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�? CERTIFICATE OF LIABILITY INSURANCE <br />°ATE(MM/DONYYY) <br />11/9/2017 <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(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 endorsements), <br />PRODUCER <br />Andreini &Company -South Coast <br />One MacArthur Place, Suite 100 <br />Santa Ana CA 92707 <br />CONTACT <br />PHONE 714-327-1400 FAX 71 <br />F r) A �I. 4-327-1499 <br />EMAIL <br />-ADDRESS;_ <br />INSURERS AFFORDING COVERAGE <br />NAICN <br />INSURER A: Plaza Insurance Com an y <br />30945 <br />411/2018 <br />INSURED VISTA -6 <br />INSURER8:Li6 d'sofLondon <br />Swain Oil Transport Inc. <br />Vista Energy Transport <br />10981 San Diego Mission Road <br />INSURER c: Insurance ComDany of the West <br />INSURER O: <br />INSURER E: <br />Suite #105 <br />San Diego CA 92108 <br />INSURER F: <br />COVERAGES CERTIFICATE NI.IMRFR• 1880359807 CCV!S!O 1 nn unocn. <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 />HER <br />TYPE OF INSURANCE <br />IN <br />BD <br />POLICY NUMBER <br />POLICY EFF— <br />MMI�OYEXP <br />LIMITS <br />A <br />X I COMMCRCIAL GENERAL LIABILITY <br />CLAIM&MADE D OCCUR <br />Y <br />PFHRUD0768301 <br />4/1/2017 <br />411/2018 <br />EACH OCCURRENCE I $1,000,000 <br />DAMAGE TO RE <br />PREMIS 5 Ea occurr n e $100,000 <br />MED EXP Any one person) $5,000 <br />PERSONAL& ADV INJURY $1,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />X POLICY O jECOT L; LOC <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS-COMPtOPAGG . $2,000,000 <br />Por Utioil $100,000 <br />N OTHER: <br />_ <br />A <br />AUTOMOBILE LIABILITY <br />PFHR000788301 <br />4/1/2017 <br />4?1/2018 <br />CMBINEDN LL LI <br />(Ea accldent) I $1 ,000,000 <br />ANY AUTO <br />BODILY INJURY (Per person) 1 $ <br />,I ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />X AIRED AUTOS X NOR -OWNED <br />AUTOS <br />BODILY INJURY(Per accident) $ <br />PROPERTYgA <br />Per accidanr $ <br />X TRAILERS <br />$ <br />B <br />X UMBRELLA LIAR <br />X <br />OCCUR <br />17RENMA160005510203601 <br />4/1/2017 <br />411/2018 <br />EACH OCCURRENCE 80.000,000 <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE $8,000,000 <br />1 OED RETENTION$ <br />_ <br />$ <br />C <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />ANY PROPRIFTORIPARTNERIEXECUUVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />wPL503327402 <br />411/2017 <br />1 4/11201$ <br />1 <br />PER 0 - <br />X STATUTE ER <br />EL. EACH ACCIDENT $1,000,000 <br />E.L. DISEASE - EA EMPLOY50 $1,000,000 <br />(Mandatory In NH) <br />Il yes. e under <br />i <br />EL. DISEASE, POLICY LIMIT $1,000,000 <br />DESCRIPTIOPIPTION OF OPERATIONS 6elaw <br />W <br />I <br />A <br />MOTOR TRUCK CARGO <br />PFHR000788301 <br />4RU2017 <br />14/1/2018 <br />I <br />EACH OCCURRENCE $50,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (AGORD 101, Additional Remarks Schedule, may be atfncheri If mora speim ie remrirsd) <br />The City of Santa Ana, it's officers, employees, agents, and representatives are included a, additional insured on general liability as per <br />attached CG 20 26 04 13 form. This general liability insurance is primary and non-contributory per attached CG 20 01 0413 form. Waiver of <br />Subrogation applies on workers compensation per attached WC 99 06 34 form. MCS -90 applies as per attached. <br />CERTIFICATE HOLDER CANCFI I ATInM <br />City O'Santa Ana <br />Finance & Mgmt. Svcs. Agency <br />SHOULD ANY OF THE ABOVE OESCRISEO POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL Be DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS,. <br />20 Civic Center Plaza <br />M-16 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92702 <br />©1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />