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,��croRhP CERTIFICATE OF LIABILITY INSURANCE
<br />°08/09/2017 "'
<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(ies) must be endorsed. If SUBROGATION 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 />certificate holder in lieu of such endorsement(s).
<br />PRODUCER 1-952-242-3100
<br />Wells Fargo Insurance Services USA, Inc.
<br />CONTACT NAME: Kristin covert
<br />PHONE 952-242-3100 FAX 952-830-3009
<br />C No EAIC No:
<br />ADDRESS:xl: X
<br />ri stin.COVert®wellsfargo.com
<br />400 Hwy 169 South
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />8th Floor
<br />INSURER A: TRAVELERS IND CO OF CT
<br />25682
<br />St. Louie Park, MN 55426
<br />INSURED
<br />INSURER B: TRAVELERS PROP CAS CO OF AMER
<br />25674
<br />Daktronics, Inc.
<br />INSURER C: TRAVELERS IND CO OF AMER
<br />25666
<br />INSURER D: TRAVELERS IND CO
<br />25658
<br />201 Daktronics Drive
<br />INSURER E:
<br />PO Box 5128
<br />1 INSURER F:
<br />Brookings, ED 57006-5128
<br />COVERAGES CERTIFICATE NUMBER: 50562168 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 />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUER
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MMIDDNYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />HEGLSA117D6882TCT-16
<br />10/01/16
<br />10/01/17
<br />EACH OCCURRENCE
<br />5 1,000,000
<br />CLAIMS -MADE � OCCUR
<br />DAMAGE( RENTED
<br />PREMISESSEa Occurrence
<br />5 1,000,000
<br />MED EXP(Anyone person)
<br />$ 15,000
<br />PERSONAL &ARM INJURY
<br />$ 1,000,000
<br />-
<br />AGGREGATE UMITAPPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L
<br />POLICY [:�]JECTPRO- LOG
<br />PRODUCTS-
<br />$2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />HECAP117D6901TCT-16
<br />10/01/16
<br />10/01/17
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1100010 00
<br />BODILY INJURY (Per person)
<br />$
<br />'Y
<br />ANYAUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />PROPERTY DAMAGE
<br />Per acoldent
<br />$
<br />$
<br />B
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />HSMJCUP117D6894TIL-16
<br />10/01/16
<br />10/01/17
<br />EACH OCCURRENCE
<br />$ 20,000,000
<br />AGGREGATE
<br />$ 20,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DED X I RETENTION$ 10,000
<br />1 $
<br />C
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y I N
<br />ANY PROPRIETORIPARTNERIEXECUTIVE
<br />OFFICERIMEMBER EXCLUDED? N
<br />(Mandatory,a NH)
<br />NIA
<br />HC2HUB163DO118-16
<br />HRXUB177D6913-16
<br />10/01/16
<br />10/01/16
<br />10/01/17
<br />10/01/17
<br />o
<br />X STATUTE OERH
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />f yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L.
<br />E.L. DISEASE- POLICY LIMIT
<br />$ 1,000,000
<br />5
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if ma Ng ,I1rerO;�'l Project: Products and Services provided by Daktronics, Inc. per Exten f1�coe YJe use. 813750-2
<br />Additional Insured with respect to General Liability (Primary Has Ir apq$., vided by the Additional Insured shall
<br />be non-contributory): City of Santa Ana, its officers, esploye. agent`*"u-+ntears and representatives.
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />26 Civic Center Plaza
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92701
<br />USA
<br />©1988.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101)
<br />nicholehofer
<br />50562168
<br />The ACORD name and logo are registered marks of ACORD
<br />
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