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Client#: 6715 <br />SECTSECU <br />DATE (MM/DD/YYYY) <br />CERTIFICATE OF LIABILITY INSURANCE 11/20/2012 <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 <br />Edgewood Partners Ins_ Center <br />Lic#0829370 949-263-0606 <br />19000 MacArthur Blvd. Penthse FI. <br />NAMEA Jim Johnson <br />PHONNE: IFA <br />A/C NoNCn9494179173 <br />E-MAIL <br />ADDRESS: <br />GENERAL LIABILITY <br />INSURERS) AFFORDING COVERAGE NAIL x <br />INsuRERA: Philadelphia Indemnity Ins Co 18058 <br />INSURED <br />INSURER B: Travelers Prop Cas Co America 25674 <br />Sectn Security Inc. <br />INSURER c: Great American Insurance Co 16691 <br />7633 I <br />7633 Industry <br />Pico Rivera, CA 90660 <br />INSURER D: <br />INSURER E <br />INSURER F: <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 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 />LTRR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />INSR <br />WVD <br />POLICY NUMBER <br />POLICY EFFPOLICY <br />MM/DD/YYYY <br />EXP <br />MM/DD/YYYY LIMITS <br />A <br />GENERAL LIABILITY <br />PHPK948551 <br />1/22/2012 <br />11/22/2013 EACH OCCURRENCE s1 OOO 0" <br />X COMMERCIAL GENERAL LIABILITY <br />PREMISES Ea occurrence $ l OO UUD <br />CLAIMS -MADE EXI OCCUR <br />MED EXP (Any q person) $5.000 _ <br />X BI/PD Ded:5,000 <br />PERSONAL &ADVINJURY $1000000 <br />GENERAL AGGREGATE s2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGO $2,000,000 <br />POLICY PROT <br />_ <br />$ <br />A <br />_LOC <br />AUTOMOBILE LIABILITY <br />PHPK948551 <br />1/22/2012 <br />11/22/201 COMBINED SINGLE LIMIT <br />Ea accitlent $1,000,000 <br />X ANY AUTO <br />BODILY INJURY (Per person) $ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (P--- S <br />X X NON -OWNED <br />PROPERTY DAMAGE $ <br />HIRED AUTOS AUTOS <br />Per accitlent <br />$5,000 Ded <br />$ <br />A <br />X UMBRELLA LIAB <br />OCCUR <br />79345225 <br />1/22/2012 <br />11/22/201 EACH OCCURRENCE $1,000.000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE $1,000,000 <br />DED X1 RETENTION S1 O OOO <br />$ <br />B <br />WORKERS COMPENSATION <br />TC2JUB1761 B52112 <br />2/12/2012 <br />02/12/201 X WC srATu- OTH- <br />AND EMPLOYERS' LIABILITY V / N <br />ER <br />B <br />ANY PROPRIETOWPARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT $1,000,000 <br />OFFICER/MEMBER EXCLUDED? � <br />N / A- <br />(Mandetory in NH) <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />If yes. describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT 1$1,000,000 <br />C <br />Excess Liability <br />TUE033380900 <br />1/22/2012 <br />/22/2013 5,000,000 each occ. <br />5,000,000 each aggregte <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AH—h ACORD 101, Addlti—I Remarks Schedule, If mora space Ie requlred) <br />Certificate Holder is named Additional Insured as respects to General <br />Liability, as required by written contract, per attached form. <br />-�PPROVEY)0 AS 'rO <br />otH I IFICAI It HULUEH CANCELLATION <br />CITY OF SANTA ANA Laura Stlt ShCCCly SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ATTN: Ms. Christine Calcipx9glstant City Attornev ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 CIVIC CENTER PLAZA, PO BOX <br />1988-M-13 AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 .� <br />8 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#S250544/M250406 PAT2 <br />