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NECCORP-01 ESPINESENMI
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DA3j31n615 )
<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 d I,6r'`—IY,�t�ll( AM�r'�1�,�tJT ND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOEB NOT CONSTITUTE' CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is a f D IgglkLF ,�� pl hirlpy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />aEghthlf
<br />the terms and conditions of the policy, Cartel gylo0a , 1mq� I•eq�+i Iq am,endprsement. A statement on this certificate does not confer rights to the
<br />certificate holder In Ileu of such endorsement V4 to CC It
<br />PRODUCER
<br />Willis of Texas, Inc.
<br />0/0 26EMAIL
<br />P.O. BOXx 3051 3051911
<br />Nashville, TN 37230.5191
<br />CONTACT
<br />NAME:
<br />PHONE FAX ggg 467.2378
<br />A/c N 877 945-7378 A/c Ne
<br />ADOREss:
<br />INSURER(S)AFFORDINQ COVERAGE NAICq
<br />INSURER A: Travelers Indemnity CO. of America 25666
<br />X I COMMERCIAL GENERAL LIABILITY
<br />INSURED
<br />INSURER B: Trave lata P rO party Cas ualty Compa ny of America 26674
<br />NEC Corporation of America, Inc.
<br />6536 N State Hwy 161
<br />INSURER c;Travelers Property Casualty Insurance Company 36161
<br />INSURER D: Charter Oak Fire Insurance Company 25615
<br />INSURERS:
<br />Irving, TX 75039 �tfiyr ��rr jj�� --pp
<br />11 oc(%1r"I�`I(aOA
<br />INSURERF:
<br />COVERAGES CERTIFICATE NUMBER: 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 PAID CLAIMS.
<br />INSR
<br />TYPE OF INSURANCE
<br />ADOLSUB
<br />POLICYNUMBER
<br />PMILOIDY�
<br />OU EXP
<br />MMIOOIYYYY
<br />UNITS
<br />A
<br />X I COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />S 1,000,000
<br />CLAIMS -MADE 11 OCCUR
<br />X
<br />X
<br />HK-GLSA-162D64314ND-15
<br />04/01/2015
<br />04/09/2016
<br />PREMIG S Be occurrence)
<br />$ 300,000
<br />MED EXP (Any one pemorn
<br />$ 10,00
<br />PERSONAL& ADV INJURY
<br />$ 1,000,00
<br />GEN% AGGREGATE LIMIT APPLI ES PER:
<br />GF_NERALAGGREGATE
<br />$ 2,000,000
<br />POLICY El PROT - LJLOC
<br />JEC
<br />PRODUCTS - COMP/OP AGG
<br />$ 1,000,000
<br />_
<br />OTHER:$
<br />AUTOMOBILE LIABILITY
<br />ED gBINEDISING ELIMIT
<br />$ 1,000,00
<br />BODILY INJURY(Perperson)
<br />$
<br />B
<br />%t ANY AUTO
<br />X
<br />X
<br />HRO-UB-4E339258-15
<br />04/01/2015
<br />04/01/2016
<br />BODILY INJURY (Per accident)
<br />$
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />HIREDAUTOS NNONOMED
<br />AUTOS
<br />tlAGE
<br />do
<br />$
<br />X
<br />UMBRELLA LAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,00
<br />AGGREGATE
<br />s 5,000,00
<br />13
<br />Excess uae
<br />cLAlws-MADE
<br />X
<br />X
<br />HSMJ-CUP-162D642A-TIL15
<br />04/0112015
<br />04/01/2016
<br />DEO X RETENTIONS 10,000
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNEPJEXECUTIVE YIN
<br />EXCLUDED?OFFICEWMEMBER EXCLUDE
<br />(Mandatory In NH)
<br />N/A
<br />X
<br />US -162D644.3.14
<br />04/01/2015
<br />04/01/2016
<br />X STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />EL DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1,000,000
<br />I(yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />D
<br />Workers Compensation
<br />HRO-UB4E399258.15
<br />04/01/2015
<br />04/01/2016
<br />See Attached:
<br />DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES (ACORD 101, Additional Remarks Schedule, may be a@ached 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 as Additional Insured with regard
<br />to liability and defense of suits arising from the operations and uses performed by or on behalf of the Named Insured. With respect to bodily Injury or property
<br />damage claims arising out of the operations performed by or on behalf of the Named Insured, such Insurance as is afforded by this policy is primary and is
<br />not additional to or contributing with any other insurance carried by or for the benefit of the Additional Insured provided claims that give rise are from the
<br />Named Insured 'a negligence and arising out of operations performed for the City of Santa Ana. This insurance applies separately to each insured against
<br />whom claim Is made or suit is brought except with respect to the company's limits of company's limits of liability. The inclusion of any person or organization
<br />as an insured shall not affect any right which such person or organization would have as a claimant if not so included.
<br />CERTIFICATE HOLDER CANCELLATION
<br />©198'»88Tq-22� ?9ADIB RPORA Alyr' h erved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registers ACORD
<br />ACORD a rte`
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<br />SHOULDANY 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 />The City of Santa Ana,
<br />AUTHORIZED REPRESENTATIVE
<br />Its Officers, Agents and Employees
<br />Attn: Carl Marek
<br />PO Box 1988
<br />Santa Ana CA 92702
<br />1 �Bpa
<br />r, klereo,,eY--- F
<br />©198'»88Tq-22� ?9ADIB RPORA Alyr' h erved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registers ACORD
<br />ACORD a rte`
<br />o
<br />LISP, Ea SiApit
<br />tornal
<br />�sistant Ctty D
<br />
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