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CERTIFICATE OF LIABILITY INSURANCE DATEiMMIDDIYYYY)
<br />&!2112018
<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 pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed,
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsomont(s).
<br />PRODUCER GarretmosierlGriffith/Sistrunk
<br />NT
<br />NAME: JaSlyrin RDW@
<br />AME;
<br />Risk Management & Insurance Services
<br />12 Truman
<br />__- -
<br />PHONE FAX
<br />_ 949 559.3377 ......................:..._ [±�c, Noj 949 559 67D3_
<br />Irvine, CA 92620
<br />l.
<br />laslynnr m
<br />ADDRESS: Qg,_,gs;cgm..................
<br />GEN'L AGGREGATE LIMIT APPLIES PER: ;.
<br />INSURER{8) AFFOFIDI NG C()V ERAGt NAIL I!
<br />www gmgs com ."......._..... pBS4519
<br />..
<br />INSURER A Mt Hawley, Insurance. Company..... _. __... 37974-,-,......_.
<br />INSURED
<br />Superior Property Services, Inc.
<br />......
<br />INSURER,a,_, American Fire Casually,Company 24066,,,.,
<br />9129 Perkins St,
<br />INSURER C.., ,.
<br />Pico Rivera CA 90660
<br />INsuRers,D Cypress Insurance Company 1085 ..............
<br />OWNED SCHEDULED
<br />AUTOS ONLY _._ ti AUTOS
<br />INSURER E :
<br />HIRED NON•OWNNEO _
<br />INSURE=R P:
<br />UUVt_-MAUktN (:FF(TIFI(:ATF NIIMRFR' ghAOK7-)A Pr-WiCI(1N NIIMpr-M.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A80VE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMI=NT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
<br />DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY AE 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 />............. ....... .............. ...................._..,........,.... AADI.�SGi3R __...-- ----. ____-....._.POLIGYEFF-'. POL[i]YEXP
<br />LTR TYPE OF INSURANCE POLICY NUMBER �� MMlODIY '. MMlDf]
<br />.................._........_._.. ......_...---- ._._.__................ ........
<br />LIMITS
<br />A COMMERCIAL GENERAL LIABILITY MGL0186342 61221`2016 612212017
<br />'', EACH OCCURRENCE 5 1,000,000
<br />CLAIMS -MADE / 'OCCUR
<br />;. ......: _
<br />r5AlJ{AGE tO R1 N1 El5 --
<br />PREMI$E5 [Ee ocgurcenceZ,,. , r 5 .... 500 000
<br />MEC EXP (Any ono person)........ 1,000
<br />PERSONAL &A0VINJURYS 1,OG0,000
<br />. ..
<br />GEN'L AGGREGATE LIMIT APPLIES PER: ;.
<br />CBENERALAGG1tEGATE -, $ 2,000,000
<br />POLICY PRO -
<br />POLICY JECT LOO
<br />. .............................. .......
<br />PRODUCTS • COMPlOP AGG $ 2,000,000
<br />. ............. ................
<br />OTHER:
<br />5
<br />8 AUTOMOBILE 4IA9ILITY _
<br />_OMBiNOSL£ LIMITsdIV1,000.000
<br />ANY AUTO _.
<br />BODILY INJURY {Per person) $
<br />OWNED SCHEDULED
<br />AUTOS ONLY _._ ti AUTOS
<br />........... ..........._,_....�.__.............. ...... ..........
<br />BODILY INJURY (Per accident) $
<br />HIRED NON•OWNNEO _
<br />-PROPERTY t3AMAGE ......................:........
<br />$
<br />:.✓ .�. AUTOS ONLY _ , f_;, AUTOS ONLY $500 Coll Ded €_
<br />-. ,{Per axideni�_
<br />500 Como Dad
<br />s
<br />UMISRELLALIAB i OCCUR ..._,...........�.,..»..
<br />EACHOCCIJRRENGE .. $
<br />EXCESS LIAR CLAIMS -MADE
<br />AGGREGATE S
<br />DED ` RETENTION $ -
<br />S
<br />D IWPRKERSCOMPENSATION 'SUWC711872 6/22/2016 =6122112017
<br />;PER DTH•
<br />AND EMPLOYERS' LIABILITY YIN
<br />`.ANYPROPRIETORIPARTNER/CXGCUTVE-
<br />'OFFICERlMEMSEREXCLUDE0 NIA. -
<br />E.L. EACHACCIOENT S 1 000 000
<br />--
<br />(Mandatory In NH) :
<br />iw L. DISEASE EMPLOYEE $1 Q�Q 000
<br />F yyes. deseriBe under
<br />.EA .....
<br />:DESCRIPT€ON DFOPERAT1ON5Wow
<br />E-L.DISEASE-POLICYLIMIT S 1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS IVEHECLES (ACQRD 101, Additional Remarks Schedule, maybe attached Ir more speao is required)
<br />As respects General Liability coverage, City of Santa Ana, its officers, employees, agents, volunteers and representatives are added as
<br />Insureds per 620330413 & 0020370413 attached, and this insurance is primary, per CG20010413 attached.
<br />E Er i�^ I c nvt_usn UAINUM"R 1 IUN
<br />Clerk of the Cit �OUI1Ci) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza (M-30)
<br />P,Q, BOX 1988 AUTHORIZED Santa Ana CA 92701-1988 ;�.
<br />Michael Finn
<br />© 19BB-2015 ACQRD CORPORATION. All rights reserved.
<br />ACQRD 25 (2016103) The ACORD name and logo are registered marks of ACQRD
<br />30M195'!20 16-1-7 A.PH/(310./U I Zazlynn Rave 1 5/21/2016 11:08:19 AN (PDT) I Page 1 o[ 5
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