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ACORO® CERTIFICATE OF LIABILITY INSURANCE
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<br />ATE
<br />D10/23 or"")
<br />1o/z3/zo17
<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. If 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 holder in lieu of such endorsement(s).
<br />PRODUCER 1-952-242-3100
<br />Wells Fargo Insurance Services USA, Inc.
<br />CONTACT
<br />NAME: Jackie Ferguson
<br />PrInE.
<br />UV is 952-242-3110 ac No): 952-830-3009
<br />EMAIL
<br />ADDRESS: Jackie.Ferguson@wellsfargo.com
<br />400 Hwy 169 South
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />8th Floor
<br />INSURER A: TRAVELERS IND CO OF CT
<br />25682
<br />St. Louis Park, MN 55426
<br />INSURED
<br />INSURER B: TRAVELERS PROP CAS CO OF AMER
<br />25674
<br />Daktronics, Inc.
<br />INSURER C: TRAVELERS IND CO OF AMER
<br />25666
<br />INSURER D: TRAVELERS IND CO
<br />25658
<br />201 Daktronica Drive
<br />INSURER E:
<br />PO Box 5128
<br />1 INSURER F:
<br />BrookingB, SO 57006-5128
<br />COVERAGES CERTIFICATE NUMBER: 51181676 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. 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 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 />NSR
<br />R
<br />TYPE OF INSURANCE
<br />ADOL
<br />BURR
<br />POLICY NUMBER
<br />MM POLICY EFF
<br />/DDNYYY
<br />POLICY EXP
<br />MM/DD/YYYV
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />HEGLSA117D6882TCT-17
<br />10/01/17
<br />10/01/18
<br />EACH OCCURRENCE _
<br />$ 1,000,000
<br />CLAIMS -MADE I] OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$ 1,000,000
<br />MED EXP(Any one person)
<br />$ 15,000
<br />PERSONAL B ADV INJURY
<br />$ 1,000,000
<br />GENT
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE
<br />$ 2,000,000
<br />POLICY PRO � LOG
<br />PRODUCTS AGG
<br />$ 2,000,000
<br />$
<br />OTHER
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />HECAP117D6901TCT-17
<br />10/01/17
<br />10/01/18
<br />EOacc Oat SINGLE LIMIT
<br />$ 11000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />ANYAUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />NON -OWNED
<br />HIRED AUTOS X AUTOS
<br />B
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />HSMJCUP117D6894TIL-17
<br />10/01/17
<br />10/01/18
<br />EACH OCCURRENCE
<br />$ 20,000,000
<br />AGGREGATE
<br />$ 20,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED I X I RETENTION$ 10,000
<br />1 $
<br />C
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNEWEXEOUTIVE YIN
<br />ER EXCLUDEDY OFFICERIMEMD
<br />(Mandatory in NH)
<br />NIA
<br />HC2RUB163D0ll8-17
<br />HRRIIB177D6913-17
<br />10/01/17
<br />10/01/17
<br />10/01/18
<br />10/01/18
<br />X PER STATUTE ORH
<br />EL EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />I(yes, read he under
<br />0E8 RIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) V�
<br />Project: Products and Services provided by Daktronica, Inc. per Extended Service Agreement EAa42
<br />Additional Insured with respect to General Liability (Primary Basis; Insurance provided bw%,a Additions neared shall
<br />be non-contributory): City of Santa Ana, its officers, employees, agents, volunteers eartl�Npreae tatie.
<br />SHOULD ANY OF THE ABOVE DESCRIED POLICIES BE CANCELLED BEFORE
<br />of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />6 Civic Center Plaza
<br />AUTHORIZED REPRESENTATIVE
<br />Ana, CA 92701 I ^'�S
<br />i USA ��
<br />© 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101)
<br />nicholehofer
<br />51181676
<br />The ACORD name and logo are registered marks of ACORD
<br />
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