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A'coRbr CERTIFICATE OF LIABILITY INSURANCE <br />�...+�� <br />DATE (MM <br />12/221/2015 <br />12/22/2015 <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(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 andorsement(s). <br />PRODUCER <br />CONTACT Susan Dias <br />NAME: <br />InaUrariCe Solution? <br />License #0746539 <br />PNONE„a, (949)348-7400 = No, (949)348-2373 <br />ADDRESS: SusanD@ins— solutions. com <br />33302 Valle Rd, Suite 200 <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURERA:The Ohio Casualty Insurance Company 24074 <br />San Juan Capistrano CA 92675 <br />INSURED <br />INSURER Allmerica Financial Benefit 41840 <br />INSURER C American Fire and Casualty Company 24066 <br />Professional Sports Field Maintenance Inc <br />23 Emerald Gln <br />INSUR.ERDState Cc= Ins Fund 35076 <br />INSURER E: <br />Laguna Niguel CA 92677 <br />1 INSURER F: <br />COVERAGES CERTIFICATE NUMBER:15-16 ALL 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 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 />ILTR <br />TYPE OF INSURANCE <br />BR <br />POLICY NUMBER <br />MMIDCIYYVY <br />MMIDDIYYYV <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑X OCCUR <br />EACH OCCURRENCE $ 1,000,000 <br />AMAGLTO ED <br />PREMSES IEa occurrence $ 500,000 <br />MED EXP (Any one person) $ 15,000 <br />BKO57062484 <br />12/21/2015 <br />12/21/2016 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />SENT AGGREGATE LIMIT APPLIES PER: <br />X POLICY PE�7 0 LOC <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS COMP/OP AGO $ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ 1 , 000 , 000 <br />Ea acGdenl <br />B <br />X�ANY AUTO <br />ALL OB OWNED SCHEDULED <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />AW3A377777 <br />8/26/2015 <br />8/26/2016 <br />_ <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE <br />ROPEPer ldent $ <br />Uninsured molorlst combined $ 300,000 <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EACH OCCURRENCE S 2,000,000_ <br />L, <br />EXCESS UAB <br />El <br />CLAIMS -MADE <br />_ <br />AGGREGATE $ 2 000,000 <br />DED <br />ETENTION$ <br />Is <br />ESA56274048 <br />10/1/2015 <br />10/1/2016 <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />If yes, describe under <br />NIA <br />16207476-2015 <br />2/26/2015 <br />2/26/2016 <br />P R OT - <br />Y_ STATUTE ER <br />E, L. EACH ACCIDENT $ 1,000,000 <br />E, L. DISEASE - EA EMPLOYE $ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT $ 1 000,000 <br />DESCRIPTION OF OPERATIONS below <br />a"y. <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more p ce is re ulretl) Xv <br />The City of Santa Ana, it's officers, employees, agents, and repreaenta a..e i ed as additional <br />insured per the attached endorsement. <br />�.Jracj <br />P V <br />(714)647-6944 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Attn: Purchasing Department ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE <br />Alessandra/PETERS <br />©1988-2014 ACORD CORPORATION. All rinhta rneervad_ <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />INS026 t9nur n <br />