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<br />' CERTIFICATE OF LIABILITY INSURANCE DATEI1912 YV'"7
<br />`�...-- n9fl 1s/zp17
<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 on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s),
<br />PRODUCER NAMECONTACT
<br />; _
<br />Rancho Mesa Insurance Services PHONE -- Fax
<br />250 Riverview Parkway #401 ..SNP E&rl
<br />Santee, CA 92071 E-MAIL
<br />ADDRFES'
<br />INSURED
<br />County
<br />2101 North Tustin Avenue
<br />Santa Ana, CA 92705
<br />Markel inauranco Company _
<br />New York Marine & Geo'I Ina Co
<br />CnVPPAEEA CERTIFICATE NUMBER: 1 REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PCLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REOUIREMEN T, 1"ERM 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
<br />TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />(NSR .— D' BE
<br />LTR TYPE OF INSURANCE 'p p: POLICYNUMBER
<br />POLICY EFF F' LILY EXP
<br />MMIDDM'YY MMIDDIVVYV LIMITS
<br />CITY OF SANTA ANA
<br />A X COMMERCIALGENERA�LLIABILITY
<br />EACH OCCURRENCE $
<br />1,000,00
<br />CLAIMS -MADE 1 1 OCCUR X HUP2133-01
<br />..
<br />0710112017 0710112018 UA A ET TED ,
<br />EREMiSES Eaacnurcence $
<br />1,000,00
<br />,.,
<br />MED EXP Any one pnrson) 5
<br />lox_
<br />PERSONAL&ADV INJURY
<br />1,000,00
<br />GENLAGGRE GATE LIMIT APPLIES PER
<br />I$
<br />GENERAL AGGREGATE �,
<br />2,000,000
<br />POLICY' JERR '.,XJ LTC ( i
<br />E I' ODUCTB-G001CVop AGO Ls
<br />f
<br />2,000,00
<br />OTHER ',
<br />AUTOMOB4ELIABILITV
<br />, I
<br />COMBINED SINGLE. LIMIT IS
<br />Ea accideng
<br />1,000,000
<br />A ANY AUTO NUP2133-01
<br />07/01/2017 07/01/2018 eOOILY INJURY {Per peramU $
<br />RALLOWNE0CHODUIED
<br />I BODILY INJURY (Per aeclden) $
<br />`
<br />AUTOS AUTOS
<br />X X NON�OWNED
<br />l__ _..._
<br />PRO�ER`FY DAMAGI": $
<br />_
<br />HIRED AUTOS AUTOS
<br />$
<br />X UMBRELLA LIAB X OCCUR
<br />OCCURREN4h i$
<br />2,000,p00
<br />EXCESS LIAB CLAIMS -MAGE HUU2134-0t
<br />�EEACUH
<br />0710112017 Q71Q1t2018 c<REGATE I s
<br />2,040,06
<br />f OED X RETENTIONS ^R00d
<br />$
<br />WORKERS COMPENSATION
<br />X STATUTE RH
<br />AND EMPLOYERS LIABILITY
<br />B ANV PROPR @.1'ORIPARTNER/EXFCIITIVE V�"I WC201700015159
<br />OFFICER/MEMBER EXCLUDE09
<br />_�„ _
<br />09/01/201710910112018 E -L.. EACH ACCIDENT _ $
<br />11000,000
<br />U/N/AI
<br />(Mandatory In NH) I +
<br />1
<br />'EL DISEASE-EAEMPLOYE $
<br />1,000,00
<br />DESCRIPTION OF OPERATIONS boyw [ i
<br />� IEI. DISEASEPOLICYLIMIT $
<br />1,000,00
<br />A Sexual Abuse and HUP2133-01
<br />F07/0112017 07/01/2018 Per Polic
<br />2,000,00
<br />Molestation Liab HUP2133-01
<br />Per Fran
<br />I
<br />11000,00
<br />DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES (ACORD 101, AddrIonai Remarks Sobedule, maybe attached if more spoeo is required)
<br />RE: OPERATIONS OF THE NAMED INSURED AS CERTIFICATE HOLDERS INTEREST MAY
<br />APPEAR SUBJECT TO POLICY TERMS, CONDITIONS, AND EXCLUSIONS. CERTIFICATE
<br />HOLDER IS INCLUDED AS ADDITIONAL INSURED PER FORM MGL 1242 03 14 ATTACHED.
<br />i
<br />la,b nr:rnnrc unl nMo f AMr^Pl I ATIFIN
<br />SANTAA2
<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 />CITY OF SANTA ANA
<br />ITS OFFICERS, AGENTS, AND
<br />EMPLOYEES AND VOLUNTEERS
<br />AUTyH,oaaeoREPREsENrAnvE
<br />20 CIVIC CENTER PLAZA
<br />,.,
<br />(SANTA ANA CA 92701 -
<br />©1988.2014 ACORD CORPORATION. All rights reserved,
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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