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CERTIFICATE OF LIABILITY INSURANCE DATF(MM,°°"vYY) <br />oaroenDlB <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />TE <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, <br />EXTEND OR ALTER THE COVERAGE AFFORDED THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A <br />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 have ADDITIONA INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsement. <br />this <br />A statement on <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Aon Risk Insurance Services West, Inc. <br />CONTACT <br />NAME: <br />Los An eies CA office <br />707 Wilshire Boulevard <br />HONE (866) 283-7122 FAX <br />WC. No. Exq: AIC.No.: (800) 363-0105 <br />EMAIL <br />ADDRESS: <br />Suite 2600 <br />LOS Angeles CA 90017-0460 USA <br />NAIC p <br />NSURERS) AFFORMCoMpary19437 <br />INSURED <br />Homeland Solutions <br />ational Fire Inartford 204782401 <br />he Continental ompany 352892401 <br />Ea <br />East Katella AvenueSuite <br />300exington <br />CA 92806 USA <br />IIINSURER(S) <br />insura19437Anaheim <br />COVERAGES CERTIFICATE NUMBER: 5700fi339a.R9d <br />__ <br />nro IJ Utl<I o -Y HAI 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 88 THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED By <br />PAID CLAIMS. <br />LTR TYPE OF INsuIWJCE Limits shown are as requested <br />IN90 D POLICY NUMBER MMIDDIYYI'Y MMIDO,TV <br />% COMMERnmI can¢Re, n..on i.,, 1 LIMITS <br />CLAIMS -MADE x OCCUR <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />POLICY M PRO- 7 LOO <br />ECT <br />OTHER. <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLYAUTOS <br />HIRED AUTOS NON -OWNED <br />ONLY AUTOS ONLY <br />UMBRELLA LIAR OCCUR <br />EXCESS LIAR F7 CLAIMS -MADE <br />C <br />EACH OCCURRENCE I <br />MED EXP(Any one person) $15,000 <br />PERSONAL 8 ADV INJURY $1,000,000 <br />GENERAL AGGREGATE 1 $2,000,000 <br />PRODUCTS-COMPIOP All 1 $2,000,000 <br />$1,000, <br />BODILY INJURY ( Per person) -------------- <br />�t <br />BODILY INJURY (Per accitlen0 I <br />8 WORKERSCOMPENSATTOI I WC622It ,II , <br />EMPLOYERS' LIABILITY 11 09/201$ 11/09 2016 PER <br />B ANY PROPRIETOR I PARTNER I EXECUTIVE YIN WOrke rS COmpensatl On AOS X STATUTE Of <br />OFFICERIMEMBER E%CLUOED1 NIA WC620541572 11/09/2015 11/09/2016 E. L. EACH ACCIDENT <br />(Manaetory in NH) - Workers Com E. L. DIBEASE-EA EMPLOYEE <br />IFes ppsrm,a �raer compensation CA <br />Professional Liability - er claim $1,000,00 <br />SIR applies Aggregate $2,000,001 <br />PP per policy ter s & ondi i s SIR $250,00( <br />DESCRIPTION OFOPERATIONS I LDGAT ONS I VEHICLES( CORD 101 Addition.1R k S M1 tl <br />yb ha 1l more spacestl) <br />Re. As -Needed Training Courses and EXerci sen. city of Santa Ana, its Officers, employeesyeeS , agents, volunteers and <br />representatives are included as Additional Insured with respect to the General Liability and Automobile Liability policies; and <br />the General Liability policy evidenced herein is Primary and Non-contributory to other insurance available, in accordance with <br />the policy provisions. <br />CERTIFICATE HOLDER <br />City Of Sa"a Ana <br />Attn: Clerk of the City Council <br />20 Civic Center Plaza(M-30) <br />PO BOX 1988 <br />Santa Ana CA 92701 USA <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />�� i/r71 � / • l <br />Qso <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORDRD C(�' j.l td. <br />�,)7goV » fps SE 0 <br />sir: <br />Y <br />N <br />N <br />M <br />0 <br />h <br />