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CERTIFICATE OF LIABILITY INSURANCE DATE 1 <br />3/3/D <br />3/3/2001616 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS <br />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), <br />AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy les) 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 endorsements . <br />PRODUCER <br />AME T Phyllis Wilcox <br />Commercial Management Insurance Services Inc. <br />PHONE (714)414-1167 FAX IAIC No: (714) 414-1195 <br />CA License OD85058 <br />E .pwilcox@cmis-ine.com <br />22875 Savi Ranch Pkwy, Suite R <br />Yorba Linda CA 92887 <br />INSURER(S) AFFORDING COVERAGE NAIC0 <br />INSURERA:Valle Fore Ins Company 20508 <br />INSURED <br />INSURERB:National Fire Insurance of Hartford 20478 <br />Lidgard & Associates Inc. <br />INSURERC:Continental casualty Company 20443 <br />2592 N Santiago Blvd <br />INSURER D: <br />INSURER E: <br />PERSONAL 8 ADV INJURY $ 2,000,000 <br />Orange CA 92867 <br />INSURER F• <br />v,.,r�nnaaco a..cR r,rr�.a r r h1,MFfFH•10-1 f e6A2i"CKK oc.n�,r1�r w um,-e�_ <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 />IN <br />R <br />TYPE OF INSURANCE <br />ADDLSUBR <br />20 CIVIC CENTER. PLAZA <br />POLICY NUMBER <br />POLICY EFF <br />0 <br />POLICY EXP <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS nMDE XQ OCCURPREMISES <br />Michael Wakely/PHYLL--- <br />EACH OCCURRENCE $ 2,000,000 <br />(E rxe $ ` 300,000 <br />X <br />84022998395 <br />3/4/2016 <br />3/4/2017 <br />MED EXP (Arty one parson) $ 10,000 <br />PERSONAL 8 ADV INJURY $ 2,000,000 <br />GEITL AGGREGATE LIMIT APPLIES PER: <br />X POLICY ❑ JECT El LOC <br />GENERAL AGGREGATE $ 4,000,000 <br />PRODUCTS -COMPIOP AGG $ 4,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />E MBINED SINGLE LIMB $ 11000,000' <br />B <br />X ANY AUTO <br />ALLOSMED SCHEDULED <br />AUTOS <br />B4022990431 <br />3/4/2016 <br />3/4/2017 <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) S <br />NON-0WNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE $ <br />Per idem <br />Uninsured motorist BI 14 limit $ <br />X UMBRELLALIAB <br />X <br />OCCUR <br />EACH OCCURRENCE S 3,000 000 <br />AGGREGATE $ 3,000,000 <br />CEXCESSLIAB <br />CLAIMS•MADE <br />DEO I X I RETENTIONS 10"000 <br />g <br />84022998526 <br />3/4/2016 <br />3/4/2017 <br />BOFFICE <br />WORKERS COMPENSATION <br />AND EMPLOYERS• LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />EMBER EXCLUDED? <br />(Mandatory In NH) <br />II ye9, describe under <br />DESCRIPTION OF OPERATIONS below <br />N!A <br />1rC422998476 <br />3/4/2016 <br />/ <br />3/4/2017 <br />ORH <br />X STALITE <br />E.L.EACH ACCIDENT $ 11000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1 000 000 <br />E.L. DISEASE - POLICY LIMIT S 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 4ACORD 101, AddlUonal Remarks Schedule, may be attached U more apace Is required) <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSUREDS <br />WITH REGARD TO GENERAL LIABLITY AND DEFENSE OF SUITS ARISING FROM THE OPERATIONS AND USES PERFORMED BY OR <br />ON BEHALF OF THE NAMED INSURED AND WITH RESPECT TO CLAIMS ARISING OUT OF THE OPERATIONS AND USES <br />PERFORMED BY OR ON BEHALF OF THE NAMED INSURED AS PER THE ATTACHED SB -300113-C 06 11. GENERAL LIABILTIY <br />IS PRIMARY AND NON-CONTRIBUTORY WITH ANY OTHER INSURANCE CARRIED BY OR FOR THE BENEFIT OF THE ADDITIONAL <br />INSURED AS PER THE ATTACHED SB -146935-C 06 11. THIS INSURANCE APPLIES SEPARATELY TO EACH INSURED AGAINST <br />WHO CLAIM IS MADE OR SUIT IS BROUGHT EXCEPT RESPECT TO THE COMPANY'S LIMITS OF LIABILITY. THE INCLUSION <br />CERTIFICATE HOLDER CANCELLATION <br />Q 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD <br />INS026 (201401W <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />TH3 CITY OF SANTA ANA <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC CENTER. PLAZA <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />Michael Wakely/PHYLL--- <br />Q 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD <br />INS026 (201401W <br />