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ACC? V CERTIFICATE LIABILITY INSURANCE DATE (MMIDDYYYY) 4/21/2015 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 hoes not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Frederiksen & Frederiksen, A Corp. NAME CT Melinda Carey PHONE (972.)387-8646 1572) 991-9307 ADDRE :melinda@£redandfred. com Insurance & Rask Mg t Services 12900 Preston Road, Suite 5.00 INSURERS AFFORDING COVERAGE MAIC# INSURERA:Phoenix Insurance Company 5623 Dallas TX 75230 INSURED INSURERB:Travelers Casualty and Surety 19038 INSURER C: CE Dean Enterprises, Inc. INSURER D: dba LD Systems INSURER E: 222.1 Justin Rd Ste 119 INSURER F: Flower Mound TX 75028 COVERAGES CERTIFICATE NUMBER.CL1542102058 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. INSR LTR TYPE OF INSURANCE ADDL INSR UBR. WV0 OLICY NUMBER POLICY EFF MWDDIYYYY POLICY EXP MMlDDIY'MYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY CAMAGE TO RENTED 3'00, 000 .. (. Ea occurrence $ MED EXP (Any one person) $ 5,000 A CLAIMS -MADE ®OCCUR 680-0661W261,-15°42 /25/2015 /25/2016 PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2 , 000, 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COM..PIOP AGG $ 2,000,000 $ X I POLICY PRO- LOC AUTOMOBILE LIABILITY E® acct deDtSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) S....... 'A` ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X X NON -OWNED HIRED AUTOS AUTOS 680-0661W261-15-42 /25/2015 /25/2016 BODILY IN9URY(Peraccidenl) S PROPERTY DAMAGE $ Peraceddent $ ......EACH X. UMBRELLA LIAR X I OCCUR OCCURRENCE. $ 3,000,000 AGGREGATE $ 3,000,000 .B EXCESS LIAR fD CLAIMS -MADE DED I X .RETENTION$..... 10,00 UP7584Y575 2/25/2015 /25/2016 $.... B WORKERS COMPENSATION X WC STATLI OTH- r AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR1PA.RTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA 1A.U85937r,148 2./25/2015 /25/2016 E.L. EACH ACODENT $ 500 000 .. E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT 1 $ 500,000 If yes describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES lAttach ACOR'D 101, Additional Remarks Schedule, If more space Is required) FYI"'E 1) Af ' 2 Z CERTIFICATE City of Santa Ana Treasury Manager 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 REPRE'SENTATIV'E Frederiksen/b= ACORN 25 (2010105) (P1988-2010 ACORD CORPORATION. All rights reserved. INSSn25 /?ninny nt Thca AC`OPn nano anri Innn arca rwanietarorl rnarkc of Arr)Pn