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Client#: 663174 <br />SERVFIRS1 <br />ACORD,,, CERTIFICATE OF LIABILITY INSURANCE <br />DAT1IYVYY) <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />1/110/20012074 <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(les) 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 confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />NAMEACT Michelle Vargas <br />Hub Internationalarc° <br />Ne E,t916-770-2918 glgNe; 951.231.2572 <br />HUB Int'( Insurance Serv. Inc. <br />no s—E.. cal.cpu@hubinternational.com <br />1091 North Shoreline Blvd 200 <br />1111112014 <br />Mountain View, CA 94043 <br />INSURERS) AFFORDING COVERAGE NAIC# <br />INSURERA: Admiral Insurance Company 44318 <br />INSURED <br />Service First Contractors Vendor 444670 <br />INSURER B: <br />INSURER C: <br />Network, DBA: Service First <br />DAMAGE ORENTED <br />PREMISE Ea occurrence $50,000 <br />3505 Cadillac Ave Bldg F-9 <br />INSURER D: <br />Costa Mesa, CA 92626 <br />INSURER E: <br />GL DED:$2500 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: PPVLclnnl NIIMRPD- <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 CONTRACTOR 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 />"TR <br />TYPE OF INSURANCE <br />NSRLWVD <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />Y 5XP <br />MMIDIDNWY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />FEIECC1100501 <br />11/11/2013 <br />1111112014 <br />EACHOCCURRENCE $2000000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ER OCCUR <br />DAMAGE ORENTED <br />PREMISE Ea occurrence $50,000 <br />MED EXP (Anyone person) $5000 <br />PERSONAL &ADV INJURY $2,000,000 <br />X Pollution <br />GL DED:$2500 <br />X Professional <br />GENERAL AGGREGATE $2,000,000 <br />CPL/PL DED:$2500 <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS-COMPIOP AGG $2,000,000 <br />_ <br />X POLICY <br />F_1 <br />JEO' LOC <br />CPLIPL $2,000,000 <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY Per accident $ <br />( ) <br />HIRED AUTOS AUTOBWNED <br />PROPERTY DAMAGE $ <br />Per accident <br />AUMBRELLA <br />UAB <br />X <br />OCCUR <br />FEIEXS1100601 <br />11/11112013 <br />111111/,2014 <br />EACHOCCURRENCE $2000000 <br />X <br />EXCESS ILIAD <br />CLAIMS-MADEtt� <br />`��++��pp <br />( ),1 <br />AGGREGATE s2,000,000 <br />DED RETENTION$ <br />Over GL $ <br />_bp+ <br />`,l.t,.�---0 <br />3a <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIASILITY <br />ANY PROPRIETORIPARTNER/EXECUTIVE YIN( <br />EXCLUDED? <br />OFFICERin BFR NH) <br />( y, d cry in wd <br />( ea <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />yq y�y'9-O <br />3m';?�iV <br />r <br />1 �y <br />(..`JIB t <br />..�-^ <br />`_, - (�K. <br />G1ty pY101 <br />...w"Y� <br />nO <br />WCSTATU- OTH- <br />TORYLI I ER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE -POLICY LIMIT $ <br />As�15 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />City of Santa Ana, its officers, agents and employees are Additional Insureed in regards to the General <br />Liability policy per attached endorsement forms GG2010 07104 and CG2037 07/04. Primary/Non-Contributory <br />wording applies to the General Liability policy per attached endorsement form ECC548 07112. <br />"Should the policies be cancelled before the expiration date, Hub <br />International Insurance Services Inc. (Hub), independent of any rights <br />(See Attached Descriptions) <br />City of Santa Ana <br />Attn: Purchasing Department <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD 25 (2010105) 1 of 2 <br />482635079IM2531844 <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 />AUTHORIZED REPRESENTATIVE <br />© 1988.2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />AT41 <br />