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Home My WebLink AboutSTRAIGHTLINE COMMUNICATIONS - 2015MAYOR Miguel A. Pulido MAYOR PRO TEM Vincent F. Sarmlento [...o COUNCILMEMBERS Angelica Amezcua P. David Benavides Michele Martinez Roman Reyna Sal Ti alero June 17, 2015 iyeilrMW,,H CIN Ftl.lr. WtSNK Jisr Pf,OUED ilN'1'11, lPJ9lIFIANOF FJ(PIHrS CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza M-36 + P.O. Box 1988 M-36 Santa Ana, California 92702 www.santa-ana.org Linda O. Hanlon Straightline Communications 14930 Greenleaf Street Sherman Oaks, CA 91403 Re: Agreement A-2014-356, "Consultant Agreement" Extension Dear Ms. Hanlon: A-2015-119 CITY MANAGER David Cavazos CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar Pursuant to Agreement A-2014-356, entered by Straightline Communications and the City of Santa Ana, dated December 31, 2014, Section 2 "Compensation', is hereby increased an additional $50,000, through the end of the contract term. Accordingly the total sum to expended under the Agreement shall not exceed $170,000. Alt other terms and conditions of said Agreement remain unchanged and in full force and effect If you have any questions regarding this matter, please contact Nabil Saba in the Public Works Agency at 714-647-3378. Sincerely, Fred M usavrpour Executive Director Public Works Agency APPROVED AS TO FORM: Sonia R. Carvalho City Attorney s San oval �. f Assistant City Attorney c: Clerk of the Council CTtY OF SANTA ANA David Cavazos C' aga �., L ATTEST: Maria D. Huizar Clerk of the Council SANTA ANA CITY COUNCIL fvllgualh Pulltlq 1 Vincent F. aarmialloMchela Martinez Angelica Amezcua P. Dated 6aria,mm Rmmm Reyna Sal Tu!apm Mayor Mayor Pro rem. War dt N/ard2 Ward3 WaNA Ward I Ward MPulidor,rx`xa-ena_orq VS m:o'asar,ta-ana ura MMartineYyo Santa-ana,gm AAmezcua0ilsanlaana ora I OBenamdes a7sanla-ana am i RRgyna,a,s t Ana.org STlmmmrrasanta- arm Mry .AC"RRL/le CERTIFICATE OF LIABILITY INSURANCE 111.103/04/2016 DATE(MMIDDIYYYYI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERjS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holder In HOU of such endorsement(s), PRODUCER CT NAME: HisaD%Inc. OCD/a! Hiscax Insurance Agency In CA. PRONE (888)202-3007 --........_........ ..�al,.NeU_-_. 520 Madison Avenue EHONE A E s. contact hISCD%.Gam _'___...._....._................... _ 32nd Floor INSURERS, AFFORDI COVERAGE NAICA .._.._,........-..�.__.._._. ._.._._, INSURER A: Hisox Insurance Company Inc 10200 New York, NY 10022 _ INSURED INSURER B: _---_--- ..4 INSURER C STRAIGHTLINE COMMUNICATIONS INSURER D 14930 Greenleaf Street INSURER E INSURER F: Sherman Oaks CA 91403 COVERAGES CERTIFICATE NUMBER: REVISION'. NUMBER: THIS B TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ,NSR LTR TYPE OF ,APDL 9UBR POUCYNUMaVR ,.,,...,,,, IPOLICY iEYY .L__L_.�_. POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 .. CI -NMI FI OCCUR RENTED PREM IS S�crurre,Oc 1_-,- _3...100,000 MEDEXP(.Anyona2man-)._....1-1000 ....... __- PERSONAI.SADVINJURY s 0 A Y UDC -1531232 -CGL -16 01/12/2016 01/12/2017 GEN'L AGGREOArE LIMIT AP@KEIS PER: GENERALAGGREGATIC s 2,000,000 POLICY EI JECTPRO- I_.....�LOC PRODUCT 'S-COMPIOP AGG_$ _ SIT GBn G1 HER: AUTOMOURELIABILITVPOMBINF.O.INa FLINTY Ea cltleal S BODILY INJURY (Pat parwn) E ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY awitlenPl ._„ 5 PROPERTYDAMAGE NON -OWNED HTEDAUI'OS AUTOS b UMBRELLALIAB OCCUR EACH OCCURRENCE S AGGREGATE ....._.,M $ 4i EXCESS LIAR CLAIMS -MADE DED RETENTIONS "I g... WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN STATUTE ENH E,L_EACH ACCIDENT — $ ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUOED'V D NfA - - E.L. DISFAsE-EA EMPLOYEE $ (MandatoryinNH) If yes, describe under .__._...._..__._.....__......__._... DESCRIPTION OF OPERATIONS below E.L. DISEASE'- POLICY LIMIT $ i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Sohodale, maybe attached If more apace Is ,'aquina) The City of Santa Ana andits officers, employees, agents, volunteers and representattves each while acting under the direction of The City of Santa Ana are named as additional insureds. The City of Santa Ana 20 CIVIC Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION BATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED 3 ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD reserved. CERTIFICATE OF LIABILITY INSURANCE I DATE MM,Bp Y Y) nzrnxnn�a THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A. CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an Endorsement A statement', on this certificate does not confer rights to the certificate Insider in lieu of such andorsomentfsl. PRODUCER I NAME PHONE Hiscox IND. dtbtaf 1- isepx insurance Agency in CA ._Bxtl...CBSEj 202-300? 520 Madison Avenue o.nuRI Ss: C0ntaCt@hiSCQXC 92nd Floor I MauRER19IA 10200 STFWGHTLINE GOMMUNICATIONS 14980 Greenleaf Street v»nve:onr_�c rCRTGCN-ATC MIIINORCO, RFVISION NIIMRFR' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURF„D NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIR5MENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W17H RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE A.=FORDED BY TI4E POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS _^• R'OtiCYYYYY MM/d0 E1+Y I aaH—.--.__._....__� ...__ R'''"®..._�.POLIOY TYVE dF INSURANCE NUMBER LIMITS .. COMMERCIAL. OENERALUABILITY TACH OCCURRENCE 8 CLAIMS -MADE OCCUR 'AMA E'a�T6Fs�EPYc�d••.' —. �jjENIISES (Ee naurrdlYuaf_-- $ MED EXP (Any one Persanj $ PeRSONA_L a ADV INJURY' $ GENL AGGREGATE LIMIT APPLIES PER OENERALAaGREGATE$ �3 POLICY a JECT O LOC PRODUCTS-COMPIOP AGO $ OTHER: AUTOMOBILE L@ABILITY COMBINED SINGLE LIMIT .aarrleonl $ ANY AUTO BODILY INJURY (Pei perwri- $�� ALL OWNED SL'} yDOILY INJURY (Paracpiieni) AUTOS ^'' AUT -OWNED NON -OWNED PROPERTYDALIAGE Sm-� 481REORUTOS -_-, AUTOS 1 r acc aent7 UMIAELi Lli OCCUR EACH OI;CURRENGE $ EXCESS LIAR CLAIMS -MADE ADGItEGATE r 5 DEO RETENTIONS 5 WORHERS COMPENSATION� STATUTE Lfi AND EMPLOYERS' LIABILITY YNlA IN W— ANYPROPRIETORIPAR'INERIEXECUTIVE C.L. EACH ACCIDENT $ OFFICERIMEMBITRE%OLUJOED4 rMendatory in bri _E.L. DISEASE -EA EMPLOYE£ S rc yyaA. dBs«ae unser DESCWPTION OF OP£RA'nONS below EG. DISEASE- POLICY LIMIT $ Professional Liability Each Claim: $ 1L,000,000 A Y UDC-1531232•EO-16 01112!2016 01/12/20'I'V Aggregate: 1,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES IACORO tat, Additional Remarks schedule., maybe attached if more space is ragaired) The City of Santa Ana and its offiosrs, employees, agents, YOU ntesrs and representatives each While acting under the direction of The City of Santa Ana are named as additional Insui eds. r iea-,-@C.IATC U rt MUD rAKIPPI I ATInM .J.- r`, iP-- �4 The City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE, POLICYPROVISIONS. AUTHoti REPRESENTATIVE 91988-2814 ACOKU COKFUKAI ION. All rignts VIS0rY0p. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD JJJ///�"0B1lf interinsurance Exchange of the Automobile Club Mailing Address: P.O. BOX 25001 SANTA ANA, CALFFORNiA 92789-5001 �FhiY CPv�� BINDER OF INSURANCE Name and Address of Lienheider or Additional insured Policy Number: CAA078581350 THE CITY OF SANTA ANA AND ITS OFFICERS, EMPLOYEES, F NOTICE TO LIENHOLDER AGENT VOLUNTEER$, AND REPRESENTATIVES ACTING UNDER IN THE EVENT OF CANCELLATION OF THIS DIRECTION OF THE CITY BINDER, THE EXCHANGE WILL GIVE THE LIENHOLDER 10 DAYS' WRITTEN NOTICE OF 20 CIVIC CENTER PLAZA, SANTA ANA CA 82701 CANCELLATION. The Interinsurance Exchange of the Automobile Club hereby acknowledges itself bound to the named insured for the coverages Spatted In the schedule subject to all the provisions of the Exchange's applicable policy form. The Issuance of a policy lo the named Insured or, if a policy Is in force, Ilse Issuance of an endorsement covering the automobile, boat or trailer described herein shall vold this binder. A pro rata premium charge computed for the term of coverage in accordance with the current rates of the Exchange In effect at inception of the binder will be made unless such a policy or policy endorsementis issued. This binder shall not be construed to attold cumulative Insurance with any existing policy. Nameofinsured: LINDAOHANLON DESCRIPTION OF AUTOMOBILE, BOAT, OR TRAILER Car No, Year Trade Name Type of Body or Boat Identification Number 3 2014 INFI OX70V6 JN8CS1MU0EM451234 Property Damage Liability S thousand dollars, each occurrence 1Z ❑ AUTOMOBILE INSURANCE LIMITS OF LIABILITY "Y.. indicates coverage bound and afforded. Car 3 Car# _ Bodily Injury Liability $ thousand dollars, each person $ thousand dollars, each occurrence 10 ❑ Property Damage Liability S thousand dollars, each occurrence 1Z ❑ Medical Payments $ each person { ❑ Under! nsuredlUni nsured Motorists Not Less Than $15,000 each person430,000 each acoldent Q ❑ Comprehensive (ins(. Fire and Theft) (a) Actual Cash Value less $ 500 deductible [ ❑ (b) Limit of Liability of $ less $ deductible � ❑ Collision Uninsured Deductible Waiver (a) Actual Cash Value less $ 560 deductible (� ❑ (b) Limit of Liability oP $ less $ deductible ❑ ❑ ,„,._...�.._❑ Uninsured collision _....,....�.... .. El WATERCRAFT INSURANCE (Boat), LIMITS OF LIABILITY "✓” indicates coverage taaund and afforded, ._,..v. .._.._.v... Bodily Injury Damage Liability and Property Liability Thousand Dollars, each occurrence Actual cash value not to exceed Limit of Liability of $ less $ deductible Physical Damage Effective Date of Binder: 03/03/2016 12:01 A.M. Pacific Standard Time This binder Shall expire 30 days from !Ste effective date or may be cancelled by the named insured at any time during such 30 -day period. The Exeharige may cancel this binder by mailing to the named insured at the address shown above written notice stating when, not less than 10 days §hereafter, such cancellation shad be silective. The mailing of such notice shall be sufficient proof of notice. DisMck office: „GLA ACSC Management Services, Inc, By: C haneE _ ATTORNEY-IN-FACT Authcr¢ed RepresentatjveJ 4 9eSte (92'%a) jf A-2015-119 -- ' 0 AIC'"R" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDlYYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS„ 11/2812016 THIS CERTIFICATE IS ISSUED AS A (MATTER OF INFORMATION', ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACTBETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.. IMPORTANT: If the certificate holder is an ADDITIONAL, INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED„ subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Hiscox Inc. d1b1a1 Hiscox Insurance A enc In CA � y .,_NAME: .- .. _......... ....-.-_-.....�_ PHONE 888 202 3007 FAX _LAIC Nu. Ext), . (8 88) (AIC (+lot: .._. 520 Madison Avenue E-MAIL ADDRESS: COntaCt@',hIscox.COm 32nd Floor INSURER(S),,AFFORDING,CO'VERA.GE_ _,.._,........ NAICII:,... .... New York, NY 10022 INSURER A: Hliscox Insurance Company Inc 10200 INSURED INSURER B: STRAIGHTLINE COMMUNICATIONS INSURER c 14930 Greenleaf Street INSURER D '.. INSURER E : INSURER F: —PREMISES „tEa occurrence}____..._, Sherman Oaks CA 91403 rnvccrAt^_cc r FI7YIRIt^ tl7F NdIIIIARI=P- REVISION NUMLSt,K: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURER' NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS„ EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ .... POLIC TIN 17R .� TYPE OF INBURANCE .............. AIDDL SUBR'� ............POLICY NUMBER �......- MMIDDIY"YYY....I MMI.DIYYYN (LIMITS LTR &9" COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S DAMA_ TO RENTED CLAIMS -MADE OCCUR —PREMISES „tEa occurrence}____..._, S MED EXP (Any one person) $ PERSONAL 8 ADV INJURY S GENL AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S R O LOC POLICY D PRO- JECT PRODUCTS - COMPICJP ACG_ '......._. .. S .............. OTHER: COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY Ea'accldgn3i ........ . .......__. BODILY INJURY (Per Person) S _. ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per acddenl;l $ .. AUTOS AUTOS NON-OWNEID PROPERTY (DAMAGE HIRED AUTOS AUTOS LPer accident), i $ UMBRELL.ALIAB OCCUR H I... EACH,OCCURRENCE $ EXCESS LIAR -MADE AGGREGATE S ..CLAIMS DED RETENTIONS _ $ WORKERS COM,.PENSATION, PEAR 0TH - S'EATUTE 1 ER li k AND EMPLOYERS" LIABILITY YIN ._..._.._... �"'ry E. -U_. EACH ACCIDENT $ .- ...-... E.L. (DISEASE- EA EMPLOYEE .....--.- .............. .,., ....._.._. $ .... ...-__— OFFICER/MEMBER EXCLUDED? u OF (Mandatory in NH) N 1A If yes, describe under DESCRIPTION OF OPERATIONS below E.L. (DISEASE - POLICY LIMIT S Professional Liability Each Claim: $ 1,000,000 A Y UDC -1531232 -EO -17 01%12/2017 0111212018 Aggregate: $ 1,000,000I DESCRIPTION OF OPERATION'S I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) The City of Santa Ana and its officers, employees, agents, volunteers and representatives each while acting under the direction of The City of Santa Ana are named as additional insureds. ncoTtcarA'rc vr'it rnco t'AWr'.RI I ATWIN The City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE &9" ACO'RD 25 (2014101) fJ 11JUB-ZU14 A( LIKL1 I,;UKF'UKA I FUN. Ali rignLS re5erveu, The ACORD name and logo are registered marks of ACORD k f l',• an A-2015-119 DATE CERTIFICATE OF LIABILITY INSURANCE L 11(MWDDNYYY) Gs /28/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Hiscox Inc. dib/a/ Hiscox Insurance Agency in CA PHONE J.1A (888) Hq?-3007 X 520 Madison Avenue E MAIL URESS: contact@hiscox.,co 32nd Floor INS_ UREEJ§1AFF0RP!qG_COVERAGf A - New York, NY 10022 INSURERA: Hiscox Insurance Company Inc 10200 INSURED INSURER S L STRAIGHTLINE COMMUNICATIONS I 14930 Greenleaf Street _INSURER D: _LN—'YFERE : ...... . . .. Sherman Oaks CA 91403 INSURER F: COVFRAGFS CERTIFICATE NUMBER., REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH [RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iRsk .... _'�,WDDL7 SUER LTR TYPE OF INSURANCE I. WVD POLICY NUMBER IMMIDDNYYYMMQDfYYYYI LIMITS N� X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RON'TEd $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY A .. . ........ y UDC -1531232 -CGL -17 01/12/2017 01112/2018 GEI AGGREGATE LIMIT APPLIES PER: _GFNERALA925EGATE s 2,000000 X� RO- POLICY E PECTLOC. S/T Gen. Agg. _PRqRUCTS-COMP�OPA.GG OTHER LIABILITY COMBINED LIMIT _(�p acolden,L ANY AUTO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) -P -, PROPERTY DAMAGE Per accident) S $ ALL OWNED SCHEDULED.... AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS -MADE AGGREGATE $ DED � FRETENTION S WORKERS COMPENSATION AND EMPILOYERS'LIAWLITY YfN ANYPRC)PRIETORIPARTNEFVEXECUTIVE F---1 ERTUTE OTH- TAR _L 1 1—E1 E.L. EACH ACCIDENT SM IT OF FICERIM EMBER EXCLUDED? (Mandatory in NH) NJA F.L. DISEASE- EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS below EJ . DISEASE -POLICY ICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule,..may be attached if more space is required) The City of Santa Ana and its officers, employees, agents, volunteers and representatives each while acting under the direction of The City of Santa Ana are named as additional insureds. Ut-K I II-JUA I It: HULL tAlN%,rLI_A I JUN IThe Qty of Santa Ana 20 Civic Center Plaza SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Santa Ana, CA 92701 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 3 @ 19BU-2014 AGUKLI GUI I I IVN. AN rignts reservea. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD vu,