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OP ID: Z8
<br />A`a..-C) ®`
<br />1. - CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDIYYVY)
<br />11/12/13
<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 AD O 1INi�l1RRy the ppI y(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain I S.Maye2r cluuY$lan.,enrrS4�Dsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER 6 Q -93 2000
<br />San Francisco P &C 61.3 2001 r- `
<br />Hays of California Ins Service t :
<br />1350 Ba shore H
<br />y Hwy, Suite 218
<br />Burlingame, CA 94010
<br />CONTACT
<br />E.
<br />�qJc�N Exq: AC, NO:
<br />—
<br />EMAIL
<br />ADDRESS:
<br />PRODUCER ICLEI -2
<br />CUSTOMER ID p:
<br />11/26/14
<br />EACH OCCURRENCE
<br />_KathyAoresco
<br />INSURERS AFFORDING COVERAGE
<br />NAIL #
<br />INSURED ICLEI USA Inc
<br />INSURER A: Hartford Underwriters Ins Co
<br />30104
<br />414 13th Avenue, Suite 400
<br />Oakland, CA 94607
<br />INSURER B: Federal Insurance Company
<br />20281
<br />INSURER C: National Union Fire Ins. Co.
<br />19445
<br />INSURER D
<br />PRODUCTS - COMP /OPAGG',
<br />$ 2,000,000
<br />INSURER E:
<br />$
<br />On r C
<br />INSURER F
<br />LIABILITY
<br />ANY AUTO
<br />ALL OWNED AUTOS
<br />SCHEDU
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />NON -OWNED AUTOS
<br />COVERAGES CERTIFICATE NUMBER: 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 />I
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDD/YYYY
<br />POLICY EXP
<br />MM /DDAr YY '.
<br />LIMITS
<br />B
<br />!, GENERAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS MADE CI OCCUR
<br />X
<br />X .35893974
<br />'I
<br />11/26113
<br />11/26/14
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TO RENTED
<br />PREMISES ( Eaoccurrence
<br />$ 1,000,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />_
<br />$ 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,00
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />X'; POLICY; PRO- LOG
<br />PRODUCTS - COMP /OPAGG',
<br />$ 2,000,000
<br />$
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />ALL OWNED AUTOS
<br />SCHEDU
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />NON -OWNED AUTOS
<br />j X
<br />73549972
<br />NO OWNED AUTOS
<br />11126113
<br />!. 11126114
<br />COMBINED SINGLE LIMIT
<br />(Eeaccident)
<br />'., $ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />X
<br />BODILY INJURY (Per accident)
<br />_.
<br />$
<br />PROPERTY DAMAGE
<br />(Per accident)
<br />$
<br />X
<br />X
<br />$
<br />$
<br />B
<br />X
<br />UMBRELLA LIAB X
<br />EXCESS LIAB
<br />OCCUR
<br />CLAIMS -MADE
<br />X
<br />i
<br />7983.82 -51
<br />11/26113
<br />11126114
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />AGGREGATE
<br />$ 2,000,000
<br />'
<br />DEDUCTIBLE
<br />RETENTION $
<br />" -- - - --
<br />$
<br />_
<br />!~
<br />_
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' ,/E O/LIABILITY YIN
<br />ANVPEDPRIETOarPARTNERrExECUTIVE
<br />OFFICEtary in ER EXCLUDED? N
<br />(f yes des -
<br />I f yes, describe OF under
<br />DESCRIPTION OF OPERATIONS below
<br />OPERATIONS
<br />NIA
<br />li 57WECLX9368
<br />11/01/13
<br />11/01/14
<br />WC STATU- OTH
<br />-�
<br />EL EACH ACCIDENT
<br />XL.O EACH ID
<br />$ 1,000,000
<br />EMPLOYEE
<br />$ 1 000,000
<br />DISEASE -- —'—
<br />. - POLICY LIMIT
<br />-" -, _ - -
<br />$ 1,000,000 00
<br />C
<br />Errors &Omissions
<br />(11-423 -70 -01
<br />I
<br />11126/12
<br />11/26/13
<br />IE & O 1,000,000
<br />Detl. 10,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
<br />The City of Santa Ana, its officers, employees, agents, volunteers and
<br />representatives are named as additional Insured with regard to the liability
<br />and defense of suits arising from the operations and uses performed by or
<br />for or on behalf of the named insured. Notice of cancellation for
<br />non - a ment of premium is 10 days only. -
<br />CERTIFICATE HOLDER CANCELLATION
<br />ACORD 25 (2009/09)
<br />© 1988 -2009 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />AS To 1
<br />APPROvtt,,)
<br />/
<br />/
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana (et al) / %
<br />/ 'y'
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />(see below)
<br />L
<br />_
<br />Attn: Christy Kindig _ Ltr'ra
<br />Stitt SnCedy
<br />AUTHORIZED REPRESENTATIVE
<br />P. O. Box 1988, M -21 ASSiCity
<br />Santa Ana, CA 92702
<br />At toaneV
<br />//
<br />.. 4xvt " �.
<br />ACORD 25 (2009/09)
<br />© 1988 -2009 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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