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A'® CERTIFICATE OF LIABILITY INSURANCE
<br />7/24/2014 )
<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(los) 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 />OA Dept. of Ins, Lia. #0614365
<br />BBE S. Disneyland Dr., Ste 400
<br />Anaheim CA 92802-1846
<br />Sue Reams
<br />PHONE (714)905-1923 /NC 11 (714) 905-1910
<br />AggSES., suer@htrinsurs. con
<br />INSURCR(S) AFFORDING COVERAGE NAICk
<br />INSURER A:Travelers Indemnity Cc of CT 25658
<br />INSURED
<br />Mullen & Associates, Inc..
<br />1200 N, Jefferson Street
<br />Suite D.............._._
<br />Anaheim CA 92807
<br />INSURER B:Preferred Employers Ins Co 10900
<br />INSURERC:U S Specialty Ins Cc 29599
<br />INSURER D:
<br />................................................_._ _
<br />INSURER E
<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 />Public Works Agency
<br />--
<br />AUTHORIZED REPRESENTATIVE
<br />POLICY NUMBER
<br />YPAIDCLAIM&
<br />YYMUTYPE
<br />ODY
<br />ppI��YEP
<br />M
<br />LIMITS
<br />GENERAL LIABILITY
<br />sue Reams/SNR .-
<br />EACH OCCURRENCE $ 1,.00_0,000
<br />.i COMMERCIAL GENERAL LIABILITY
<br />M ach-a ce $ 300,000
<br />AGtAINi$-MADE
<br />❑X OCCUR
<br />X
<br />Y
<br />68020291163
<br />07/24/2014D7/24/2015
<br />MED EXP (An, oneperson) $ 5,000
<br />PERSONAL B ADV INJURY $ 1,000,000
<br />GENERAL AGGREGATE $ 2,000,000
<br />GEN'L AGGREGATE
<br />LIMIT APPLIES PER;
<br />PRODUCTS COMP/OP AGO $ 2,000,000
<br />T POLICY
<br />PRC- LOC
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />EaSINaccident) LE LI 1 000,000
<br />BODILY INJURY (Par person) $ ...
<br />A
<br />X
<br />ANY AUTO
<br />ALL OWNED AUTOSULED
<br />NON -OWNED
<br />HIRED AUTOS X AUTOS
<br />6802D291163
<br />07/24/201407/24/201.5
<br />c pyyy
<br />k7 b;dR02/4/2015
<br />FO
<br />4dEACH
<br />BOSILLY INJURY (Pel accident) $
<br />PROPERTY DAMAGE
<br />Pzr zecitlent
<br />$
<br />UMBRELLA LIAR
<br />OCCUR
<br />i t
<br />OCCURRENCE $
<br />AGGREGATE $
<br />EXCESS LIAR
<br />CIAIMS-MADE
<br />/
<br />DEO RETE TON
<br />. STORC
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />ANYEMPLOYERS'LIABILIY YIN
<br />ANY PROPRIETORIPARTNER/EXECUTNE❑
<br />OFRCERIMEMBER EXCLUDED?
<br />InNH)E.L.
<br />N!A
<br />J{SSI51.Et1t
<br />133245-8
<br />.LSI
<br />C'I..gX
<br />02/4/2014(Maddatory
<br />WC STATU- U -
<br />E.L. EACH ACCIDENT S 1,000,000
<br />DISEASE -EA EMPLOYE $ 1 000 000
<br />Ifyes, describeunder
<br />OE SCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT $ 1 000 000
<br />C
<br />Professional Liability
<br />SS1424571
<br />01/4/2014
<br />Each Claim. Limit W_. 1,000,000
<br />Errors & Omissions
<br />etention : $15,000
<br />ANEe me 1,000.,000
<br />DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ARach ACORD101,Addlttonal Remarks$chodule,ifmoresnaceisrequlrad)
<br />City of Santa Ana,. 20 Civic Center Plaza, Santa Ana, CA 02701, 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 CG 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 />CERTIFICATE HOLDER CANCELLATION
<br />mbootho@santa-ana.org
<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
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Public Works Agency
<br />--
<br />AUTHORIZED REPRESENTATIVE
<br />20 Civic Center Plaza, 3r Flr,
<br />Ross Annex
<br />Santa Ana, CA 92701
<br />sue Reams/SNR .-
<br />ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION, All rights reserved,
<br />INSR25onimarm Th. Ar.nr?n names and Innn ares rcnielamd mar4e of Ar:01411
<br />
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