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®� CERTIFICATE OF LIABILITY INSURANCE 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, 1 2 /1 4120 1 5YYY, 1 2/1 4120 1 5 THIS CERTIFICATE 15 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 policyli must be endorsed. If SUBROGATION IS WAIVED, subject to the term's 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 (PA N Fax AIC,. Nra„ Ext : 877 362 -6785 APC, No): (B77)677-0447 150 SAWGRASS DR E -MAIL ROCHESTER, NY 14620 ADDRESS: a chex travelers.eom INSURERS) AFFORDING COVERAGE NAIC # (877) 362 -6785 INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA MED EXP An...._ one ri INSURED INSURER B AMERICA ON TRACK 600 W SANTA .ANA BLVD INSURER C . STE 710 INSURER.. D: $ SANTA ANA, CA 02701 INSURER E: ..... .. ......... ...._ .._m.._ INSURER F: COVERAGES CERTIFICATE NUMBER: 149090556581843 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 POLCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR. LTR TYPE OF INSURANCE ADD.. IINSD SUBR WVD POLICY NUMBER POLICY EFF MM /DDIYYYY POLICY EXP MMBDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS. -MADE [--] OCCUR '.... EACH OCCURRENCE $ DAMAGE TO REIN I ED PREMISES 'Ea occurrence $ MED EXP An...._ one ri i $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY D PRO - JECT F-] LbC GENERAL AGGREGATE $ PRODUCTS - COMd.PPOP AGO $ OTHER: $ ''. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT IEa accident} $ BODILY INJURY (Per Person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON - OWNED.. AUTOS PROPERTY DAMAGE (Per accident} $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE ..�. DED'. RETENTION $ $ A WORKERS COMPENSATION AND EMPLCIYER�S' LIABILITY Y/N N/A LaB- 603M4278- 16 �i 1 /01 /201 6 01 /01 /201 7 X PER OTH ACCIDENT .,,•••.. ANY MandaMME BER EXCLUDRIEXECUTIV£ Mancha ry in BEd EXCLUDED? E.L. DISEASE EMPLOYEE $ �.,QQ'CI,O{7C7 ,000,000 If es, descibe under DESCRIPTIOON OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES (ACORD 101,.. Additional Remarks Schedule, may be attached if more space is required, CERTIFICATE HOLDER 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