|
HOWRGEN•02 _ DORT14
<br />DATE(MMODII'YYY)
<br />CERTIFICATE OF LIABILITY INSURANCE 61/9_312918
<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 />PRODUCER
<br />INSURED
<br />& Associates
<br />Monica Blvd., Suite 207
<br />i, CA 90025
<br />The Act 1 Group, Inc., Elbe ATIMS
<br />P.O. Box 29048
<br />Glendale, CA 91209-9048
<br />r•nveoAncC reovic".1c, ru,nnncn.
<br />PHONE
<br />_(acqq,�IN�I��o,ExO:(310)478.5041 jac,Nol:(310)479.8707
<br />AOAeESs:
<br />_—_ INSURIER(S)AFFGRDINGCQVERAGE__„___ __ NAR;#
<br />INSURER A Zurich American lnagranee_Company 16535.
<br />INSURER B: American Guarantee And Liability Insurance Company 26247
<br />INSURER c:Ace American Ins Ce 22667
<br />INSURER 0:
<br />INSURER a:
<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
<br />ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH
<br />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
<br />REDUCED BY PAID CLAIMS,
<br />INSRPO��ICYEFF/YYYY
<br />ITR TYPE OFINSURANGE INSD WVD POLICY NUMBER
<br />%,1CYEXP -- -- __- _-� -
<br />IMMIbOIIMMIDMIYYI LIMITS
<br />-,
<br />A X COMMERCIAL GENERALLIASILtTY
<br />EACH OCCURRENCE 3
<br />3,000,000
<br />CLAIMS -MADE X OCCtuzDAM
<br />--- - X PRA 9698691.05
<br />0410112017 0410112016 AGE -.__.
<br />TORENTED
<br />_PREM3E3 {EaSKeutrance)
<br />..1000,000
<br />. MED EXP.(Any ono person) :8.
<br />....
<br />10,06_0
<br />PERSONAL&ADV INJURY $
<br />3'000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGR£GATE S
<br />3,000:060
<br />X POLICY jECT ...... IOC
<br />..PRODUCTS-COMPIOPAGG S
<br />3,000,060
<br />A AUTOMOBILE LIABILITY
<br />COMBINEUSING1. If3
<br />..p5a Agryen6—_._. .._ _..
<br />1,0061bo0
<br />_
<br />X ANY AUTO PRA 9698691-05
<br />04101/2017.04101/2018.BOoILYINduRY.LPerpenonL s
<br />AOUTEEIOS ONLY
<br />_ 6p40ILY tMiUpRAYIf'er
<br />__.. _..
<br />NAUUTOOSWULNEEDO
<br />_X_AOQ90hAV X_. AUTOS ONLY
<br />_LPqOadd�tt_MAGE 5
<br />..._
<br />5
<br />X UMBRRLLA LIAR X OCCUR
<br />EACH OCCURRENCE S
<br />10'000,000
<br />Excess LIAR GLAIMS-MADE UMB 9467218.08
<br />...X
<br />_
<br />0410112017.0410112018 AGGREGATE �S
<br />10,000,000
<br />'EDRETENOON$ 6
<br />_._..._ _— —.
<br />5
<br />.__.
<br />w
<br />C ANIiEMVLOOYERS LIABILOITY
<br />Ep
<br />X 8L0.LLlTE---
<br />YIN
<br />ANY PROPRIETOR/PARTNERIEXECUTIVE WLRC64409189
<br />Y
<br />_
<br />”""RH --
<br />04101/2017 04/01/2018 -
<br />EACHACCIDENT S
<br />11000,000
<br />qFFI EpIM M REXCLUDED? NIA
<br />{rvtanCtlatoryRln �tPHl --
<br />_EL
<br />_
<br />1,000,
<br />ttyyas. antler
<br />E.L.000 DISEASE -EA EMPLOYEE, S
<br />_ ,_
<br />1,000,000
<br />,Fwtne
<br />DESGRIPT NOF OPERAnQNS,GeIav_
<br />EI DISEASE -POLICY LIFdfi_
<br />A Crime (3rd Party) PRA 9698691-05--'��
<br />416112017 41101/2618 Occurronce/Aggregate
<br />3,060,000
<br />A E&O/PrOL Liability PRA 9698691.05
<br />04/0112017 0410112018 . Each Claim/Aggregate
<br />3,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES {ACORD tet, Addino�rei Remarks Ralwdvla, may
<br />bo aaached amore apace la xgvlmtl}
<br />Santa Ana Police Departmont/City of Santa Ana, Its officers, ompioyees, agents, volunteers and representatives are additional insureds under the General
<br />Liability policy. Primary and Non -Contributory coverage clause will apply. Separation of Insureds clause applies under the General Liability policy.
<br />Notice of
<br />Cancellation under General Liability: 30 days 110 days for non-°p`a+`yymen�t of premium.
<br />SHOULD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Santa Ana Police Department/City of Santa Ana THE EXPIRATION ACCORDANCE WITH DATE
<br />THE POLICY PROVISIONS.
<br />,CE WILL BE DELIVERED IN
<br />20 Civic Center Plaza
<br />Sante Ana, CA 92701 .--
<br />AUTHORIZED REPRESENTATIVE
<br />U
<br />ACORD 25 (2016/03) O 19882015 ACORD CORPORATION. All rights reserved,
<br />The ACORD name and logo are registered marks of ACORD
<br />
|