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CERTIFICATE OF LIABILITY INSURANCE I DATE MM,Bp Y Y) <br />nzrnxnn�a <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(ies) must be endorsed. It 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 Insider in lieu of such andorsomentfsl. <br />PRODUCER I NAME <br />PHONE <br />Hiscox IND. dtbtaf 1- isepx insurance Agency in CA ._Bxtl...CBSEj 202-300? <br />520 Madison Avenue o.nuRI Ss: C0ntaCt@hiSCQXC <br />92nd Floor I MauRER19IA <br />10200 <br />STFWGHTLINE GOMMUNICATIONS <br />14980 Greenleaf Street <br />v»nve:onr_�c rCRTGCN-ATC MIIINORCO, RFVISION NIIMRFR' <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURF„D NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIR5MENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W17H RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE A.=FORDED BY TI4E 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 />_^• <br />R'OtiCYYYYY MM/d0 E1+Y <br />I aaH—.--.__._....__� ...__ R'''"®..._�.POLIOY <br />TYVE dF INSURANCE NUMBER <br />LIMITS .. <br />COMMERCIAL. OENERALUABILITY <br />TACH OCCURRENCE 8 <br />CLAIMS -MADE OCCUR <br />'AMA E'a�T6Fs�EPYc�d••.' —. <br />�jjENIISES (Ee naurrdlYuaf_-- $ <br />MED EXP (Any one Persanj $ <br />PeRSONA_L a ADV INJURY' $ <br />GENL AGGREGATE LIMIT APPLIES PER <br />OENERALAaGREGATE$ <br />�3 POLICY a JECT O LOC <br />PRODUCTS-COMPIOP AGO $ <br />OTHER: <br />AUTOMOBILE L@ABILITY <br />COMBINED SINGLE LIMIT <br />.aarrleonl <br />$ <br />ANY AUTO <br />BODILY INJURY (Pei perwri- <br />$�� <br />ALL OWNED SL'} <br />yDOILY INJURY (Paracpiieni) <br />AUTOS ^'' AUT -OWNED <br />NON -OWNED <br />PROPERTYDALIAGE <br />Sm-� <br />481REORUTOS -_-, AUTOS <br />1 r acc aent7 <br />UMIAELi Lli OCCUR <br />EACH OI;CURRENGE <br />$ <br />EXCESS LIAR CLAIMS -MADE <br />ADGItEGATE r <br />5 <br />DEO RETENTIONS <br />5 <br />WORHERS COMPENSATION� <br />STATUTE Lfi <br />AND EMPLOYERS' LIABILITY <br />YNlA IN <br />W— <br />ANYPROPRIETORIPAR'INERIEXECUTIVE <br />C.L. EACH ACCIDENT <br />$ <br />OFFICERIMEMBITRE%OLUJOED4 <br />rMendatory in bri <br />_E.L. DISEASE -EA EMPLOYE£ <br />S <br />rc yyaA. dBs«ae unser <br />DESCWPTION OF OP£RA'nONS below <br />EG. DISEASE- POLICY LIMIT <br />$ <br />Professional Liability <br />Each Claim: $ 1L,000,000 <br />A Y UDC-1531232•EO-16 <br />01112!2016 <br />01/12/20'I'V <br />Aggregate: 1,000,000 <br />DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES IACORO tat, Additional Remarks schedule., maybe attached if more space is ragaired) <br />The City of Santa Ana and its offiosrs, employees, agents, YOU ntesrs and representatives each While acting under the direction of The City of Santa Ana are <br />named as additional Insui eds. <br />r iea-,-@C.IATC U rt MUD rAKIPPI I ATInM .J.- r`, iP-- �4 <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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, POLICYPROVISIONS. <br />AUTHoti REPRESENTATIVE <br />91988-2814 ACOKU COKFUKAI ION. All rignts VIS0rY0p. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />