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Francine R. Digitally signed by FmndneR
<br />aNt----I Villareal
<br />T ® vwal cal
<br />.A� CERTIFICATE OF LIABILITY INSURANCE
<br />r TE IMMA)DrvYYY)
<br />DA2/9i2D22
<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 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 />CONTACT NONE: Laura L. Baron, CIC
<br />Nickerson Insurance Services, Inc.
<br />PHONE EM. (310)326-6335 ext 2151 Fes. No: l3101326-5414
<br />E-MAIL Laura@nickersoni.ns. com
<br />ADDRESS:
<br />LIC #0491589
<br />2106 West Lomita Blvd.
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURERA:Continental Casualty Company
<br />20443
<br />Lomita CA 90717
<br />INSURED
<br />INSURERa:Trans Ortation Insurance Company
<br />20494
<br />INsuRtsptc:Sercurity Nat-ionil Insurance Company
<br />19879
<br />Focus Media Group, Inc., DBA:
<br />Coastline Advertising Corporation
<br />INSURER D:
<br />2271 W Malvern Ave. 8407
<br />INSURERE:
<br />Fullerton CA 92633-2106
<br />INSURERF:
<br />COVERAGES CERTIFICATE NUMBER:21-22 GLADWCUMB 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE 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 />rypE OF INSURANCE
<br />ADDL
<br />SUER
<br />POLICY NUMBER
<br />POLICY EFF
<br />flMM'DDNYVYl
<br />POLICY UP
<br />LIMITS
<br />X
<br />COMMERCIAL GENERALLIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />A
<br />CLAIMS -MADE �X OCCUR
<br />DAMA ETORENTED
<br />PREMISES Eaccumence
<br />IS 300,000
<br />X
<br />MED EXP(Any one person)
<br />$ 10,000
<br />Primary/Non-Contributory
<br />X
<br />Y
<br />B4034610293
<br />5/19/2021
<br />5/19/2022
<br />PERSONAL 3ADV INJURY
<br />$ 1,000,000
<br />GEN-LAGGREGATE LIMITAPPUES PER:
<br />GENERALAGGREGATE
<br />$ 2,000,000
<br />X PRO-
<br />POLICY JECT LCC
<br />PRODUCTS - COMPIDPAGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />0MBIN -SINGLE LIMIT
<br />Es accident
<br />$
<br />1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />A
<br />ANYAUTO
<br />BODILY INJURV Par accident
<br />( )
<br />$
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />X
<br />Y
<br />BUA50B5115T84
<br />5/19/202i
<br />5/19/2022
<br />NON -OWNED
<br />HIREDAUTOS HAUTOS
<br />PROPERTY DAMAGE
<br />Per aukent
<br />$
<br />Uninsured mmods(combined single
<br />$ 1,000,000
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 4 000,000
<br />AGGREGATE
<br />$ 4,000,000
<br />EXC
<br />ESS CESS LIAB
<br />CWMS-MADE
<br />G. RETENTION It
<br />IS
<br />X
<br />Y
<br />CUP4034610245
<br />5/19/2021
<br />5/19/2022
<br />WORKERS COMPENSATION
<br />X PER OTH-
<br />AND EMPLOYERS' LIABILITY YIN
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />ANY PRCPRIETORNARTNERIEXECUTIVE
<br />C
<br />OFFICEWMEMBER EXCWDED9
<br />MandatoryMandatory❑NIA In NH)
<br />y
<br />MC1332579
<br />4/21/2021
<br />4/21/2022
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />E.L. DISEASE- POUCY UMIT
<br />S 1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />A
<br />Business Personal Property
<br />B4034610293
<br />05/19/2021
<br />05/19/2022
<br />Replacement Cast $5,000
<br />Business Income
<br />Actual Loss Sustain¢d(ALS) pl,g
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached if mole space is required)
<br />The City of Santa Ana, , its officers, officials, employees, and volunteers are included as additional as
<br />respect to insured ongoing operations per attached CNA Additional Insured endorsements SB146932E &
<br />SE300022B including primary, non-contributory and waiver of Subrogation; 30 Days Notice of Cancellation
<br />subject to 10 days notice of cancellation for nonpayment of premium when required by written executed
<br />contract
<br />SHOULD ANY OF THE ABOVE DES
<br />City of Santa Ana its officers,employees, THE EXPIRATION DATE THEREOF,
<br />employees, and volunteers ACCORDANCE WITH THE POLICY
<br />20 Civic Center Plaza (M-30)
<br />P.O. Box 1988 AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92702-1988
<br />Sarah Kelly/LAURA
<br />© 1988-2014 ACO
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />INS025 (201401)
<br />REVEWED&APPROVED Or
<br />F44Hi.11 A,VVJAWI Risk Management Analyst
<br />
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