMrAiiE-TO <br />i....✓� <br />PREMI$ES1Ea <br />500,000 <br />XP <br />MEDESAnYcne Person) <br />IS <br />10,000 <br />Ill <br />PERSONAL SADV INJURY <br />S <br />1000,000 <br />1 <br />!GFRL AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />�S <br />200Q000 <br />PRODUCTS AGO <br />2.000, Q_O_O <br />J✓40CPOLICY <br />g <br />OTHER; i <br />AUTOMOBILE LIABILITY !AU201700011938 2/1/2017 <br />2/112018 <br />I COVUll,tl T IN LE LI <br />1 OQO�OQO <br />i ANY AUTO - ( <br />' <br />.1.$___ <br />( BODILY INJURY (Per peraw) <br />S <br />- '- <br />OWNED SCHEDULED <br />AUTOS ONLY _,II AUTOS <br />HIRED NON-0VYNED <br />1 BODILY INJURY (Per accMenry- <br />PROP R VISAMAGE <br />$ <br />{� <br />-- <br />---- <br />✓ ! AUTOS ONLY ✓ AUTOS ONLY <br />rLr aaoldanU <br />9— <br />A ✓j UMBRELLA LIAR / OCCUR <br />EXCESS LIAR <br />UM201700003772 1 2/1/2017 <br />2/1/2018 <br />LFLICHOCCURRENCE_ <br />$ _.5 <br />QQQQQQ <br />AGGREGATE <br />—_-_— <br />S <br />51000,000 <br />III CtAIMS-MADE <br />�(_ .._ <br />..— <br />.S_ <br />— <br />iL DED ✓ RETENTION 510,000 <br />A 'WORKEft3 GOMPENSATIDN YIN <br />AND EMPLOYERS' LIABILITY <br />(WC2016000OG9970 11/112016 <br />11/112017 <br />TRT T_I TH <br />��Au,.-ST, ER <br />�$ <br />,T <br />OFFICER(MEMBERE%CLUDEO?ECUTIVE .7 <br />NI0.1 <br />E.L.EACHACCIDENT <br />...... <br />.-...— <br />1000 OOQ <br />(Mandatory In NH) <br />';I/y'os, tlescdoa untlet <br />E L DISEASE -EA EMPLOYEE <br />$ _ <br />,1,000 000 <br />.E.L DISEASE -POLICY UMIT$ <br />1,OW,OO9 <br />DESCRIPTION OF OPERATIONS baiow <br />I <br />I <br />DESCRIPTION OF OPERATIONS LOCATIONS 2 VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />The certificate holder is Included as an additional Insured, but only as respects to claims arising out of the neglige�ncee aamed ��rr <br />Insured. <br />GL Primary & Nan -Contributory per form CG2026 attached. <br />Additional Insured: The City of Santa Ana, it's officers, employees, agents, and representatives <br />r <br />ev�ca <br />City of Santa Ana <br />Finance & Managgement Services Agency <br />PO Box 1988 M•96 <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <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 />AUIMURIZEDRURK55ENTATIVE <br />-�, <br />Jessica Poretla <br />Q 1988.2016 ACORD CORPORATION. All rlahts reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />34905266 1 CWVINCA-01 117-16 ALL Master CCYCIEICACC I TLIs Adams 1 3130/201T 10!24:00 AM (PDT] I Page 1 of 2 <br />