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'=COVERAGES - CERTIFICATE NUMBER:17-18 GL,WC BA,XS,E&O,FL REVISIONNUMBER;
<br />R CERTIFICATE OF LIABILITY INSURANCE D6/ATEze�zo 7 )
<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($), 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 endorsement(a).
<br />PRODUCER T? Fernando Rivas
<br />ISU Insurance Services - Centinel Agency, LLC PHONE Eau (]15)657-2000 PA AX
<br />1416)687-1002
<br />250 Executive Park Blvd 'MAIL ,fernando®ieuca.com
<br />Suite 4800 INSURERSAFFORDING COVERAGE NAICe
<br />San .Francisco CA $4134 INSURER A:SGottedale Insurance Company
<br />INSURED INSURER B American Fire and CasualtyCompany
<br />California Barricade Rentals Inc INSURER C National Union Fire Ina Cc of
<br />1550 8 Saint Gertrude Place INSURERD:State Compensation Ins. Fund
<br />sCO% Insurance Company Inc
<br />S&uta Ana -y CA 92705 IN6URER F:XIA@ale- IAaUY`aADe Company
<br />-�: THIS 1S.TOICERTIFV THATiTHE POLICIESI OF INSURANGE.LISTED-BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE POR-THE"POLICY PERIOD
<br />-. INDICATED NOTWITHSTANDING ANY:-REOUIREMENT,'TERM-0R CONDITION OF ANY, CONTRACT OR ATHERDOCUMENT;WITH RESPECT -'f0 WHICH THIS
<br /><: CERTIFICATE MAY -BE -ISSUED OR-MAY'PERTAIN; THE INSURANCE -AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 7HE TERMS,
<br />`EXCLUSIONS AND CONDITIONS OF SUCFIPOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS - -
<br />LTR
<br />TYPE OF INSURANCE
<br />ADD
<br />1011?
<br />6 aR
<br />w.2
<br />POLICY NUMBER
<br />MMIICYEFF
<br />YY
<br />YB
<br />LIMITS
<br />_
<br />X
<br />COMMERCIAL GENERAL LIABILITY ;,-
<br />'=COVERAGES - CERTIFICATE NUMBER:17-18 GL,WC BA,XS,E&O,FL REVISIONNUMBER;
<br />R CERTIFICATE OF LIABILITY INSURANCE D6/ATEze�zo 7 )
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), 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 endorsement(a).
<br />PRODUCER T? Fernando Rivas
<br />ISU Insurance Services - Centinel Agency, LLC PHONE Eau (]15)657-2000 PA AX
<br />1416)687-1002
<br />250 Executive Park Blvd 'MAIL ,fernando®ieuca.com
<br />Suite 4800 INSURERSAFFORDING COVERAGE NAICe
<br />San .Francisco CA $4134 INSURER A:SGottedale Insurance Company
<br />INSURED INSURER B American Fire and CasualtyCompany
<br />California Barricade Rentals Inc INSURER C National Union Fire Ina Cc of
<br />1550 8 Saint Gertrude Place INSURERD:State Compensation Ins. Fund
<br />sCO% Insurance Company Inc
<br />S&uta Ana -y CA 92705 IN6URER F:XIA@ale- IAaUY`aADe Company
<br />-�: THIS 1S.TOICERTIFV THATiTHE POLICIESI OF INSURANGE.LISTED-BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE POR-THE"POLICY PERIOD
<br />-. INDICATED NOTWITHSTANDING ANY:-REOUIREMENT,'TERM-0R CONDITION OF ANY, CONTRACT OR ATHERDOCUMENT;WITH RESPECT -'f0 WHICH THIS
<br /><: CERTIFICATE MAY -BE -ISSUED OR-MAY'PERTAIN; THE INSURANCE -AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 7HE TERMS,
<br />`EXCLUSIONS AND CONDITIONS OF SUCFIPOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS - -
<br />LTR
<br />TYPE OF INSURANCE
<br />ADD
<br />1011?
<br />6 aR
<br />w.2
<br />POLICY NUMBER
<br />MMIICYEFF
<br />YY
<br />YB
<br />LIMITS
<br />_
<br />X
<br />COMMERCIAL GENERAL LIABILITY ;,-
<br />EACH CCCURRENCE -.$.'. 1,000,000
<br />A
<br />CIAIMS MACE-�X�OOCUR„PREMISE
<br />E . RENTED $ 100,000-
<br />MED EKE (Ary one person) $--- Excluded
<br />.
<br />0090036349 a."
<br />7/1/2017
<br />7/1/2018.-
<br />-
<br />PERSONAL& ADV INJURY- $ 11000,000-
<br />_
<br />--
<br />GENERAL AGGREGATE '. $.. 2,000,x000
<br />-
<br />GEN'LAGGREGA7ELIMITAPPLIESPER.
<br />'.'
<br />X
<br />POLICY-❑ JECT LOC _
<br />-
<br />-PRODUCTS-COMP/OP
<br />AGO -$ -' 21000.,000
<br />Enplpy0a Benefits _$_ 1,000,000.
<br />OTHER: -4
<br />--
<br />-
<br />AUTOMOBILE
<br />LIABILITY
<br />-
<br />COMBIN EO BIN OLE LI MIT- $ 1)000,000
<br />acclde
<br />BODILY INJURY (Per person) $
<br />B
<br />X
<br />X
<br />ANY AUTO
<br />AOS SCHEDULED
<br />UT
<br />HIRED AUTOfi X- Nd -OWNED
<br />'AUTOS.'.
<br />-
<br />-_.
<br />BAA (18) 58 05 63 03
<br />7/1/2017
<br />7/1/2010
<br />BODILY INJURY (Per accident) $-
<br />.PROPERTY DAMAGE - $ - -
<br />e, I,
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE $ 51000,000
<br />AGGREGATE $ 5,000,000
<br />L,
<br />X
<br />EXCESS LIAR
<br />CLAIMS MADE
<br />OED RETENTION
<br />$
<br />BR 065409561
<br />7/1/2017
<br />7/1/2018
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNFR/FXECUTIVE Y�N/A
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />-
<br />9063608-17
<br />7/1/2017
<br />7/1/2018
<br />PER OTH
<br />y. STATUTE ER -
<br />EL, EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE -EA EMPLOYEE $ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below -
<br />-
<br />-
<br />E.L. DISEASE -POLICY LI MIT $ 1,000,000
<br />E
<br />PXofasaicnal Liability
<br />MPL1863490.16-
<br />12/1/2016
<br />12/1/2017
<br />Each Clalm - $1,000,000
<br />F.
<br />Pollution Liability
<br />0100052798-0
<br />7/1/2017
<br />7/1/2018
<br />Each Pollu110n Conches $1,0001000
<br />DESCRIPTION OF OPERATIONS1 LOCATIONS / VEHICLES (ACORD .101,Addlllonal Remarks Schedule, may be attached if mold a pace Is required) ,,ww11
<br />Those usual to the insured.' -s. operations. - ��e01*4Y. -
<br />�`,
<br />Parks, Recreation & Community
<br />Services Agency - M23
<br />20 Civic Center Plaza
<br />P.O. BOX 1988
<br />Santa Ana, CA 92702
<br />ACORD 25 (2094101)
<br />INS025 POIan1)
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Ferenc/FR
<br />The ACORD name and logo are registered marks of ACORD
<br />
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