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05/04/2015 13:29 9516953763 e ra" —107 AMERICA N CAPITAL PIAGE 02/03 <br />�° DA79 (MMIDOrYYYY) <br />CERTIFICATE OF LIABILITY INSURANCE 4/1/2015 <br />THIS CERTIFICATE 15 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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the Certificate holder Is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endersoment: A statement on this certificate does not confer rights to the <br />certificate holder In Hau of $voh endorsement(s). <br />C N ACT <br />PRODUCER NAM <br />Collectors Insurance Agrancy Pwrd (952) 926 -6547 IAI o. (9&2) 92g 3037 <br />4040 W 70th Stxeet E-MAIL n taonaI.orT <br />D, ss, rca @acainterna <br />Edina MN 55435 INSURER A : <br />INSURED INSURER 6 = <br />AI+MRICAN CAp:CTAL MNTERPR.ISZS, INC. INSURER C: <br />27919 JEFFE.n"iSON AVE STE 206 INSURER 9' <br />EIMCULA CA 92590 -2653 I ikm torn r, NUMBER: <br />OVERAGES CE=RTIFICATE NUMBER:3089 3 REVISION <br />THIS IS TO CERTIFY' THAT THE POLICIES OF INSURANCE LISTED BELQW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT oP OTHER DOCUMENT WTH RESPECT TO VVMCH TtiiIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERRIN IS SUBJECT TO ALL THE TERMS, <br />EGCLUSIQNS AND CCN0I71QNS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.. <br />0 <br />GENERAL LIABILITY <br />MERCIAL GENF_RAL LIABILrFY <br />CLAIMS-MADE 7 OCCUR x PHP0712SC84868 4/1/2015 14/ -1/2416 <br />CENT. AGGREGATE LIMrr APPLIES PER: <br />POLICY Em LGd, El <br />AUTOMOBILE LIARIUTY <br />ANY AUTO <br />ALL Orr:D SCHEDULED x <br />AUTOS AUTOS <br />NON -OWNEO <br />11(RED AUTOS AUTOS <br />UMBRELLA LIAG OCCUR <br />EXCESS LIA6 HOLAIMS-MADE <br />DEL} RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS` LIABILITY" YIN <br />ANY PROPRIEI `ORMART'NER:EXGCU71VE .NIA <br />OFFICEPIMEMSER EXCLUDED`} <br />IMAndatory In NH) <br />'... <br />If Yes, describe undar <br />2,26094868 <br />/1 ✓202,5 14/1/2016 <br />, <br />DE$CRII'"ri'...ON OF OPERATION$ I LOCATIONS 1 VEHICLES (A"ach ACORD 101, Additional R!Imarka Schedule, it pro apace ie roqulrad) <br />IT IS AGREP-D THAT CITY OF SANTA, ANA IS INCLUDED AS ADDITIONAL INSLIR.M SOLE <br />,ItFPEAR IN ACCORD;LNCE WITR TKZ movTSIONS OF TSE POLICY FORM, <br />)a -?) 11),.7 4 w <br />Zee <br />11111111 <br />LILIIT$ <br />Ea-H O� CCURRENCE � 1,000,000 <br />_ <br />"P., Es �ec+cc —a <br />$ 300,000 <br />MED EXP (Ary cro pv-011 ) <br />4 S , 00 0 <br />�PERSONAL i1 ADV INJURY <br />$ 1,000,000 <br />GENERALAOGREIATE <br />s 2,000,000 <br />PQOUCTS- COMP1OpAGG <br />S 2,,000,000 <br />a <br />MBrN#pDISINOLt 6 Ar <br />INCLUDED <br />BODILY'rNJURY (Per peraon) <br />f <br />goer Y INJURY ('Pat sccldenl) <br />G <br />PROPER Y DAMAGE <br />5 <br />'Par *c40nl <br />S <br />EACH OCCURIPENCE <br />S <br />AGGREGATE <br />5 <br />5 <br />YfUC STATU- 0TH - <br />Mll <br />__._ <br />F EACH ACCIDENT <br />5 _ <br />E.L. D'I$EA.SE • EA EMPLOYEE <br />E.L. OISEASE - POLICY LIMIT S <br />LY AS T11ZI t INTERESTS MAY <br />j d / .. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE 'J"N'ITH THE POLICY PROVISIONS. <br />CITY OF SANTA ANA <br />I?o Box 1964 'I AUTHORIZED REPP9SrNTATIvE <br />SANTA ANA, CA. 92702 <br />ACORA 26 (2010106) T) 1958 -2010 ACORD CORPORATION. All rights reserved'. <br />INS 02,4raninnsrIll "The. A lnor%n�ma anrB Inr++ ara ran ai ®rorl m!prlrc of Aa"`,OPO <br />