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,A►CORO" CERTIFICATE OF LIABILITY INSURANCE
<br />like
<br />°091291201°°YYYY)
<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
<br />Marsh Risk & Insurance SeIYICesc
<br />17991 Von Kerman Avenue, Suite 11000
<br />(949) 399-5800; License #04371530
<br />Irvine, CA 92614
<br />CONTACT
<br />NAME:
<br />(AINoPHONE FAX
<br />Ear, AIC No
<br />E-MAIL
<br />ADDRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAIC$
<br />06/27/2017
<br />INSURER A: Travelers Indemnity Cc Of CT
<br />25682
<br />CN102330351-Econc-GAWU:17-18
<br />INSURED Econalite Systems, IHC.h
<br />INSURER B: Continental Insurance Company
<br />35289
<br />INSURER C : Travelers Property Casualty Company Of America
<br />25674
<br />1250 N, Tustin Avenue0
<br />Anaheim, CA 92807
<br />INSURER 0:
<br />$
<br />INSURER E:
<br />AUTOMOBILE
<br />XIX
<br />LIABILITY
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />INSURER F:
<br />810BJ496371TIL17
<br />COVERAGES CERTIFICATE NUMBER: LOS -002344939-05 REVISION NUMBER: 9
<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 LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />VVID UBR
<br />POLICYNUMBER
<br />MMID�IVYYY
<br />MMIDOIYYYPV
<br />LIMITS
<br />A
<br />X
<br />I COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE I -XI OCCUR
<br />630BJ492624TCT17
<br />06/27/2017
<br />06127/2018
<br />EACH OCCURRENCE $ 1,000,000
<br />DAMA ETORENT
<br />PREMISES Ea occurrence $ 300,000
<br />Ep
<br />GEN
<br />X
<br />N_
<br />MED EXP (Any oneperson) It 10,000
<br />PERSONAL &ADV INJURY $ 1,000,000
<br />'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY � JECT PRO- [:1LOC
<br />OTHER',
<br />GENERAL AGGREGATE $ 2,000,000
<br />PRODUCTS - COMP/OP AGG $ 21000,000
<br />$
<br />G
<br />AUTOMOBILE
<br />XIX
<br />LIABILITY
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />810BJ496371TIL17
<br />06/2712017
<br />0612712016
<br />COMBINED SINGLE LIMIT $ 1,000,000
<br />Ea accident
<br />BODILY INJURY (Per person) $
<br />BODILY INJURY Per accident $
<br />PROPERTY DAMAGE $
<br />Per accident
<br />X
<br />UMBRELLA LIAB
<br />EXCESS LIAR
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />6050091648
<br />0612712017
<br />06127/2018
<br />EACH OCCURRENCE $ 25,000,000
<br />AGGREGATE $ 25,000,000
<br />DED Fx RETENTION$ 10,000
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />OPFIC RPMEMB R EXCLUDED4ECUTIVE N
<br />(Mandatory In NH)
<br />If yea, do.doe under
<br />DESCRIPTION OF CPERATIONSbelow_____t'
<br />N/A
<br />U86J496371 TIL17
<br />06272017
<br />06127/2018
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT $ 1,000,000
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if mere space is required)
<br />Re', Traffic Signal Maintenance.0
<br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are Included as additional insured where required by written contract with respect to General Liability. Waiver of subrogation Is
<br />applicable where required by written contract and subject to policy terms and conditions.
<br />REVIEWED BY: EUNICE t1EREDIA (PG{ OF' ( }
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa AnaO
<br />Clerk of the City Council]
<br />20 Civic Center Plaza (M -30)J
<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 />P.O. Box 19880
<br />Santa Ana, CA 92702
<br />AUTHORIZED TIVE
<br />of Marsh Risk &Insurance Services
<br />Marsh Risk Insurance Ser
<br />Alis Maynard,
<br />©1988-2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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