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NBSGOVE-01 AIRATHR
<br />'°CORLY CERTIFICATE OF LIABILITY INSURANCE91119/20171912017
<br />DAT
<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 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 endorsement(s).�
<br />PRODUCER CONT
<br />ACT
<br />INSURED
<br />Services, Inc. I PHONE FAX
<br />200 ac Nu, Eat): (868) 889.8300 aC, No: (t 858) 869-8301
<br />NBS Government Finance Group
<br />32606 Temecula Parkway, Suite 100 & 101
<br />Temecula, CA 92592
<br />COVERAGES CERTIFICATE NUMBER: _... _... 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLY HE
<br />TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR --- ADDL SUER
<br />LT TYPE AB INSURANCE INSD __ POLICY NUMBER
<br />._
<br />POLICY EFF POLICY EXP
<br />ODtYi'Y yy LIMITS
<br />Santa Ana, CA 92702-1988
<br />A X- COMMERCIALGENERALLIAEILFY
<br />EACH OCCURRENCE
<br />2,000,000
<br />CLAIMS -MADE FX711 OCCUR X X OH3A431963
<br />09124/2017 0912412016 °REAGESOERENTED a $�
<br />2,000,000
<br />MED EXP An one rson
<br />10'000
<br />PERSONAL &AOV INJURY $
<br />2'000'000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />AGGREGATE
<br />4,000,000
<br />X1 POLICY L.� jELPT LOC
<br />_GENERAL _$
<br />PRODUCTS-COMPIOPAGG _..
<br />4,000,000
<br />OTHER:.._,
<br />B AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT m
<br />EA awitle 1 _
<br />1,000,000
<br />X ANY AUro X
<br />X AW3A427458
<br />09/24/2017 09/24/2018 BODILYINJUaY
<br />OWNED SCHEDULED
<br />AIU'ro�pD ONLY AUTOS
<br />BODILY INJURY Per accitl $ _,_„
<br />pp
<br />XTA ONLY ABIOS ON LY
<br />PROPERTY DAMAGE
<br />Per accitlent $
<br />A X UMBRELLA UAB X OCCUR
<br />EACH OCCURRENCE
<br />1.000,000
<br />EXCESS UAB I I CLAIMS -MADE
<br />OH3A431963
<br />_$
<br />09/2412017 0912412018 AGGREGATE $
<br />1,000,000
<br />OED RETENTION$
<br />A COMPENSATION
<br />OTh4
<br />X SE
<br />AND EMPLOYERS'DASILITY
<br />AND EMPLOYERS'
<br />YIN
<br />X WH3A42745704
<br />---
<br />09/24/2017 09/24/2018
<br />1,000,000
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />E.L. EACH ACCIDENT $
<br />0pFILER/M M6ER EXCLUDED? NIA
<br />1'000'000
<br />(MandatoryENH)
<br />E.L. DISEASE - EA EMPLOYEE $
<br />If yas describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE-POLICYLIMIT $
<br />1,000,000
<br />C E&O/Professional Lia
<br />VCPLO65285
<br />09/24/2017 09/24/2018 Annual Aggregate
<br />2,000,000
<br />C E&O/Profosslonal Lia
<br />VOPLOO6285
<br />09/24/2017 09/24/2018 Each Wrongful Act
<br />2,000,000
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Schedule, maybe attached Irmore space is required)
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional Insured regarding General Liability.
<br />Blanket forms apply when required by written contract:
<br />GENERAL LIABILITY:
<br />Additional Insured -Special Broadening Endt: 391-1006 08 16
<br />Additional Insured -Completed Operations: 391-1602 0816
<br />Primary & Non -Contributory: 391.1003 0816v
<br />(Jv� ilvu
<br />(t
<br />Waiver of Subrogation: 391-1003 08 16
<br />SEE ATTACHED ACORD 101
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />ACORD 26 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Cit of Santa Ana
<br />Y
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza (M-30)
<br />P.O. Box 1988
<br />--
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92702-1988
<br />ACORD 26 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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