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A-2017-225 <br />AC oR" CERTIFICATE OF LIABILITY INSURANCE <br />10/17/MIDD/YYYY) <br />0/17/2017 <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 <br />CONTACT <br />NAME: <br />AUTOMATIC DATA PROCESSING INSURANCE AGCY INC <br />1 ADP BLVD MS 625 <br />ROSELAND, NJ 07068 <br />PHONE FAX <br />A/C, No, Ext : 877 677-0428 AIC, No): 877 677-0430 <br />E-MAIL <br />ADDRESS: spcbicadp@travelers.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />(877) 677-0428 <br />INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA <br />INSURED <br />TOWNSEND PUBLIC AFFAIRS INC <br />INSURER B : <br />INSURER C : <br />1401 DOVE ST, STE 330 <br />INSURER D: <br />NEWPORT BEACH, CA 92660 <br />INSURER E : <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 910315916051092 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 />ADDL <br />SUBR <br />POLICY EFF <br />POLICY EXP <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />MM/DD/YYYY <br />MM/DD/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any oneperson) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />POLICY PRO- <br />JECT LOC <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />$ <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />$ <br />DED RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />N/A <br />UB-7J011185-17 <br />07/01/2017 <br />07/01/2018 <br />X PER <br />EORH <br />E.L. EACH ACCIDENT <br />$ 1 ,000,000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1 ,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Kathia Reyes <br />Page 2 of 2 <br />1/19/18 <br />CERTIFICATE HOLDER CANCELLATION <br />JERED ELMORE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />CITY OF SANTA ANA PUBLIC WORKS AGENCY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA, CA 92701 <br />AUTHORIZED REPRESENTATIVE L� • ��_� <br />© 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />