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IPSSE•1 OF ID: JE
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />OA0412112017YI
<br />04/21I2017
<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 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 endorsoment(s).
<br />PRODUCER
<br />Central Insurance Agency, Inc.
<br />93 East Main Street
<br />Smithtown, NY 11787
<br />George Gavaris
<br />CONTACT
<br />Central Insurance Agency
<br />P"CONI o EIS: 877-242.9600 ac Ne: 877-243.8996
<br />- AI --
<br />AonREss: cartificatesQ,clalnsures.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIL a
<br />INSURER A; Acceptance Casualty Ins CO
<br />10349
<br />INSURED IPSSecDrily, Inc,
<br />Plea anion, CA Mali Rd,Ste300
<br />Pleasanton, CA 94588P
<br />INEURERBILInItedFinancial Casualty
<br />11770
<br />INSURERC:Employers Assurance Company
<br />Y
<br />25402
<br />INSURER 01
<br />INSURER E: _
<br />INSURER F :
<br />CERTIFICATE
<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, NOTVNTHSTANDING 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 />LTR
<br />TYPE OFINSURANCE r
<br />AND
<br />POLICY NUMBER
<br />M IDD Y Y
<br />MMDIDM
<br />V LIMITS
<br />A
<br />GENERALLIABIUTY
<br />X COMMERCIALOENERALUABILITY
<br />CLAIMS -MADE (OCCUR
<br />X Errors &Omisaion _
<br />X
<br />CLOO960530
<br />09/22/20A
<br />0912212017
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />-bA
<br />PREMISES Ee occurrence
<br />_
<br />$ 100,000
<br />NED EXP Any onepersen
<br />$ 5,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />X
<br />Assault & Battery
<br />GENERAL AGGREGATE
<br />$ 2,000,00
<br />GEN'L AGOREGATELIMIT APPLIES PER:
<br />X POLICY PED D. LOC
<br />PRODUCTS - COMPIOP AGO
<br />$ 1,000,000
<br />$
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />ALL AUSNED X SCHEDULED
<br />TO
<br />HIRED AUTOS NONONMEO
<br />AUTOS
<br />039577650
<br />10/18/2016
<br />10/18/2017
<br />a NEO SINGLE LIMIT
<br />Ea accident
<br />100,000
<br />BODILY INJURY (Par pereon)
<br />$
<br />BODILY INJURY (Per accident)
<br />$
<br />P 0 YDAMAGE
<br />PER ACCIDENT
<br />A
<br />X
<br />UMBRELLA LIAR
<br />EXBESSLIAs
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />L00450188
<br />09/2212016
<br />00122/2017
<br />EACH OCCURRENCE
<br />$ 11000,000
<br />AGGREGATE
<br />$ 1,000,000
<br />DED RETENTION
<br />_
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOWPARTNERIEXECIJTIVE
<br />OFFICER/MEMBER EXCLUDED? ❑
<br />(Mnud.Wq id NH)
<br />%s, describeunder
<br />IFyyes,deaTION OFO
<br />OPERATIONS belrny
<br />NIA
<br />BIG 2418484-00
<br />10/2812016
<br />10/28/2017
<br />VVC STATU- OTH-
<br />X TORY UM ,S_ ER
<br />E,L, EACH ACCIDENT
<br />$ 1,000,000
<br />E,L DISEASE EA EMPLOYEE
<br />_
<br />1,000,000
<br />E. L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS ILOCAVONS/VEHICLES (Aaach ACORD 101, Additional Rernarku Schedule, If,nore space la reggired) ' ON r.
<br />The City of Santa Ana, it's officers, employees, agents, and representat
<br />are included as an additional insured under the general liability with
<br />respect to the liability created by the negligent acts, errors and omissions
<br />of the named insured herein as required by written contract.
<br />CITYSA3
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEPORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana Its officers ACCORDANCE WITH THE POLICY PROVISIONS,
<br />Employees, Agents, Volunteers
<br />and Representatives AUTHORIZED REPRESENTATIVE
<br />2Civic Center Plaza 5 eC*O/ Z a,
<br />_ (Saa nta Ana, CA 92701
<br />© 1988-2010 ACORD CORPORATION. All riahts reserved
<br />ACORD 26 (2010/06) The ACORD name and logo are registered marks of ACORD
<br />
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