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123456 <br />Ac" " CERTIFICATE OF LIABILITY INSURANCE <br />DAT 6/3/2014 vv) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />_CERTIFICATE <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(ies) 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 endorsernor ). <br />PRODUCER <br />Commercial Lines - (415) 541 -7900 <br />Wells Fargo Insurance Services USA, Inc. - CA Lic#: OD08408 <br />45 Fremont Street, Suite 800 <br />CONTACT <br />-NAME, <br />PHONE - FAX <br />(A /C No Ext); _. (A /C N L <br />E -MAIL _ <br />ADDRESS:- <br />INSURER(5)AFFORDING COVERAGE <br />NAIC# <br />San Francisco, CA 94105 -2259 <br />INSURER A: ACE American Insurance Company <br />22667 <br />INSURED <br />ABM Onsite Services — West, Inc. <br />INSURER B: ACE Property and Casualty Ins. Co. <br />20699 <br />INSURER C: <br />an ABM Industries Incorporated Company <br />INSURER D: <br />1775 The Exchange SE, Suite 600 <br />_ <br />_INSURER E: <br />Atlanta, GA 30339 <br />INSURER F <br />5 4,000,000 <br />COVERAGES CERTIFICATE NUMBER: 7798612 REVISION NUMBER: See below <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 />INSRI ADDLISUBR POLICY EFF POLICY EXP <br />LTR TYPE OF INSURANCE POLICY NUMBER MMID1rTPrYYl M IYVYY LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY, <br />CLAIMS -MADE L OCCUR <br />- <br />XSLG27327497 <br />�1.(Gf�01p I� (2014 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />DAMAGE TO RENTED <br />PREMISES RENT hence)._ <br />$ 2,001000 <br />X <br />X <br />MED EXP(Any one person) <br />S Excluded <br />$ 2,000,000 <br />$7,000,000 SIR _ <br />XCU <br />- r1p�.0,q <br />S <br />PERSONAL &ADV INJURY <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY <br />OTHER �� JECT LOC <br />GENERALAG SIR EGATE <br />5 4,000,000 <br />_GEN'L <br />X� <br />I <br />p <br />1' 1" t <br />�515tan <br />SToRtotney <br />qty 7� <br />'.,.,'. <br />PRODUCTS- COMP /OPAGG <br />$ 2,000,000 <br />A <br />AUTOMOBILE <br />LIABILITY <br />ISAH08814910 <br />11/61/2013 11/61/2014 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 5,000,000 <br />BODILY INJURY (Per person) <br />_ _ <br />$ <br />X <br />ANY AUTO <br />X <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />X <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />(Per accident)_ <br />$ <br />$ <br />B <br />X <br />UMBRELLA LIAB X OCCUR <br />XOOG27322554 <br />11/01/2013'i <br />11/61/2014 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />AGGREGATE <br />$ 5,000,000 <br />EXCESS LIAB 1 CLAIMS -MADE <br />DED X I RETENTION $ 25,000 <br />_ _ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/ N <br />:ANY PROPRIETOR /PARTNER /EXECUTIVE <br />(OFFICER /MEMBER EXCLUDED? NI <br />(Mandatory in NH) <br />NIA <br />WCUC47327271 <br />CA- $1,000,000 SIR <br />OH WA OR IL MI - $500,000 S <br />11101/2013( <br />11/01/2014 <br />X STATUTE OERN <br />E.L. EACH AC CIDENT <br />E.L._DISEASE - EA EMPLOYEE <br />_ <br />$ 1,001000 <br />_ <br />5 1000,000 <br />scribe under <br />M a, des <br />CRIPTION OF OPERATIONS below <br />_ <br />E.L. DISEASE - POLICY LIMIT <br />5 1,001000 <br />A Professional Liability <br />G23645233008 <br />11/01/2013( <br />11101/2014 <br />$5,000,000 Each Claim <br />$5,000,000 Aggregate <br />$1,000,000 Self- Insured Retention <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Job #3733 Jobsite: Parks, Recreation & Community Services Agency City of Santa Ana 20 Civic Center Plaza, Santa Ana, CA. City of Santa Ana, its <br />officers, employees, agents, volunteers and representatives are included as additional insureds as respects general liability as required by written contract <br />with the Named Insured. If required by the written contract or agreement with said additional insureds, this insurance shall be primary insurance to any <br />other insurance available to said insured covering the same loss. Such other insurance available to said additional insureds shall be excess to and <br />non - contributing to this insurance. Thirty (30) days written notice of cancellation or non - renewal shall be given to the additional insured(s) in the event of <br />cancellation of the general liability, automobile liability, workers' compensation and umbrella policy(ies). <br />Clerk of the City Council City of Santa Ana <br />Alin: Risk Management <br />20 Civic Center Plaza m -30 <br />Santa Ana, CA <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 />I ne AuuKu name and logo are reglstere0 marks or AWKU V 16tfa -ZU14 ALJVKU L:UKrUMA I IUN. All rights reserved. <br />ACORD 25 (2014/01) <br />,n 812712014) <br />