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WEARER OP ID: WB ACS CERTIFICATE OF LIABILITY INSURANCE DATE(MMtDDHYYY) 01/3012015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTNA,ACT Barba Insurance Brokerage PHONE House Account FAX" 11n c�io.,e.,te Q.—.+ a7nn ,.,r .,.. x...,.415 -78$-47Q0 .am.. Nom,• 415-788.4701 INSURED 94110 Elite of CA COVFRAr;F6 CERTIFICATE NUMBER- REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, Santa Ana, CA 92701 ILTfl TYPE OF INSURANCE NSD 4ODLU POLICY NUMBERICExP MIaChI M W/YYYY IMMfDYDtYYYY LIMITS A (X JCOMMERCtAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE T OCCUR X 2014 -42084 -NPO 12x0312014 1210312015 PREMISES Bao carrrence _5 — ---, _ 500,00 MEDEXP(Anyorepersan) $ 20,00 PERSONAL &ADV INJURY $ 100,00 r GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 RPOLICY 1 JECT El LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER•COMBINED $ LAUTOMOBILE LIABILITY ev)ewed l7 U by SINGLE LIMIT . $ Ea eccidanl J IANYAUTO BODILY INJURY (Per person) 1$ ALL OWNED - SCHEDULED BODILY INJURY (Per accident)'' 6 _AUTOS — NON-ONMED PROPERTY DAMAGE ! $ . HIREDAUTOS AUTOS n, (Peraccident) _.__ -. �$ _ _ � �' EACH OCCURRENCE $ UMBRELLA LAS IGCCUR r'1QICS1}/A� 1—fltra7litt`i ir, EXCESS UAB ', CLAIMS -MADE. AGGREGATE $ _ D D RETENTION$ ( $ WORKERS COMPENSATION J STATUTE ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPrIONOF OPERATIONS below E.L. DISEASE POLICY LIMIT $ _ C Scottsdale ins. Cc 04/04/2014 04/04/2015 !lorr EPL CW0004455 B No. American Elite CW000135900042 12/03/2014 12163/2015 IBPP I 10,000 —'1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mom space is required) The City of Santa Ana, its officers, employees, apants and representative are named as additional insured per endorsment CG2670704 rGOTIctrtA TF Find rER CAK IIATIDIN ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD