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CERTIFICATE OF LIABILITY INSURANCE <br />DATE IMMI0011'YYY) <br />05111/2017 <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(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 <br />Automatic Data Processing Insurance Agency, Inc. <br />1 Adp Boulevard <br />Roseland, NJ 97068 <br />INSURED <br />_.BLUERAY MANAGEMENT LLC`- <br />4131 GLNWOOD ST <br />Irvine, CA 92604 <br />N -201b-004 <br />PHONE...... ____. __.. PAX <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE _ NAIC4 <br />INSURERA: ARGUARD Insurance Company 42390 <br />INSURER B <br />INSURER C <br />COVERAGES CERTIFICATE NIIMRFR' 674374 RF1/ICIr1M MI IMCCC• <br />THIS IS TO CERTIFY THATTHE 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 <br />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 />ILTRR TYPE OF INSURANCE "ADOESUBR POLICY PODGY E%P- <br />INSO WVD POLICY NUMBER MMIDDIYYYY) (MMIDD/YYYY <br />_- <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY '.. <br />_.. <br />EACH OCCURRENCEE',_$__ <br />CLAIMS MADE : OCCUR <br />—.._ <br />DAMAGE <br />PREMISES(E_k4 occurrence] <br />..... ......... ....____ _...... -- <br />MED EXP (Any one Person) : S <br />PERSONAL &ADV INJURY S <br />GEN'L AGGREGATE LIMIT APPLIES PER. -w1p� <br />.. <br />GENERAL AGGREGATE <br />ATE S <br />PRO- V"_--__ <br />4YV <br />POLICY JECT LOC J\PJ L. <br />.._.. <br />PRODUCTS COMNOPAGG S <br />OTHER. <br />,., <br />AUTOMOBILE LIABILITY�-- r� _ <br />COMBINED SINGLE LIMIT S <br />, <br />eJ <br />Jae aco9m)_- <br />,(�,rY <br />ANYALTO Gu \\y <br />'— <br />BID&LY INJURY (Pe, IF <br />ALL OWNED 'SCHEDULED p� (�'Pd <br />- AUTOS <br />BODILV INJURY (Per acpaenp S <br />.AUTOS U�\J\a <br />NON-0VVNEO :J �i" <br />PROPERTY OHMAGE - _ . <br />HIRED AUTOS <br />$ <br />'AUi05 P��'j` <br />(Per accltlentj___ .-.--_—___ <br />- <br />S <br />UMBRELLA LIAR OCCUR <br />EACH OCCURRENCE S <br />EXCESS LIAR'.. CLAIMS -MADE. <br />AGGREGATE S <br />------ <br />DEC RETENTIONS - <br />S <br />WORKERS COMPENSATION <br />X ,PER OTH <br />AND EMPLOYERS' LIABILITY Y I N <br />STATUTE ER _... .... <br />A ANY PROPRIETORIPARTNEWEXECUTIVE <br />OFFICER/MEMBER EXCLUDEDI �Y NIA N 8LWC811574 05/01/2017.05/01/2015 <br />EL EACH ACCIDENT S 1,000,000 <br />---- - --. <br />(Mandatory In NH) <br />E.L. DISEASE - EA EMPLOYEE S 1,000,000 <br />Il yes, describe under <br />pESORIPTIONOFOPERATIONGbelom <br />--- --- - ----- <br />E.L. DISEASE -POLICY LIMITIS 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe eaached It more apace Is required) <br />City of Santa Ana Parks, Recreation & Community <br />Attn: Services Agency <br />1825 W. Civic Center <br />Santa Ana, CA 82701 <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 />AUTH/ORIZED REPRESENTATIVE <br />elm...., )h -))t.._ <br />ACORD <br />AGORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />