LAUIRA-1 OP ID: KO
<br />CERTIFICATE OF LIABILITY INSURANCE /10/2014
<br />—=,T�o ,11011,
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: It the certificate holder is an ADDITIONAL INSURED, the poitcy(ies) 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 tied of such endorsements L—
<br />PRODUCER CONTACT
<br />Friedmann & Friedmann Ins Svcs NAM, $11nally Hahner
<br />PHONE 949-253-8000
<br />CA License #0769373 FN_C tL.i, 94
<br />-253.8009
<br />3990 Westerly Place $tflus 100
<br />_—.- cartificatas0fandifins.corn
<br />INSURED
<br />Drive, Suite 225
<br />CA 92694
<br />COV5RAnFA CERTIFICATE NIIMRFR- PrVlqtr)N N[IMRrP-
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IS—SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT', TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT
<br />TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL, THE TERMS,
<br />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE
<br />BEEN REDUCED 5YPAID CLAIMS.
<br />TYPE � INSURANCE Haag i WYO e POLICY NUMBER
<br />LIMIT$
<br />A T X �COMMERCIAL GENERAL LIABILITY i I
<br />1 EACH- OCCURRENCE S
<br />1,000,000
<br />L CLAILS,MAOff X'OCCGR X 1 PHIPKI244684
<br />j1120151QAFNAO��T� Lf
<br />10/11120141 101 i p2RgEMIL§E�gmuc Re" )—I S
<br />,2U. I
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<br />100,000
<br />A Pride.l.m.1 Lea
<br />1011 jf2014 1011112015 i1Z Cap
<br />A ",'X i itmucemmk Ames.
<br />10111)(20i,l, 1011112015 r
<br />-A�
<br />�2ERL AGGREGATE LIMIT APPLIES PER:
<br />1 GENERAL AGGREGATE s
<br />i
<br />3 000,000
<br />,
<br />mT
<br />Y I j2ei LOG
<br />PRODUCTS - COMPIOP AGO I$
<br />3,0f)0,000
<br />!BED s
<br />NI
<br />AUTOMOBILE LIABILITY
<br />1 -
<br />11000,000
<br />A X ANY AUTO 0HPKI244084
<br />1011112014 1011112015 i BODILY INJURY (Pal pe,cmd S
<br />ALL OWNED SCHEDULED
<br />AUTOS I AUTO$
<br />BODILY INJURY (Per accldimt), S
<br />-TT,�R—ERW
<br />NON-OWNED
<br />X E AUTOS HIRED AUTOS
<br />CACIA,
<br />�fPPeLiuE]JwIQ-----
<br />X UMaRMLFA I.MD I X OCCL, R 1
<br />L EACH OCCURRENCE S
<br />1,000,000
<br />A EXCESS LAS CLAIMS -MAOE! PHUB477349
<br />1011112014 1011112015. AGGREGATE :S
<br />1,000,000
<br />DCD XI RETENTONS
<br />I ------------
<br />is
<br />WORKERSCOMPENSATION
<br />OTT.
<br />SPIEIA"TITI Z 'ER
<br />ANDEMPLOYERVIJAgUTY Y I
<br />:ANYPROPRIETM PARTHERAIXECITTIVIE
<br />E.L. EACH ACCIDENT
<br />0, NIA
<br />(Mandatory m N, 1
<br />i`L DISEASE-EA EMPLOYE9 3
<br />If-
<br />,admomo,mem,
<br />, RIPI ION OF OPERATIONS fourceo
<br />E.L. DISEASE POLICY LIMIT I S
<br />— - — - — -
<br />A Crime iPHPKI244684
<br />1011112014, 1011112015:Emp Theft
<br />200,000
<br />DED 2500
<br />(Forgery
<br />200,000
<br />De$CRIPCON Of OPERATIONS I LOCATIONS IVENDLES (ADORE 10L Addldmral Remarks Schedule, may be attached If More space is required)
<br />The City of Santa Ana, its officers, employees, volunteers, agents and
<br />representatives are included as Additional Insured per wording incorporated
<br />into the policy Forms. This insurance is primary.
<br />P=JPTH710�ATN WCu 1190 hAMPOI I hTfnM
<br />CITYS•8
<br />SHOULD ANY OF I Fir ABOVE DESCRIBED POLICIES
<br />City of Santa Ana
<br />20 Civic Center Plaza, 6th FI
<br />BE CANCELLED BEFORE
<br />THE EXPIRATION LATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />Santa Ana, CA 92701
<br />AUTHORIZED K111111�11T'7;
<br />@ 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
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