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ACC>R& CERTIFICATE OF LIABILITY INSURANCE
<br />DATEIMMIDDIYYYYI
<br />9/1/2016
<br />6/1/2016
<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 />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 endorsement(s).
<br />PRODUCER Lockton Insurance Brokers, LLC
<br />CA License #CF15767
<br />Two Pmbarcadero Center, Suite 1700
<br />San Francisco CA 94111
<br />CONTACT
<br />NAME:
<br />PH NE FAX
<br />AJC, No, Ext : AIC, No;
<br />E -MAI'L
<br />ADDRESS:
<br />INSURERS AFFORDING VERA E
<br />N IC tt
<br />(415) 56$ -4000
<br />INSURER A : Valley Fare Insurance Comparly
<br />20508
<br />EACH OCCURRENCE
<br />INSURED Active (network, LLC
<br />1394474 717 North Harwood St., Suite 2500
<br />Dallas TX 75201
<br />�-y /^�
<br />�.s C.% e, -`.... 0..,,9 "; M ll
<br />INSURER B:: National Fire Insurance Co of Hanford
<br />20478
<br />INSURER C; `The Continental Insurance Company
<br />35289
<br />INSURER D: I''llidtk011a.l L1n1p11 I"�lre Ills. Co Pitts. I'T:A
<br />] 9445
<br />INSURER E : Cpluail(Tla Casualty Corn]2any
<br />131127
<br />09 -1 ... C5 t
<br />INSURER F :
<br />X
<br />COVERAGES 1084882 CERTIFICATE NUMBER: 12901217 REVISION NUMBER: XXXXXXX
<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 />'.INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SuBR
<br />WVD
<br />I POLICY NUMBER
<br />POLICY EFF
<br />MM DD fYYYY
<br />POLICY EXP
<br />(MMIDDfYYYYI
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL. LIABILITY
<br />Y
<br />N
<br />001 6940273
<br />6/1 /2016
<br />6/1/2017
<br />EACH OCCURRENCE
<br />S 1 000 ,000
<br />CLAIMS -MADE � OCCUR
<br />PREMISES DAMAGE OEa Al." r nce
<br />1,000,000
<br />X
<br />MED EXP An one erson
<br />1. ,5 000
<br />.
<br />' -lost. Liquor Llal]
<br />Included
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:,
<br />POLICY ❑ JE O E] LOG
<br />'.GENERAL AGGREGATE.
<br />$ 2,0001000....
<br />''..PRODUCTS � COMPIOP AGG
<br />$ 2,000,000
<br />OTHER
<br />'',$
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />rj
<br />''N
<br />6046940239
<br />Ci/1d2016
<br />6J1 /2017
<br />COME'iNED SINGLE V.CM.2I1"
<br />Ea accident
<br />1 1,000,000
<br />BODILYINJURY(Perrerson)
<br />$ XXXXXXX
<br />AUTOS NED AUTOSDULED
<br />IXANYAUTO
<br />BODILY INJURY IPer accident
<br />$ XXXXXXXNON
<br />-OWNED
<br />AUTOS AUTOS
<br />PROPERTY DAMAGE
<br />Per accident
<br />$ XXXXXXXHIRED
<br />$ XXXXXXX
<br />Comp $500 }, Coll $500
<br />B
<br />X
<br />UMBRELLA LIAB
<br />}�'
<br />OCCUR
<br />N
<br />1`,1
<br />6016940287
<br />6, /1' /2016
<br />6/1/2017
<br />EACH OCCURRENCE
<br />$ 25,000,000
<br />AGGREGATE
<br />$ 25,000,000
<br />EXCESS LI!AB
<br />CLAIMS -MADE
<br />OED RETENTION $
<br />$ XX}y'Xxxx
<br />C
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'LIABILITY YIN
<br />ANY GFFACERfME,NSEiER En( LU DEDEXLCa1TIVF 1
<br />iMnndecory Jn NH)
<br />r yes, dl's -b —d! or
<br />DESCRIPTIDN Cr DPERATION!S Ge.vow
<br />NIA
<br />N
<br />601.6940256
<br />6/l /2016
<br />6/1./2017
<br />PER OTH-
<br />X I STATUTE ER .,..
<br />E.L. EACH ACCIDENT
<br />ry.Fy,,..,r�.l, ,
<br />! 1. t /A('AyO I(J
<br />E.L. DISEASE . EA EMPLCIYFE
<br />E.L. DISEASE � POLICY LIMIT
<br />/t'Jy0
<br />000
<br />s 1,000,000
<br />D
<br />F,,
<br />Cnnc
<br />Tech E&O/CyberLiability
<br />N
<br />N
<br />01- 365 -12 -18
<br />596571163
<br />61112016
<br />4/301 2015
<br />911/2016
<br />911/201.6
<br />S 5,000,000 Limit
<br />51.0,000,000Limit
<br />D
<br />Clauns Made
<br />01- 261 -30 -88
<br />413012015
<br />91112016
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />City or Santa Atha Parks, Recreation and Cpminunity Services Agency, Its officers, agents and employees are included as Additional Insured t eXieht�
<br />provided by the policy language or endorsement issued or approve(] by the insurance can,ier. Insurance provided to Additional lnsu'red(s� Is,,y�� and
<br />non- contributory as per the attached endorsements or policy language.
<br />9 � •qyp
<br />12901237
<br />City of Santa .Ana
<br />Attu: Silvia Cuevas
<br />Parks, Recreation and Community Services Agency
<br />26 Civic Center Plaza
<br />Santa Ana CA 92701
<br />ACORD 25 (2014101)
<br />SHOULD ANY OF THE ABOVE /DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />C� 1988.2014 ACORD CORPORATION. All ricthts
<br />The ACORD name and logo are registered /narks of ACORD
<br />
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