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At <RE) CERTIFICATE OF LIABILITY INSURANCE <br />DATED °` "r ° ° "YYY' <br />os /1s /zols <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 an this certificate does not confer rights to the <br />certificate holder In lieu of such andoreement(s). <br />PRODUCER <br />INSURANCE LAND INSURANCE SERVICES <br />4032 WILSHIRE BLVD <br />STE 309 <br />LOS ANGELES CA 90010 <br />n <br />Cr — RIM <br />PI{pNE <br />,INC <br />No ExN; 213 - 365.5505 <br />EMAIL tl <br />isr®� il�la,aom _ <br />ADDRESS: rian+lEllarid _. <br />INSURERISI AFPORDINO COVERAGE <br />HAM# <br />A :COLONY IusuRSgA_COLONY YNSURANCE COMPANY <br />39993.,..... <br />INSURED JA"�- ��(;)_` <br />XANADU SStiVICE SYSTEM, INC, <br />3010 WILSHIRE BLVD. SUITE 315 <br />LOS ANGELES CA 90010 <br />Iwsunan B. EMPLOYER PREFERRED INSURANCE <br />10346 <br />INSUREAC :IMEGON PREFERRED INSURANCE <br />31488 <br />... <br />INSURER D: ._A <br />INSURER F: _ <br />r nlIMYJA r1FQ P OOTIVU-ATG All IRAMMO- RFVICInM NIIMRFR- <br />THIS 18 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 WrrH 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 />INtl -ik. .....__...._.._�_.�._._..._._. OI,��. .._..._.._.... P$rie (E:y.. .'Ib�T41E <br />LT I TYPE OF INSURANCE POLICY NUMBER M I DIY Y 1 YY LIMITS <br />- <br />COMMERCIAL GENERAL LIABILITY <br />CtAIMS.MADE OCCUR <br />I <br />OL4171421 <br />09 /15 /2015 <br />09 /IS /2010 <br />EACH OCCURRENCE <br />$ 110_00,000 <br />al >YG'R'P:'FI rr <br />.P_RSJ!K�S.iEasF,lw.tellDrJ.. <br />5�.. 100_ 000 <br />000 <br />A <br />y <br />y <br />PERSONAL a ADV INJURY <br />6 1/000/000 <br />AGGREGATE LIMIT APPLIES PER; <br />POLICY J T Lac <br />JEC0 <br />GEN'L <br />GENERALAGGREOATE <br />$ 2,000,000 <br />PRODUCTS COMPIOPAIV ` <br />5, 1, 000, 000 <br />1 BTMI'R:�` <br />A <br />AUTOMOBILE UABIUTY <br />_... <br />2003 Y72588 -01 <br />tlE/tl4 /2olb <br />06 /Od /2017 <br />OINEBS GL II}r1Tl <br />$ 1_000, 000 <br />_ <br />BODILY INJURY (Nerpnnnnl <br />BODILY INJURY <br />b ,_ <br />ANY AUTO <br />' <br />C, <br />_ <br />ALL OWNED SCHEDULED <br />AUTOS — <br />NON AUTOS' <br />. HIRED AUTOS AUTOS <br />BODILY INJURY iPar TCCitlane <br />'#ROPEIki"i'SAT,iAUE <br />Par o�frLVUNI_ <br />9 <br />t - W - <br />_ <br />a _ <br />�� <br />UMBRELLA LIAR <br />EACH OCCURRENCE <br />E <br />NOCCUR <br />EXCESS LIAR CLAIMS IADE <br />AGGREGATE. <br />b <br />I <br />BED RETENTIONS <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PRDPRIETORMARTNEWEXECUTIVE <br />OFPICERIMEMDER EXCLUDED? a <br />(Mandatory In NH) <br />'II oa, deamlln Under <br />OE SCRIPTION OF OPERATIONS below <br />NIA <br />EIG 1663447 03 <br />04/02/201601/o2/2a17—STATUTE <br />.�R�,,,,_ <br />EL EACH ACCIBENT <br />'–'--- <br />El, DISEASE EA EMPLOYEE <br />_ „___ <br />$ 11000,000 <br />$ 1, 0001 000 <br />L. L. DISEASE - POLICY LIMIT <br />$ 11000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddlUOael Remarks 80bedule, may be afaoh.d It mom o,,. ereq.,d) �p <br />y> VV <br />CERTIFICATE HOLDER IS AS AN ADDITIONAL INSURED. ya x f <br />9 � 4.a <br />� tt�. �10A <br />CLERK OF THE COUNCIL <br />CITY. OF SANTA ANA <br />20 CIVIC CENTER PLAZA (M -30) <br />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 />CA 92701 <br />ACORO 26 (2014101) The ACORD name and logo are registered marks of ACORD <br />