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A� V CERTIFICATE OF LIABILITY INSURANCE
<br />DATE
<br />1/5/2018Yvv)
<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 endorsements .
<br />PRODUCER
<br />HUB Int'I - CAL Bronson - License #0757776
<br />3636 American River Drive, Suite 200
<br />Sacramento CA95864
<br />CONANAME: C ROCIO Leon
<br />PHONE --- -- — FAX
<br />Pi916-460-4134 ._�___ 1AIc No): 916-993.7234
<br />E-MAIL ROCIO.LeOhubinternationa com .-AgggEss: .__.__..___.._.__._
<br />tea.
<br />INSURERIS) AFFORDING COVERAGE
<br />NAIC4
<br />INSURER A: Greenwich Insurance Company
<br />22322
<br />INSURED WAREDIS-02
<br />Ware Disposal Inc.
<br />P.O. Box 1316
<br />_
<br />INSURER B: Evanston Insurance COm_pam�
<br />3537$
<br />INSURERC: GuideOne National Insurance Compan _
<br />14167
<br />INSURER D: Alaska National Insurance Company_
<br />38733
<br />Santa Ana CA 92702
<br />INSURER E :
<br />_
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 445521118 REVISION NUMBER:
<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 />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />INSD
<br />WVQ
<br />POLICY NUMBER
<br />POLICY EFF
<br />M MIDOIYYYIQ
<br />POLICY EXP
<br />IMMIDDIYYYY)LIMITS
<br />A
<br />X I COMMERCIAL GENERAL LIABILITY
<br />Y
<br />GEC3000730-02
<br />2128/2017
<br />2128/2018
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE I OCCUR
<br />DA AGf TO —RE RENTED
<br />PFEMISES_(EggccUmm,.L_.
<br />$1D0,000___
<br />MED EXP(Any one person)
<br />$5,000
<br />%t $1,000PODed.
<br />Per Ocemrenoa _
<br />PERSONAL & ADV INJURY_
<br />$1,000,000
<br />_
<br />GFN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />X LOG
<br />ja POLICY E
<br />PRODUCTS - COMPIOP AGG
<br />$2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />AECO04538602
<br />2/282017
<br />212812018
<br />COMBINED SIN GLE LIMIT
<br />Ea accident)
<br />$
<br />100.00,__
<br />X�ANY
<br />BODILY INJURY (Per person)
<br />$
<br />AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTYDAMAGE_
<br />Lr accice,M)_..._— .............
<br />$
<br />......_....—_.____—._
<br />NON -OWNED
<br />HIRED AUTOS AUTOS
<br />BYPD Deductible
<br />$5,000
<br />C
<br />(UMBRELLA LIAR X OCCUR
<br />66000006900
<br />11/14/2017
<br />212812018
<br />EACH OCCURRENCE
<br />$5,000,000
<br />X
<br />EXCESS UAB CLAIMS -MADE
<br />AGGREGATE
<br />$5,000,000
<br />I DED I I RETENTIONS
<br />is
<br />D
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'UABILITY YIN
<br />MYPROPRIETORIPARTNER/EXECUTIVE
<br />OPFICERIMEMBER EXCLUDED?
<br />NIA
<br />17H WS 05450
<br />BIV2017
<br />811/2018
<br />X PER
<br />ER
<br />'—
<br />EL EACH ACCIDENT
<br />$1,000,000
<br />-
<br />E.L. DISEASE - EA EMPLOYEE
<br />-'—
<br />$1,000,000
<br />gIandstorylnNR)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />_....--..—....—____..
<br />$1,000,000
<br />B
<br />Environmental Impairment
<br />17CPLOWE00598
<br />2128/2017
<br />212812020
<br />Each Loss 1,DD0,000
<br />Llablllly/CPL
<br />Aggregate 1,000,000
<br />r
<br />Deductible 10,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required)
<br />(General Liability Per Project Aggregate applies per written contract)
<br />RE: Work performed by the insured for certificate holder per written contract
<br />Additional Insured: City of Santa Ana; its officers, employees, agents, volunteers and representative
<br />Forms: OG2010 0413, CG2037 0413, IX1405 0910, XIL431 0605
<br />REVIEWED BY: EUNICE HEREDIA (PG I OF
<br />CITY OF SANTA ANA PUBLIC WORKS AGENCY
<br />PO BOX 1988 M-21
<br />SANTA ANA CA 92701
<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 />AUTHORIZED REPRESENTATIVE
<br />reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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