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Mayloor
<br />ACi CERTIFICATE OF LIABILITY INSURANCE D6�zo�2 18 )
<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 CONTACT Fernando Rivas
<br />NAME:
<br />ISU Insurance Services - Centinel Agency, LLC PHONE (415)657-2000 FAX (415)6572002
<br />INC, No, Extt _... __. ANC No): __.
<br />250 Executive Park Blvd E-MAIL
<br />ADDRESS: fernando®isuca.com
<br />Suite 4800 INSURERS) AFFORDING COVERAGE NAICa
<br />San Francisco CA 94134 _ INSURER A.SCOttsdale Insurance Company 41297
<br />INSURED IMSURERe American Fire and Casualty Company 24066
<br />California Barricade Rentals Inc –aL17-057
<br />INsuRERc:National Union Fire Insurance Co of 19445
<br />1550 E Saint Gertrude Place ..,.„e.e Tie .—A acnvA
<br />Inc 10200..
<br />j Santa Ana CA 92705 I INSURER F:Xlnsale Insurance Company 38920
<br />COVFRAGFS CFRTIFICATFNIIMRFRQ8-19 GL.NC.BA.XS.E&O.PL RFVICION NI IMRFR.
<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
<br />TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />-ADDL SUER _-
<br />ILTR
<br />TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDIYYYY
<br />LIMITS
<br />X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $
<br />1,000,000
<br />---
<br />A _ Cl -AIMS -MADE MADE X_. OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES (Ea occurrence) $
<br />100,000
<br />X BCS0037139 7/1/2018 7/1/2019
<br />MED EXP (Any one person) S
<br />SxCluded
<br />PERSONAL B ADV INJURY $
<br />11000,000
<br />GENL AGGREGATE LIMIT APPLIES PER:
<br />AGGREGATE $
<br />2,000,000
<br />_ %t_ POLICY PRO-
<br />_ JECT LOC
<br />__GENERAL
<br />PRODUCTS - COMPIOP AGO S
<br />2,000,000
<br />OTHER.
<br />Employee Benefits $
<br />11000,000
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT S
<br />(Ea accident)
<br />1, 000, 000
<br />B _ X ANY AUTO
<br />--
<br />BODILY INJURY (Per person) S
<br />ALL ONMED SCHEDULED
<br />__AUTOS AUTOS X BAA (19) 58 05 63 03 7/1/2018 7/1/2019
<br />BODILY INJURY (Per accident)I.S
<br />NON -OED
<br />X X WN
<br />PROPERTY DAMAGE $
<br />HIRED AUTOS AUTOS
<br />JPef aceiden�_
<br />UMBRELLA LIAR X '.00CUR
<br />EACH OCCURRENCE -,S
<br />5,000,000
<br />C, X EXCESS LIAR _ ICLAIMS-MADE
<br />AGGREGATE '.S
<br />5,000,000
<br />DED RETENTION $ BE 014795709 7/1/2018 7/1/2019
<br />S
<br />WORKERS COMPENSATION
<br />X PER : OTH-
<br />ANDEMPLOYERS'LIABILITY YIN
<br />,_STATUTE ER
<br />ANY PROPRIETORIPARTNERIEXECUTIVE
<br />EL EACH ACCIDENT $
<br />1, 000, 000
<br />OFFICER/MEMBER EXCLUDED? 'NIA
<br />---
<br />D (Mandatory In NH) '_- ,9063608-2018 7/1/2018 7/1/2019
<br />: EL. DISEASE - EA EMPLOYEE S
<br />11000,000
<br />If yes, describe under
<br />-- _-- -- __--
<br />--___-- -- --
<br />DESCRIPTION OF OPERATIONS below
<br />E. L. DISEASE- POLICY LIMIT '.$
<br />1,000,000
<br />E Professional Liability MPL1863490.18 7/1/2018 7/1/2019
<br />Each Claim:
<br />$1,000,000
<br />F Pollution Liability 0100052798-1 7/1/2018 7/1/2019
<br />Each Pollution Condition
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may M attached If more space Is required)
<br />The City of Santa Ana, its officers, employees, agents, and representative
<br />are named as additional
<br />insured per form CG 20 33 04 13 and CG 20 37 04 13 on the GL policy.
<br />�t
<br />7
<br />Additional Insured applies per form CA 88 10 01 13 on the Auto policy.
<br />��
<br />�e ��
<br />Those usual to the insured's operations.
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<br />a.cn I Irwn I c nuwcn t.wnt.cLu4I wn �'
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<br />SHOULD ANY OF THE ABOVE D IB� BE CANCELLED BEFORE
<br />City of Santa Ana THE EXPIRATION DATE F RfEC WILL BE DELIVERED IN
<br />20 Civic Center Plaza - M-23 ACCORDANCE WITH THE POLICY PROVI O S.
<br />Santa Ana, CA 92702
<br />Ferenc/FR --z�
<br />© 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />INS025 (201401)
<br />
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