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ALCOR" CERTIFICATE OF LIABILITY INSURANCE <br />DATE p,IliJGD Y Y1 <br />6/22/2015 _ <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(los) must he 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 (foes not confer rights to the <br />certificate holder In HER of such endorsements . <br />PRODUceR Garrett/Mosier/Griffith/Sistrunk <br />Risk Management & Insurance Services <br />12 Truman <br />Irvine, CA 92620 <br />NONTACT—,_,__.__ ,.._.— <br />Ho _ s Na,: 9a�Z5�_s7o3 <br />r1 ZjUUj .. ��ag) 59 6706 1 <br />AIL <br />ADDRESS: ..� _.. __... <br />INEURERf�,APPOflDIt1G COVERAGE <br />NAICM <br />Venv.gmgs,Com 0804519 <br />INSURER A: The Ohio Casualty Insurance CempanY24074 <br />6/2212016 <br />INSURED <br />Superior Property Services, Inc. Cif <br />9729 Perkins St. Q t Lf _.C�r� <br />INSURERS A, ertCen lfe alld 3aSUBiI Cwnp <br />_ 24060 <br />INsuaeac C press hTsuranco CompenY_..... <br />10855 <br />URO <br />HSRE <br />MER EXP M onePerson) <br />Pico Rivera CA 90660 <br />_.._,_._�,,,,, ._ <br />INSVRERE:.__.... ._. <br />_..__.15,000 <br />S 11000,000 <br />�AA ! <br />14- aVi('J `�.'-t.-5 <br />.._. <br />NSURER F: <br />5 2,000,000 <br />PROOUC's-GOLIP/OPAGG_ <br />COVERAGES CERTIFICATE NUMBER: 25203400 REVISION NUMBER: <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 WrTH 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 />EXCLUSIONSAND CONOITION_SOF SUCH POLICIES. LIMITS S_H_OWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ <br />INSR <br />LT <br />rypE OF INSUMNCE <br />AGOL <br />AUTHORIZED REPRESENTATIVE' <br />POLICY NUMBER <br />'UVL000 V <br />M1ILIDD <br />LIP.fliB <br />A <br />,✓ <br />I COMMERGtALGENERAL LIABILITY <br />CIAIM1IS-lfAOE MOCCUft <br />2000 <br />81(0(16)56589676 <br />612212016 <br />6/2212016 <br />EACHOCCURRENCE <br />5 1.000.000 <br />AYiB'TriRENTEO._... <br />ER Js Ee lEanur rr gp£q� <br />5--„ $00.000 <br />✓ <br />MER EXP M onePerson) <br />5 <br />PERSONAL G ADV INJURY <br />_..__.15,000 <br />S 11000,000 <br />LIMIT APPLIES PER .. <br />GEN L AGGREGATE LI_J <br />POLICY ❑ 3ppi too <br />OTHER; <br />OF. NERAL AGGREGATE <br />5 2,000,000 <br />PROOUC's-GOLIP/OPAGG_ <br />5 2,000,000 <br />$ <br />B <br />AUTOMOBILE LIASILRY <br />✓ ANY AUTO <br />ALLOAIVEG <br />AUTOS AUTOSULED <br />NOUTOSNO'NNEO <br />HIREDAUTOB PV A <br />BAA(10)66560876 <br />$500 Coll Dad <br />$500 Como Ded <br />6/2212015 <br />6f2212016 <br />MgAgqoqL ' E u,u <br />5 „vy000,000 <br />BODILY INJURY (Per p�arsont <br />5 <br />BODILY INJURY (Par ocddenl) <br />5 <br />pRGPERTY DAl.A ""F <br />5 <br />ICED <br />UMBRELLA Line <br />LIAR <br />OCCUR <br />OCCUR <br />CLAIEIS-MAOE <br />IOCCURREE <br />-EAC —NC -- _ <br />AGGREGATE <br />-L— <br />I I RETENTIONS <br />_...,..—. <br />$ <br />Q <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY y1II <br />ANY PROPRIETCRIPARTNEWEXEC UTIVF. <br />pFRGEReTEMUER EXCLUDEDT <br />(Mandatary In NH) <br />It y9a Jambe under <br />DES 1UPT10N OF OPERATIONS be:ax <br />NIA <br />µ <br />SUWC604101 <br />p*e0% <br />i'a �?vtv <br />1 <br />J <br />12T,016 <br />i <br />y 1 <br />`1 <br />6122/2016 <br />PER E ERH_ <br />EL EACH ACCIDENT <br />5 1,000,000 <br />E.LpISEASE-EAEPAPLOYEE <br />S 11000,000 <br />E. L. DISEASE -POLICY LIMIT <br />S 1,000,000 <br />,U 1a <br />DESCRIPTION OF OPERATIONS LOCATIONS IVEHICLF.S (ACORD IT, Additional Rnnac Nt�y allachxl Rin.m space Is required) —" <br />As respects General Liability coverage, City of Santa Ana, Its officers, employees, agents, Volunteers acrd representatives are added as Additional <br />hTsureds and this insurance Is primary, per 3088100413 attached. <br />CERTIFICATE HOLDER CANCELLATION <br />Clerk of the Cit Council <br />Y <br />City of, Santa Ana <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 />20 Civic Center Plaza (M-30) <br />P,G. Box 1988 <br />Santa Ana CA 92701-1988 <br />AUTHORIZED REPRESENTATIVE' <br />I <br />Michael Finn <br />---- �- - 010882014 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2014/01) The ACORD nome and logo aro registered marks of ACORD <br />2Szma140 1 15.I6 d-cHTnuvu 13,151Yoa RoxA 1612x12015 I: 13, TS P:: IFOrI I eAya I ed S <br />