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A & CERTIFICATE OF LIABILITY INSURANCE
<br />7124izolA )
<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(ios) 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 confor rights to the
<br />certificate holder In lieu of such ondorsement(s).
<br />PRODUCER
<br />Hayward Tilton & Rolapp Insurance Associates,
<br />CA Dept. of Ins, Lic. #0614365
<br />888 S. Disneyland Dr., Ste 400
<br />Anaheim CA 92802-1846
<br />Sue Reams
<br />PHONE (714)905-1923 /NC �tla11(714) 905-1910
<br />AggSES.,suer@htrinsurs. con
<br />INSURCR(S) AFFORDING COVERAGE
<br />NAICk
<br />INSURER A:Travelers Indemnity Cc of CT
<br />25658
<br />INSURED
<br />Mullen & Associates, Inc..
<br />1200 N, Jefferson Street
<br />Suite D
<br />Anaheim t'.A 92807
<br />INSURER B:Preferred Employers Ins Co
<br />10900
<br />INSURERC:U S Specialty Ins Cc
<br />29599
<br />INSURER D:
<br />.............._._................................................_._
<br />INSURER E
<br />_
<br />INS RERF: --
<br />COVERAGES CERTIFICATE NUMBER:2014 COL All Lines 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
<br />LTR UISRI
<br />OF INSURANCE
<br />POLICY NUMBER
<br />YPAIDCLAIM&
<br />YYMUTYPE
<br />ODY
<br />ppI��YEP
<br />M
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,.000,000
<br />A
<br />.i COMMERCIAL GENERAL LIABILITY
<br />GtAINi$-MADE ❑X OCCUR
<br />X
<br />Y
<br />6802D291163
<br />07/24/2014D7/24/2015
<br />M ach-a ce
<br />$ 300, 000
<br />MEO EXP(An, oneperson)
<br />$ 5,000
<br />PERSONAL a ADV INJURY
<br />$ 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE
<br />LIMIT APPLIES PER;
<br />PRODUCTS COMP/OP AGO
<br />$ 2,000,000
<br />T POLICY
<br />PRC- LOS
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />Ea SINe SINGLE LIMITnt)1
<br />000,000
<br />BODILY INJURY (Par person)
<br />$ ...
<br />A
<br />X
<br />ANY AUTO
<br />ALL OWNED AUTOSULED
<br />NON -OWNED
<br />HIRED AUTOS X AUTOS
<br />6802D291163
<br />07/24/201407/24/2015
<br />c pyyy
<br />k7 b;dR02/4/2015
<br />P4
<br />4dEACH
<br />GOSILLY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Pzr zecitlent
<br />$
<br />UMBRELLA LIAR
<br />OCCUR
<br />i t
<br />OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAR
<br />CIAIMS-MADE
<br />/
<br />DEO RETE TON
<br />. STORC
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS'LIABILIY YIN
<br />ANY PROPRIETORIPARTNER/EXECUTNE❑
<br />OFRCERIMEMBER EXCLUDED?
<br />InNH)
<br />N!A
<br />J{SSIS�.Et1t
<br />133245-8
<br />.LEI
<br />C'I..gX
<br />02/4/2014(Maddatory
<br />WC STATU- GTH•
<br />E.L. EACH ACCIDENT
<br />S 1,000,000
<br />E.L. DISEASE -EA EMPLOYE
<br />$ 1 000 000
<br />Ifyes, describeunder
<br />OE SCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1 000 000
<br />C
<br />Professional Liability
<br />SS1424571
<br />01/4/2014
<br />Each Claim. Limit W_. 2,000,000
<br />Errors & Omissions
<br />etention : 415,000
<br />ANEe me 1,000.,000
<br />DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ARach ACORD101,Addlttonal Remarks$chodule,ifmorespaceis,equlrad)
<br />City of Santa Ana,. 20 Civic Center Plaza, Santa Ana, CA 02v01, its officers, employees, agents,
<br />volunteers and representatives are named As additional insured with regard to general liability & arising
<br />from the operations and uses performed by or on behalf of the named insured.per policy form CC; D3 B1 09
<br />07, includes Primary and Non Contributory Wording.
<br />*CANCELLATION: 10-days Notice for Non -Payment of Premium/Non-Reporting of Payroll/30 days for all other
<br />reasons.
<br />mboothe@Santa-ana.org
<br />City of Santa Ana
<br />Public Works Agency
<br />20 Civic Center Plaza, 3r Elr,
<br />Ross Annex
<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 />INSR25 mmma,m Th. Ar.nr?n names and Innn ara rcnielamd mar4e of Ar:01411
<br />
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