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r-ro.,+ir- 1171G QPrTQPrl I ACORD- CERTIFICATE OF LIABILITY INSURANCE T DlDD/YYYY) MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 111 /24/2 /24/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Edgewood Partners Ins. Center Lic#O LiC#0629370 877-674-3742 9 / s 3742Pent—42 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MacArthur Blvd. e N oC Vw POLICY EXPIRATION DATE (MMIDDMO Irvine, CA 92612 INSURERS AFFORDING COVERAGE NAIC # INSURED SectINSURER ndusttryry n SsInc. 7633 Industry 7633 Pico Rivera, CA 90660 A: Liberty Surplus Insurance Corp. INSURER B: Liberty Insurance Underwriters INSURER c: Travelers Prop Casualty Co of Americ INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADDTPOLICY INSRE TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MMIDDMO LIMITS A GENERAL LIABILITY DGLLA207280037 11/22/09 11/22/10 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FxI OCCUR DAMAGE TO RENTED $50 000 PREMISES Ea occurrence MED EXP (Any one person) $N/A PERSONAL&ADV INJURY $1 000 000 X BI/PD Ded:5,000 GENERAL AGGREGATE s2:000:000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY PRO LOC JECT C AUTOMOBILE X LIABILITY ANYAUTO 8109494B212TIL09 11/22/09 11/22/10 COMBINED SINGLE LIMIT $1 (Ea accident) '000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) X X HIRED AUTOS NON-OWNEDAUTOS BODILY INJURY $ (Per accident) X Hired Auto PD: $1,000/$1,000 Ded Comp/Coll PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ ANY AUTO AUTO ONLY: AGG $ B EXCESS/UMBRELLA LIABILITY OCCUR Ll CLAIMS MADE L01 B71207655037 11/22/09 11/22/10 EACH OCCURRENCE s3,000,000 _ AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND TC2JUB1761 B52109 02/12/09 02/12/10 X WC STALIMTU- OTH- C EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Certificate Holder is named Additional Insured as respects to General Liability, as required by written contract, per attached form. �''Laura 10 day notice of cancellation for non-payment of premium. - —� Stitt Sheedv �Sssistan �:��e ;nnrt�c-� CITY OF SANTA ANA ATTN: Ms. Christine Calderon 20 CIVIC CENTER PLAZA, PO BOX 1988-M-13 Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE R',vru! ZO (LUU1/Ut9 1 of 2 #S47935/M47749 PATI © ACORD CORPORATION 1988