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CNSCHOO.01 DADACAYA
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DAT 6//a7/201727/2017
<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 License # DE67768
<br />NAATPCT Stacy Ownbey
<br />IOA Insurance Services
<br />130Vantis
<br />Suite 250E
<br />AIC , FAXX
<br />1_, NaEst): _ I_INc,Na):(949)297.5960
<br />_
<br />oREss:_Stacy.Ownbey@ioausa.com
<br />Aliso Viejo, CA 92656
<br />_ _ NSURER(St AFFORDING COVERAGE
<br />__
<br />NAIC
<br />INSURER A: Travelers Casualty Insurance Company of America
<br />'19046
<br />_._
<br />INSURED
<br />CN School and Office Solutions, Inc.
<br />DBA Culver -Newlin
<br />INSURER B Travelers Property Casualty Company of America
<br />_
<br />25674
<br />INSURER Everest National Insurance Company
<br />----- -
<br />10120
<br />- -
<br />520 E Rincon Street, Ste 102
<br />'._INSURER D
<br />Corona, CA 92879
<br />IINSURERE:
<br />Deductible: $0
<br />INSURERF:
<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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED
<br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE
<br />BEEN REDUCED BY PAID CLAIMS.
<br />INSRj ADDLISUBR-
<br />LTR. TYPE OF INSURANCE IIS , POLICY NUMBER
<br />- - - -
<br />-IiPOLICY EFF POLI pY VYV LIMITS
<br />A
<br />X.
<br />COMMERCIAL GENERAL LIABILITY
<br />1,000,000
<br />CLAIMS MADE FX �''I OCCUR X
<br />6305E297421TIL17
<br />05!26/2017105/26/2018
<br />EACH OCCURRENCE $
<br />DAMAGE TO RENTED _ 300,000
<br />PREMISES (E_a pccurre�rcal „..$
<br />X
<br />Deductible: $0
<br />5,000
<br />MED EXP (Any one prs
<br />ean) $
<br />PERSONAL &ADV INJURY ',$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER
<br />GENERAL AGGREGATE $ 2,000,000
<br />X
<br />POLICY F1 JECT LOC '',
<br />"'I,
<br />PRODUCTS-COMP/OP AGO $ 2,000,000
<br />OTHER
<br />I
<br />$
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />1
<br />COMBINED SINGLE LIMIT : 1,000,000
<br />X_
<br />ANY AUTO
<br />BA5E30086017CAG
<br />05/26/2017
<br />05/26/2018 BODILYINJURYUerpersol $
<br />OWNED ,SCHEDULED
<br />OWNS
<br />_
<br />ONLY AUpTOpSI
<br />BODILY INJURY (Per accident $
<br />AUT OB ONLY j AUTNOS ONLY
<br />_
<br />p�
<br />_
<br />(Pe�accRt�AMAGE
<br />$
<br />X UMBRELLA A6iX
<br />ENCE 1$ OCCURR
<br />LABCLAIMS-AGECUP4J2958781714
<br />5/28/2017
<br />-
<br />05/26/201
<br />8E%CESS 15,000,000
<br />AGGREGATE _ �$
<br />DED RETENTION$
<br />C
<br />ERS MPENSATION
<br />X PER OTH
<br />AND EMPLOYERS' UABIUTY
<br />AORPROPRIOOR/PARTNERIEXECUTIVE
<br />YIN
<br />-CA10002100161
<br />05/2612017
<br />- STATUTE_ ER__.
<br />05126/2018 1,000,000
<br />NY
<br />FFICERIMEMBER EXCLUDED? Y� NIA'
<br />EL EACH ACCIDENT _
<br />EACH ACCIDENT
<br />''i_
<br />1 $
<br />Mandatory in NH)
<br />E L $ 1,000,000
<br />DISEPLOYE
<br />under
<br />If yes, DESCRIPrbeTION
<br />DESCRIPTION OF OPERATIONS below
<br />"
<br />E.L. DISEASE- POLICY LIMIT' 1,000,000
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule,
<br />may be attached If more space is required)
<br />Re: Proposal No. 17-057
<br />The City of Santa Ana, its officers, employees, Agents and representatives are recognized as Additional Insureds with respects to General Liability as required
<br />by written contract.
<br />30 Day Notice of Cancellation with 10 Day Notice for Non -Payment of Premium in
<br />accordance with the policy pr yi %ons.
<br />REVIEWED BY: EUNICE HEREDIA (PG I OF )
<br />v F li
<br />CERTIFICATE HOLDER
<br />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 />City of Santa Ana
<br />AUTHORIZED REPRESENTATIVE
<br />Attn: Purchasing Department
<br />D��
<br />C/C
<br />20 Civic Center Plazaif,N/(+
<br />ISanta Ana. CA 92702
<br />ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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