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Client#: 62862 14BAYAREADRI ACORD_ CERTIFICATE OF LIABILITY INSURANCE DATE (MMID DIYYYY, 3I1112015 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(los) 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 Had of such endorsement(s). PRODUCER CONTACT NAME: _ ____ __ J. Smith Lanier & Co, -Atlanta 1�PHONE _ - - FAX ,Noy Ext) 770 476.1770 M Nop_770 476 3651 - 11330 Lakefield Drive EMAIL -- A.DREss Bid 1, Suite 100 D 9 INSURER(S) AFFORDING COVERAGE NAICN Duluth, GA 30097 INSURER A. Philadelphia Indemnity Insuranc 18058 INSURED INSURERS Henry Ramirez dba Bay Area Driving; -- —"-- `— INSURER C; Driving School Safety Drivers Ed LLC '. INSURER D INS 1070 A. Street - -. INSURER E: Hayward, CA 94541 ' INSURER F: COVFRAGFS CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. TR - I- - AOOL SIIBR' PMWOYEFF I POLICVEXP TYPE OF INSURANCE LIMITS LTR INSR WVD POUCV NUMBER MMIDDIYYYY MMIDOIYYYYI A `__ GENERAL LIABILITY -'. PHPK1252499 11101/2014111101/2011 EACHOGCURRENCE S1,000,000 XI COMMERCIAL GENERAL LIABILITY '.IDAMAGE 5IERENTED ncei 13100,000 CLAIMS -MADE I xr OCCUR MED EXP(Any one pe,s n) C PERSONAL & AOV INJURY $1 00O 000 00,000 GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: XPOLICYI— PRO PRODUCTS-COMPIOP AG00,000 ts5 A AUTOMOBILE LIABILITY PHPK1252499 COWSINED SINGLE LIMIT 11/01/2014'11/01/2019 EoaBINED ,000_vXI ANV AUTOBODILY INJURY (Par parson S .. ... r_ S _ _ _� —1 !t�HIRED AUTOS ALL OWNED SCHEDULED - NON -OWNED AUTOS �t AUTOSacdent]__ BODILY INJURY (Per accident) PROPERTY DAMAGE _.L. r UMBRELLA LIMB F OCCUR ''I EACH OCCURRENCE S EXCESS LIAB ' AGGREGATE 5 _ DED RETENTIONcCLAIMDMADE S _ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN _ OFFICERIMEMBEER EXCLUDEDXECUTIVE1 1 NIA (Mandatory In NH) �I —r WC STATU- OTH. TORY L FR E.L. EACH ACCIDENT E-L DISEASE`- EA EMPLOYEE I� IS S I $ _ I(yyes, deecdbe under ''. . DESCRIPTION OF OPERATIONS below E.L. DISEASE-PDLICY LIMIT _. _T DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additlenai Remarks Schetlule, it more space Is required) The City of Santa Ana, Its officers, Employees, Agents and Volunteers are Included as additional is y' per written contract but only with respects to the general liability insurance and subject to tf provisions and limitations of the policy. `.• r,'r"" ; �� The City of Santa Ana 20 Civic Center Plaza RI. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701.4058 AUTHORIZED REPRESENTATIVE Ad ©19 8- ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2558462/M2419080 CORPORATION, All rl is Fill