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CERTIFICATE OF LIABILITY INSURANCE 'DA 1MM512015 Y,
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<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(S), AUTHORIZED
<br />REP'RESENTA'TIVE OR (PRODUCER, AND THE CERTIFICATE HOLDER,
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(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 lieu of such endorsement(s).
<br />AoP1. Rrr,k. Insurance Services west, :Cn,..c.
<br />(Los An ell es C:A. Office
<br />------------ .._._. _ _ -.. -_- -...._ ..... .............. ..............._n
<br />PH— N t,56h1� T'89 -4121 FAX (800) 363-0105
<br />(A�IC N�o. Ext). � AAC. No. .
<br />7407 WMi shire Boulevard
<br />E- MtIAIIL
<br />Sufi to 7600
<br />ADDRESS:
<br />LOS Angeles CA 90017 -0460 USA
<br />WVD
<br />POLICY' NUMBER
<br />IMIMIDDfYYYYI
<br />INSUREIR(S) AFFORDING COVERAGE .
<br />NAM#
<br />INSURED
<br />INSURER. A.: National Fire Ins, CO, Of Hartford
<br />2D4713
<br />W'illdarl Homeland Solutions
<br />2401 E, Ratellaa Avenue, Ste,. 220
<br />Anaheim CA 92806 IUISA
<br />INSURER ri'_. The Continental Insurance Company
<br />INSURER . L.e."..xinfgton Insurance Company
<br />351289
<br />:19437
<br />..,. . ! . "�a.
<br />INSURER D:
<br />EACH OCCURRENCE
<br />$1,000,000
<br />INSURER E:
<br />''.. CLAI"m1SfMIAJE X�f7CC'L6?
<br />INSURER F:
<br />COVERAGES CFFtTIFIrATF NIIMRFP2° 57nnfifln.ri4FICI
<br />r FdFU1 IrSN NII'MRI=p-
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED ISELOW 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 POUCIIE,S DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
<br />LTR
<br />TYPE OF INSURANCE
<br />NSD
<br />WVD
<br />POLICY' NUMBER
<br />IMIMIDDfYYYYI
<br />MfudfDDlYYY'N
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />�. ..
<br />..,. . ! . "�a.
<br />f.......
<br />EACH OCCURRENCE
<br />$1,000,000
<br />''.. CLAI"m1SfMIAJE X�f7CC'L6?
<br />RENT
<br />0O0
<br />I_I
<br />PR E VISES(ET)murrence
<br />'�1,N00,
<br />MED E.XP rAniy Urre rr'ersurib
<br />PERSONAIL. & Ad.°J'V INJURY
<br />$1,000,000
<br />CENAGGREGAIE
<br />LIM7APPLIES PER
<br />! GENERAIL AGGREGATE.
<br />S2,()00,000
<br />POLICY M JECT LOC,
<br />CT
<br />PRODUCTS - f;OMPIOP AGG
<br />$2,000,000 '
<br />A
<br />AUTO MOBILE LIABILITY
<br />6020541619
<br />11/09°/201S
<br />11/09/2016
<br />COMBINED SINC LELIMIIT
<br />Ea a=dentL......._®
<br />BODILY INJURY i Per owson)
<br />X ANY AUTO
<br />ALL OWNED SO EDULED
<br />BODILY INJURY(Per' acmdelnt)
<br />AUTOS AUTOS
<br />RR 11,11 IY DAiMA E
<br />Per
<br />HIR:Er'S l6U "P"Cl "S NON-OWNED
<br />'.. _._... AU rCTy
<br />acchderrf
<br />UMBRELLA LIA13
<br />5.1:: CaJ R:
<br />FA:7H OCCURRENCE
<br />EXCESS LIM
<br />CLAUM45 -"'
<br />AGGREGATE
<br />ICYED I RETENTION
<br />B
<br />WORKERS COMPENSATION AND
<br />6022647422
<br />11/07/20l.5
<br />[ ��
<br />11 /i19f 2CI16
<br />X STAaT GTE
<br />ERS LYABILITY Y�N
<br />EIMPLOYPRIS'LI MLITTNUP
<br />Workers Compensation A)5
<br />,., _..
<br />B
<br />ANY PROPRIETOR EXECUTIVE
<br />�
<br />NdA
<br />6020:x41572
<br />1.1„09/,.015
<br />11/09/2016
<br />EL. EACH. ACCIDENT
<br />$1„000,0,00
<br />C7Tr1CICF;VMFfael:R k:XCLadDE t7r
<br />yMlamdla racy ,n NRp...
<br />Workers Compe�nsa.t'ion�.. CA
<br />EL DISEASE- EAEMPLrOYEE.
<br />-
<br />51,1100,000
<br />If yeb desenbe undeir
<br />DESCRIPTION OF OPERATIONS below+
<br />E.LL, 7IS�EASE PIJ1.ic°X h., MIT
<br />n1,000, 000
<br />C
<br />contractor Prof
<br />0211174912
<br />11/09/2015
<br />11/09'2016
<br />Per Claim
<br />S1,000,000
<br />Professional Liability
<br />Aggregate.
<br />52„000,000'
<br />SIR
<br />5250,0610,
<br />DESCRIPTION OF OPERATIONS f LOCATION'S 4 VEIHIC:LES (ACORD 1011 Additional Remarks Schedule, maybe ada.ched if Imoro apace is required)
<br />l ' exercise rite cane, its OffTt:eY"S, Pi11(jlP,yee`i„ agents, volunteers ar4C1
<br />p1
<br />respect
<br />rreyresentatives areli additln"Onall Insue as Sl to General and Auto Liability policies; and the General Liab "ility' pCliCi e.S
<br />evidenced herein 1s primary and rlon- contr'ilbutory t,o other insurance available, In accordance with the policy provisions, Cross
<br />Liability coverage appllies to General Liability. (WINS). Genlelral liability pollicy excludes claims arising out of the performance
<br />of professional services, Independent Contractors are incelLded as respect; to General Liability.
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY Or THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE VVILL BE DELIVERED IN ACCORDANCE WITH THE
<br />POLfCY PROVIISION'S,
<br />City of Santa. Ana AUTHORIZED RLPTRESENfArIVE
<br />Attn: Clerk of the c'ty Council
<br />20 Civic CenteI, Plaxa(Y -30)
<br />Santa tax 1988 ;rt. e..I�GIAGa�R aw YGa�&+Gl�.�w� +?ci'L x..• G.
<br />Santa Ana CA 9270; USA
<br />(D1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD nalm,
<br />ogle are registered marks of ACORD
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