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A� & CERTIFICATE OF LIABILITY INSURANCE 0DATE 7 /13 /2015YYY) 07/13/2015 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(ies) 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 CONTACT NAME: PAYCHEX INSURANCE AGENCY INC 150 SAWGRASS DR ROCHESTER, NY 14620 PHONE FA% qIC No Eat: 877 382 -8785 AIC No: 877 877 -0447 E-MAIL ADDRESS, ra chex travelers.com INSURER(S) AFFORDING COVERAGE NAIC # (877) 362 -6785 INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA MMIDDIYYYY LIMITS INSURED AMERICA ON TRACK INSURER B: COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR INSURER C: 600 W SANTA ANA BLVD INSURER D: STE 710 SANTA ANA, CA 92701 INSURER E: DAMAGE TO RENTED PREMISES EB bbb'u. ca $ INSURER F: MED EXP (Any one person) COVERAGES CERTIFICATE NUMBER: 593243737451491 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. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSO WVO POLICY NUMBER MM /DO/YYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES EB bbb'u. ca $ MED EXP (Any one person) $ PERSONAL &ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO - JECT LOC GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ OTHER: $ AUTOMOBILE LIABILITY O B COMBINED M C CO BIKED SINGLE LIMIT $ BODILY INJURY (Per person) $ ANY AUTO AU OS SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Peraccidant) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ p` WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN NIA UB- 603M4278 -15 01/01/2015 01/01/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETORIPARTNER /EXECUTIVE❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 f yes, describe untler DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) CITY OF SANTA ANA 20 CIVIC CENTER PLAZA M25 SANTA ANA, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE . © 1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD