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AC`s CERTIFICATE OF LIABILITY INSURANCE � DATE /13 /2M�DDA7Y, L 3/I 13/2014 C THIS ERTIFICATE E ICDOESISNOT APDPIRMATIVELYR'NEGATI�VELY AMEN ,EXTEND CONFERS NO OR ALTER TIHE COVERAGE (AFf•ORDED 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 Win ADDITIONAL IN°,aURE.D tha 4g`y(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the tarns and conditions of the policy, certain policlos Tray •rDr uleekan- anNGV§ement, A statement on this certificate does not confer rights to the conifcate holder in lieu of such endorsement(s), PRODUCER CONTACT HUB INTERNATIONAL INS SERVICES INC AME: PRONE FA}( ""°------------ - 800 533 -7215 Eau 866- 828 -2424 JSCLS F�L 4371 LATHAM ST, STE 101 EMAa A_DORESS Certificate @hanover.com RIVERSIDE, CA 92501 - 7NSUREWSLAFFORDfNG COVERAGE NAIL# INSURERA: Citizens Ins Cc of America E 31534 INSURED INSURERS: Allmerica Financial Benefit 41840 LINEAR SYSTEMS RER C 8403 MAPLE PLACE NS'U— " RANCHO CUCAMONGA, CA 91730 IN uRER ,_ INSURER F ; COVERAGES CERTIFICATE NUMBER: 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. TN—SR i ____�__ V06, -'�"�- �� F�LIBY EFF IR PODGY EX G__._.__._.__._ ___._____._-- ......__,..__._..- ...- ._.__� -. LTR TIPS OF INSURANCE ICY NUMBER MfDP i LIMITS GENERAL LIAMLITY I EACH CCCURRB4CE 51,060,900 X ; COMMERCIAL GENCRALLIABILr y X REMIgE6 rr-Sv+wyi *ta s 300,000 A CLAIMS -MADE X OCCUR �� OB3 9898815 01 1 04/26/2014 1 04/25/2015 MCDEXD (Any annf S 10,000 i PERSONAL 4ADVINJURY $1,000,000_ ' GENRRALAGGREDATE j s 2,006 000 - GENTAGOREGAELIMITAPPLLIESPER - ( j PRODUCiS- CGMPIQP ato 2,000000 ( POLICY PRO. LDC j 1 . MCI AUTOMOBILE UABlUTl F-^ '. SINGLE S 1,000,000 X pNV AU fO t IROPERT5 DILY INJURY {Par pvwnt S HE B LLOOYVVNED SCHEDULED AW3989880901 04/25/2014 1 04/25/2015 LAY INJURY (Per ardrbnt) S -- X HIRED AUTOS X AUTOS NONOMIED I DAAMAGE AUTOS S ( LPeraadaene ' E%CESS L �I OCCUR �I 11 EACH OCCURRENCE LCLAIMS_M IM AOE 1 I AGGREGATE I S nE RETENTIONS � I IB WORKERe COMPENSATfON - )( WG ATU- tt OT, AND EMPLOYERS' LIABILITY YIN i - 1i�IIT$L _ ER..,,_,�, B ANY PROPRIET IRIPAR NEI&EXECUTIV@ i . 1,000 000 4 CPYICIOXEMBEREXCLUDEO? � NIA f W23 9871564 01 03/01/2014 1 03/01/2015 EL EACH ACCOxENT _ 5 (Mammary In ran CL DISEASE -CA EMPLOYE 51,000000 �rn IFyae desrxlE6 ands (E.L DISEASE- pOLfGY LIMB 51,000,000 I DESCRIPTION OF OPERATIONSt LOCATIONS I VEHICLES (Aaaeh ACORD Url, Addifir alRemarks Sc1had.11 if mare sPa. Is M+1PiKd) Certificate Holder is an Additional Insured pursuant to the terms and conditions of form: 3911006 (Businessowners Liability Special Broadening Endorsement). Additional Insured is primary and noncontributory to the extent provided by form 391 -1331. CERTIFICATE HOLDER CANCELLATION City of Santa Ana ' 20 Civic Center Plaza �.'. A..L` S DULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE °-'� ` (j(q'oJ y�1 .Yt7 EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN Santa Ana, CA 92701 _ ACCORDANCE WITH THE POLICY PROVISIONS. �,,$glg'$L'v�. Rossini Assistant City AtLO Mey AUTHORIZED REPRESENTATIVE 01988.2010 ACORD CORPORATION. All rights reservedd. ACORD 26 (2010105) The ACORD name and logo are registered marks Of ACORD