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CERTIFICATE OF LIABILITY INSURANCE
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<br />01113/2015
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<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANC 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(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the Certificate holder Is an ADDITIONAL INSURED, the policy(tes) 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 andorsemant a .
<br />PaoouceR
<br />Cc TACT E: CHELSEA POWER
<br />PAYCHEX INSURANCE AGENCY, INC.
<br />PHONE pyll, 877 - 268.6850 X84034 PAX N,,,, 585.389.7894
<br />MAIL
<br />150 SAWGRASS DRIVE
<br />CPOWER ®pAYCHEX,COM
<br />ROCHESTER, NY 14620
<br />I LI
<br />INSUR9BIS1 WORDING COVERAGE
<br />NAIC IF
<br />INSURER A; Travelers Casualty Insurance Company of America
<br />ANY AUTO
<br />INSURED
<br />INSURER s: Travelers Property Casually Company of America
<br />CSG ADVISORS, INC.
<br />INSUNRC: Philadelphia Insurance Companies
<br />S
<br />1725 WINDWARD CONCOURSE
<br />INSURER D:
<br />SUITE 425
<br />INauReR e: -
<br />ALPHARETTA, GA 30005
<br />IN ER F:
<br />BODILY :NJUnY (Per p.)
<br />COVERAGES CERTIFICATE NUMBER: REVISION NU
<br />MBER.
<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 />LTR TYPE OP INSURANCE 6Dai1 POLICY EPP POLICYEXP
<br />P ,ICY NUMa R M M OMR9
<br />X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE S 2,000,000
<br />CLAIMS -MADE 0OCCUR 680- 5F243125 -15 x_300000
<br />MEO EXP imy we pe" $_6,000
<br />A
<br />Y 680.3F930573.15 -$2 01/0112015 01/Oi/2016 PERSONALSAOVINJURY $ 2,000,000
<br />GENt AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S 4,000,000_ - --•_
<br />X POLICY ❑ PR?j
<br />P..... a- OOMPIOPAGG $ 4,000,000
<br />LOG
<br />OTHER: $
<br />AUTOMOBILE
<br />LIABILITY
<br />I LI
<br />$ 2,000,Q00
<br />ANY AUTO
<br />680- 5F243125 -15
<br />RII
<br />S
<br />BODILY :NJUnY (Per p.)
<br />A
<br />ALL SCHEDULED
<br />AT AO
<br />680.3F30673.15.42
<br />/
<br />/
<br />BODILY INJURY (Per m Od,M)
<br />S
<br />X
<br />HIRED AUTOS X AUTOS n E0
<br />AUTOS
<br />Is
<br />LA LIA a
<br />OCCUR
<br />j�
<br />EACH p�1FIRENCE
<br />S
<br />EXCESS
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />N
<br />F
<br />AGGRI
<br />S
<br />DEC RETENTION
<br />f
<br />AND EMPS COMPENSATION
<br />ANDS
<br />-
<br />LI ILIT YIN
<br />/� q'
<br />E.L. EACH ACCIDENT
<br />S 1,000,000
<br />B
<br />OPRIETRR'LIAeI EN
<br />OFFICE "EMBER
<br />GFFIDEWwIE NER E %CLUOEOp O
<br />NIA
<br />US 3F649836
<br />01!0112015
<br />Oi/01/2016
<br />E.L. CInEASE - EA EMPLOYE
<br />$ 1,000,000
<br />Ural. In NH)
<br />a YSC dbeIXibe IIMe!
<br />E.L. DISEASE - POLICY LIMIT
<br />S 1,000,000
<br />DESCRIPTION OF OPERATIONS belpw
<br />C
<br />PROFESSIONAL LIABILITY
<br />$2,000,000 PER CLAIM LIMIT
<br />DEDUCTIBLE $15,000
<br />PHSD10OB771
<br />01/01/2015
<br />01101/2016
<br />$2,000.000 AGGREGATE LIMIT
<br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES IACORO 1ai, AddRlpnel RemPMe Schedule, may be eaeched"MOM Open M Mggindl
<br />The Redevelopment Agency of the City of Santa Ana and the City of Santa Ana, It's officers. employees, agents, volunteer and representative are named
<br />additional insured In regards to the general liability on a primary and noncontributory basis as required by written contract.
<br />((''
<br />City of Santa Ana, Housing Authority of Santa Ana,
<br />Santa Ana Redevelopment Agency
<br />PO Box 1988
<br />Santa Ana, CA 927021988
<br />SHOULD ANY 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 />reserved.
<br />I• _ •- r.1—, , Ira nwrcu name anu logo are re91stered morMs of ACORD
<br />
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