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INSURED South Coast Lighting & <br />Design, Inc. <br />1391 CalleAvanzado <br />San Clemente, CA 92673 <br />r.e)Vr:P1ftr.;:.q rFPTIFIrATP NIJMRPP <br />INSURER A: Hartford Insurance Co, 122357 <br />INSURER 8: Oak River Insurance Company -- -.1..--------- - -- -------------- ---- <br />INSURER C: <br />INSURER 0: <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 <br />DOCUMENT WITH RESPECT To WHICH <br />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 />--I- T-Y-exp-- <br />— - - ---------------- - OLC <br />_LTR TYPE OF INSURANCE jUg& fQLICY NUMBER _MM2p= _(MMIDDIYYYY) <br />LIMITS <br />GENERAL LIABILITY <br />EACH OUCURRENC-` <br />1,000,000 <br />A x X �72SBAAH4279 11/14114 11114/15 <br />PREMJ`SES`-2-c,,uLltn4? L.. <br />1,000,000 <br />CLAINIS MADE OC4':j.' R <br />VIED EXP (Awy vi peison) <br />10,000 <br />- — ----------- <br />N.JI.IRY <br />1,000,000 <br />------------ <br />-i <br />GENERALACGFI EGA rE <br />2,000,000 <br />GL-IV 'L AGGREGAI E LIMIT APPLIES PER <br />PRODUCTS - COMPIOP At to <br />2,000,000 <br />PRO - <br />X Po ICY I Ct <br />$ <br />AUTOMOBILE LIABILITY <br />CCWBINK) S11114GLE- <br />1,000,00() <br />A <br />ANY AU 10 <br />72UECJH2699 <br />03123115 <br />03123116 <br />BOI)IL-Y iNwE r (Por For r) <br />ALLClWNE-D SCHEDULED <br />x <br />AU1 6S kjTOS <br />KFAL) lrjjup,( (Po� W"n(lerlt) <br />- <br />X Ni,N-OV0 <br />X HIPP-, A�,Tf-)z I �"i T C, <br />JSF��) PTR�Y T AKI A7 E <br />T <br />c I r�T t <br />UMBRELLA LIAR trCUR <br />-11DEDT-7lFq�ENTION <br />EACH CICCURIkEIHCE <br />$ <br />T- <br />EXCESS LIAB L( LA 1E <br />-- --- - - _ �IIVL-I��A <br />AGGRECATF--,.-.------ <br />$ <br />$ <br />E5 <br />WORKERS COMPENSA-nON <br />AND EMPLOYERS LIABI ITY YIN <br />PROPPIETOP�PARTNER/E.�,E( 'UTWE <br />2200062195141 <br />08103114 <br />08/03/15 <br />�IVCSTAT7-1-75-71 <br />LM F <br />1,000,000 <br />AN"' [---1 <br />0FP1C'ER(NiEMBER E/CLUC <br />A� <br />L EACH ACCIDE1,1T <br />((Mandatory in NH) <br />SE EAEMPLO` <br />El L DI-SEZ, <br />00,000 <br />E L DISEASE POUC'f LINIF <br />$ <br />1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />City of Santa Ana and its officers, agents and employees are herob named <br />as additional insured per the Business Liability Coverage farm, MODS <br />iadditional insured and waiver of subrogation in regar s to general <br />iniured's Waiver <br />iability pages 15-24)attached to the policy. of <br />subrogation applies to workers compensation per blanket form WC990410A <br />SOUTH COAST LIGFFI]N(� <br />DESIGN, INC. A--2014-302 <br />REVIEWED BY' <br />EUNICE HEREDIA (PG <br />1 OF 'I) <br />