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AC'OR�
<br />u CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDNYW)
<br />08I162014
<br />I
<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($), 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 />Aon Risk services Northeast, Inc.
<br />New York NY Office
<br />CONTACT
<br />NAME:
<br />B (Bfi6) 283-]122 PAX (800) 363-0105
<br />WC. No.B#:INC. No.:
<br />199 Water Street
<br />New York NY 10038-3551 USA
<br />E-MAIL
<br />ADDRESS:
<br />INSURERS) AFFORDING COVERAGE NAICe
<br />INSURED
<br />INSURERA: Columbia Casualty Company 31127
<br />NEC Corporation of America
<br />6555 N state Highway 161
<br />Suite 200
<br />INSURER B: Travelers Property Cas Co of America 25674
<br />INSURER C: Travelers Property Casualty Ins Co
<br />Irving TX 75039-2402 USA
<br />INSURER o: The Travelers Indemnity Co. 25658
<br />INSURERE:
<br />INSURER F:
<br />VVV=19UI VGR I IriVm I G 14VIVIca"196. Of VV04UIQUU4 REVisioN NUItlIBER:
<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. Limits shown are as requested
<br />LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />We
<br />POLICYNUNdK MBER
<br />MMIDO
<br />MMIDDYYYY
<br />LIMITS
<br />D
<br />X COMMERCIAL GENERALLIABILITY
<br />HKGLSA 0 IND
<br />EACHOCCURRENCE $1,000,000
<br />CLAIMS -MADE X❑ OCCUR
<br />PREMISES Ea occurrence)$300,000
<br />MED EXP (Any one person) $10,000
<br />PERSONAL&ADV INJURY $1,000,000
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />GENERALAGGREGATE $2,000,000
<br />X POLICY ❑ PRO ❑ LOC
<br />ECT
<br />PRODUCTS -COMPIOP AGG $1,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILE LIABILITY
<br />H] CAP162D641STIL14
<br />04/01/201404/01/20
<br />COMBINED SII ECIMIT $1,000,000
<br />V•
<br />ilr
<br />n JURY(Pm Person)
<br />X ANYAUTO
<br />INJURY (Per ac i
<br />ALLOWNED SCHEDULED
<br />RBODILY
<br />AUTOS AUTOS
<br />HIREDAUTOB NON -OWNED
<br />PROPE GE
<br />de t
<br />AUTOS
<br />X Comp oed: StaoO X Coll Cod: $1,000
<br />, O Cnii
<br />B
<br />X
<br />UMBRELIALIAB
<br />X
<br />OCCUR
<br />HSMJCUP162D642ATIL14
<br />014
<br />04
<br />5U R 00
<br />ENCE $5,000,0
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />S ;
<br />t [\bol
<br />I'
<br />AGGREGATE $5,000,000
<br />DED X
<br />RETENTIONS101000
<br />C
<br />WORKERS COMPENSATION AND
<br />HC27UB16206443 4
<br />04/01/2014
<br />04 01 2015
<br />X PER STATUTE OTH
<br />ER
<br />EMPLOVERS'LIABILITY Y/N
<br />E.L. EACH ACCIDENT $1,000,000
<br />ANY PROPRIETOR /PARTNER I EXECUTIVE
<br />OFFICERIMEMBER EXCLUDED? N
<br />NIA
<br />E.L. DISEASE -EA EMPLOYEE $1,000,000
<br />(Mandatory In NH)
<br />If
<br />OF OPERATIONS below
<br />E.L. DISEASE-POUCY LIMIT $1, 000, 000
<br />A
<br />Internet Liab
<br />425422849
<br />07/30/2013
<br />07/30/2014
<br />Per Claim/Aggregate $5,000,000
<br />SIR applies per policy terns
<br />& candi
<br />ions
<br />Retention $500,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />The City of Santa, 20 Civic Center Plaza, Santa Ana, California, its officers, Employees, Agents, and volunteers are included
<br />de
<br />as Additional Insured with regard to liability and fense of suits arising from the operations and uses performed by or on
<br />behalf of the Named Insured. with respect to bodily injury or property damage claims arisingout of the operations performed
<br />by or on behalf of the Named Insured, such insurance as is afforded by this policy is primary and is not additional to or
<br />contributing with any other insurance carried by or for the benefit of the Additional Insured provided claims that give rise
<br />are from the Named Insured's negligence and arising out of operations performed for the City of Santa Ana. This insurance
<br />applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of
<br />CERTIFICATE HOLDER CANCELLATION s
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLICY PROVISIONS.
<br />The City of Santa Ana, AUTHORM90 REPRESENTATIVE
<br />its officers, Agents and Employees
<br />AttnSant Carl Marek (/ry l _ A J
<br />PO BOX 1988 i./LldVGOuC/,F/
<br />Santa Ana CA 92702 USA IfrP.PNlL10 9aGi
<br />©1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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