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~ CERTIFICATE OF LIABILITY INSURANCE T DATE (MMJOD/'fYVY) 11/01/2005 PROOUCER (714)905-1923 FAX (714)905-1910 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION" Hayward Tilton & Rolapp Ins. Assoc., Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR License #0614365 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 25529 Anaheim, CA 92825-5529 INSURERS AFFORDING COVERAGE NAIC# INSURED Mullen" Associates, Inc. INSURER A: U.S. Fidelity and Guaranty Co. 1200 N. Jefferson Street INSURER B: National Liability & Fire Compa. IY Suite 0 INSURER c: Everest National Insurance Co. Anaheim, CA 92807 INSURER 0: INSURER E: 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 ~S, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, "SR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION u"rrs ~ERALUA81UTY BK02131153 07/24/2005 07/24/2006 EACH OCCURRENCE $ 1,000,000/ .! 5MMERCIAl GENERAL LIABILITY DAMAGE TO RENTED $ 300, 000/ _ CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ 10,000/ A Deductible- None PERSONAL & ADV INJURY $ 1,000,000 GENEAAlAGGREGATE $ 2,000,000 -Yl'~ AGG~nE LIMIT Ar:~:tIPER: PRODUCTS.COM~OPAGG $ 2,000,000 X POLICY j'fg,: LOC ~UTOMOBILE UABIUTY BK02131153 07/24/2005 07/24/2006 COMBINED SINGLE LIMIT (Eaaccidant) $ 1,000,000 ANY AUTO - , - All OWNED AUTOS OTE: THIS COVERAGE IS BODilY INJURY FOR NON-OWNED & HIRED (Per person) $ A X SCHEDULED AUTOS HIRED AUTOS ! UTO COVERAGE ONLY- NO BODILY INJURY X $ NON.OWNED AUTOS OWNED VEHICLES. (Per accident) i Deductible-None PROPERTY DAMAGE - (Per accident) $ ~RAGE UABlUTY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESSJUMBRELlA UABIUTY EACH OCCURRENCE $ o OCCUR 0 CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 0100004443 051 02/04/2005 02/04/2006 X I WC STATU- 10,!.'!" EMPLOYERS' UAB1UTY E.L. EACH ACCIDENT $ 1,000,000 B AN'( PROPRIETOR;PAATNEFl/EXECUTIVE OFFICERiMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ 1,000,000 Ifyas, dt:l$Clibe under E.L. DISEASE - POLICY LIMIT $ 1 000 000 SPECIAL PROVISIONS below IP"r'lW'essional L iabil ity 48AEOO0605051 01/04/2005 01/04/2006 $1,000,000 Each claim C $1,000,000 Aggregate $10,000 dedutible OESCll~ OF 0~Tl~J'"""'J"'~S/~ClESCJil(CLUSI:rS~8Yfr:DO~/..a:lALPRO_S . . e: A wor per orme or t e lty 0 anta na- Par s, Recreatlon & Communlty Servlces Agency y the named insured. ertificate holder is added as additional insured as per Add'l Insured Endt. CL/BF22681004 attached. Note:Ten Day Notice of Cancellation for Non-Payment of PrenriumVNon-Submission of Payroll Report. City of Santa Ana Parks , Recreation & Community Services Agency Attn: Carla Thompkins P.O. Box 1988 M-23 APPROVED AS T Santa Ana, CA 92702 SHOULD ANY OF TliE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WIll ~16 MAIL. 1: 30 DAYS WRlnEN NonCE TO THE CERTIFICATE HOLDER NAMED TO TliE LEFT. ~l{v','Il6IIi>''\II'll'ttlllOOtBllXlIIIIIl-''Y~XX: ~""'("'f<IliIeilil(,]l""Y""''''''''''XX)()(XXX)(: AUTHORIZED REPRESENTATIVE Cl ~ Et . Dona Deli ht LD D" ACORD 25 (2001/08) FAX: (714)57 Laura Stitt Assistant Ci cedy Attorney @ACORDCORPORATlON1988