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ACCORE) CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMODIYYYY) <br />5/3/2017 <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 peiicy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, oartain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certlficate holder in lieu of such endorsement(s). <br />PRODUCER <br />NAMEA07 Dorothy Berryhill <br />NFP P & C Services, Inc, - Orange County <br />1551 N. Tustin Ave <br />PHONE (71$) 505 555D C (714) 975-8966 <br />ADDRESS:dorothy.berryhill@nfp.com. <br />INSURER b AFFORDING COVERAGE <br />NAIL 0 <br />Suite 500 <br />INSURERA:Ohio Security Ins Ca <br />Santa Ana CA 92705 <br />INSURED <br />1NSURgRe:Allameriea Financial Benefit Ina Co <br />INSURER0: <br />Stage Plus, Inc. p�a201-7- d,�r� <br />INSURER D : <br />rs <br />P.O. Box 11060 V J <br />INSURER E : <br />1 INSURER F: <br />Santa Ana CA 92711 <br />COVERAGES CERTIFICATE NUMBER:CL1742706243 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR <br />LT <br />TYPE OP INSURANCE <br />ADDL <br />SUBR <br />POLICYNUMBER <br />POLICY EFF <br />Y Y <br />POLICY EXP <br />LopolyYYY <br />LIMITS <br />A <br />X <br />.� <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � DCCUR <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE TO RENT 0 <br />PREMISE& Es accurr®ncs <br />$ 1,000,000 <br />MED EXP (Anyone person) <br />$ 15,000 <br />X <br />B9S 17 ,51143578 <br />7/29/2016 <br />7/29/2017 <br />PERSONAL & ADV INJURY <br />$ 11000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY ❑ PRO- ❑ LOC <br />JECT <br />GENERAL AGGREGATE <br />$ 2, 000, OOD <br />PRODUCTS - COMPIOP AGG <br />$ 2,000,000 <br />$ <br />OTHER; <br />AUTOMOBILE LIABILITY <br />COMHINED SINGLE LiMn' <br />Ea ccldenl <br />$ 1,000,000 <br />BODILY INJURY (Par person) <br />$ <br />13 <br />ANY AUTO <br />_ AUTOALLOSNED <br />AUTq$ULED <br />AW3 D]63942-00 <br />3/5/2017 <br />3/5/2018 <br />BODILYINJURY(Peraccident) <br />S <br />HIREDAUTOS NON -OWNED <br />AUTOS <br />Ix <br />PROPERTYUAMAQE <br />Per accident <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />- <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />.$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />° <br />DED RETENTION$ <br />_ 1A <br />00'0$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERWLIABILITY YIN <br />CFRCERIMEIMBEORrEXCLUDED? ECl1TIVE ❑ <br />N f A <br />_1, <br />�� <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE • EA EMPLOYE <br />$ <br />(Mandatary In NH) <br />If yes, describe under <br />'4 <br />�� , <br />E.L. DISEASE - POLICY LIMIT <br />1 $ <br />DESCRIPTION OF OPERATIONS below <br />®®® <br />OF-SCRIPTION OF OPERATIONS / LOCATIONS f VEHICLES (ACORD 101, Addltlanal Remarks Sahaduls, maybe attached It more space Is required) <br />City of Santa Ana, its officers, employees, agents and representiaves are named as Additional Ensured in <br />regards to Goneral Liability per attached BP7996 0713. <br />--r-m i iri s riuL-ur-rG k;AN V tLLA I IUIV <br />City of Santa Ana <br />Attu: PRCSA <br />20 Civic Centex Plaza - M-23 <br />Santa Ana, CA 92701 <br />ACORD 266 (2014101) <br />INS025 (201401) <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 />yhill/ <br />(911J83-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />