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AC40IIIRV CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />2/Y4/20wv) <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 Bryson Casualty Insurance Services, Inc. <br />NAME: T <br />3777 Long Beach Blvd., 5th Floor <br />Long Beach, CA 90807 <br />PHONEFAX <br />562-435-4267(AIc No: 562-951-5747 <br />EMAIL <br />ADDRESS' <br />INSURERS AFFORDING COVERAGE NAIL# <br />680-3BO82516-16 <br />INSURER A: Travelers Casualty Insurance Co. of America 19046 <br />www.bryson`nancial.com OF89838 <br />INSURED <br />Bunnell Enterprises <br />Total Network Soultions <br />INSURER 8: Scottsdale Insurance Company 41297 <br />INSURER C: <br />INSURER D: <br />5150 Park Tower, Suite 530 <br />Long Beach CA 90804 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 34379088 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 />TR <br />OF INSURANCE <br />ADDTYPE <br />INSD <br />ME <br />POLICY NUMBER <br />MIDIYMIOLICY YVY <br />XP <br />rYYV <br />MMIDOfX <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />V <br />680-3BO82516-16 <br />3/5/2017 <br />3/5/2018 <br />EACH OCCURRENCE $ 1,000,000 <br />CLAIMS -MADE OCCUR <br />✓ <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence $ 300,000 <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE $ 2,000,000 <br />GEN'L <br />✓ <br />POLICY jEOT [:] LOC <br />PRODUCTS-COMP/OPAGG $ 2,000,000 <br />Hired/NonOwned <br />$ Included <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />COMBINED <br />Ea accident <br />SINGLE LIMIT <br />$ 1,000,000 <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />✓ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />AUTOS ONLY ✓ AUTOS ONLLY <br />680-38082516-16 <br />680-38082516-16 <br />3/5/2017 <br />3/5/2017 <br />3/5/2018 <br />3/5/2018 <br />BODILY INJURY (Per accident) $ <br />Peon cde DAMAGE It <br />$ <br />A <br />UMBRELLA LIAB <br />,/ <br />OCCUR <br />CUP -8D959001-16 <br />3/5/2017 <br />3/5/2018 <br />EACH OCCURRENCE $ 1000,000 <br />AGGREGATE $ 1,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED <br />RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />EM PLOYERS' LIABI LITY YIN <br />ANYPROPRIETORTARTN ER/EXEC UTIVEE. <br />F-1OFFICER/MEMBER EXC LU DE DT <br />NIA <br />STATUTE <br />STATUTE ER <br />L. EACH ACC IDENT $ <br />E.L. DISEASE- EA EMPLOYEE $ <br />(Mandatory in NH) <br />If yes, describe nd., <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $ <br />A <br />Business Personal Property <br />680-3BO82516-16 <br />3/5/2017 <br />3/5/2018 <br />$27,583 / $500 Deductible <br />B <br />Errors & Omissions <br />EKS3170728 <br />10/24/2016 <br />10/24/2017 <br />$1,000,000 / $5,000 Deductible <br />B <br />Employment Practices Liability <br />EKS3192390 <br />6/19/2016 <br />6/19/2017 <br />$1,000,000 / $15,000 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Add lllonal Remarks Schedule, may be attached If more space is required) <br />City of Santa Ana, its officers, agents and employees are named as additional insured on the General Liability as their interest may appear per <br />attached CGT3301188. <br />30 Day Notice of Cancellation / 10 Day Notice of Nonpayment <br />CERTIFICATE HOLDER CANCELLATION <br />Cit Santa Ana <br />City: f SantPurchAg <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Of <br />At De artment <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Civic Center plDep <br />laza <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Brett H Hlista <br />© 1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />34319088 1 '17 Pkg/XS; '16 2&0; X16 Eecx I Gina Gradillas 1 2/24/2017 10:09:45 AM (PLT( I Page 1 of 1 <br />