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f acoRP. CERTIFICATE OF LIABILITY INSURANCE OP ID L3 DATE(MM/DD/YYYY) <br />f1Roou—cER <br />LIENO-1 11/06/08 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />(LA.. Heffernan Insurance Brkrs <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />,626 Wilshire Blvd., Suite 220 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />:Los Angeles CA 90017 <br />Phone:213-622-6500 Fax:213.243.1233 <br />IINSURERS AFFORDING COVERAGE <br />INSM D _ -- — - <br />-- NAIC # <br />-- <br />^ <br />..► � <br />G.. <br />INSURER A: Hartford Casualty Insurance Co <br />--- <br />l' '� <br />-- - <br />�INSURERB: LLOYDS OF LONDON <br />Lien on Me, Inc. <br />INSURER C: <br />465 N. Halstead Street #104- <br />Pasadena CA 91107 <br />NSURER D. <br />- <br />COVERAGES <br />INSURER E - ---- --------------- <br />HE PCLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING <br />•wt REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br />+AAI PERTAIN. <br />ISSUED OR <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS <br />"CL CIFS. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />OF SUCH <br />INSR-ADO'L -----.-___----------..--_- <br />LTR INSRD TYPE OF INSURANCE POLICY NUMBER <br />-"""T <br />POL CY THE POLIC I --"_- _-- -- ---------- - <br />DATE MM/DD/YY DATE MMIDD LIMITS <br />GENERAL LIABILITY <br />A X X COMMERCIAL GENERAL <br />EACH OCCURRENCE $ 1000000 <br />LIABILITY 72SBAAG7645DX <br />CLAIMS MADE X OCCUR <br />08/15/08 08/15/09 PREMISES (Ea occE�ur w) $300000 <br />MED EXP (Any one person) $ 10000 <br />PERSONAL B ADV INJURY $ 1000000 <br />GEN'- AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $ 200000Q <br />. <br />O <br />X POLICY: ` <br />PRODUCTS -COMP/OP AGG $ 2000 �_�Q___ <br />._..—_ ECT LOC <br />AUTOMOBILE LIABILITY <br />A ANY AUTO 72SBAAG7645DX <br />COMBINED SINGLE LIMIT $ 1000000 <br />08/15/08 08/15/09 (Ea accident) <br />ALL OWNED AUTOS <br />I --- --- _ <br />SCHEDULED AUTOS I <br />i <br />BODILY INJURY (Per <br />(Per person) <br />X HIRED AUTOS <br />X NON-OWNFD AUTOS : <br />BODILY INJURY $ <br />GARAGE LIABILITY <br />ANY AUTO <br />EXCESSIUMBRELLA LIABILITY <br />A X X OCCUR CLAIMS MADE 72SBAAG7645DX <br />DEDUCT IBL E <br />X RETENTION S10, 000 <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXE CUT IVE <br />OFFICER/MEMBER EXCLUDED? <br />It Yes, oescnbe unser <br />SPECIAL PROVISIONS b.1- <br />08/15/08 <br />111 <br />(Per accident) <br />PROPERTY DAMAGEJ <br />(Per accident) <br />AUTO ONLY - EA ACCIOTHER THAN EAUTO ONLY: - - - - <br />EACH OCCURRENCE $10 0 000 0 <br />08/15/09 AGGREGATE $ 1000000 <br />E.L. EACH ACCIDENT y <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE -POLICY <br />LIMIT $ <br />B Professional !MEO100019308 03/25/08 03/25/09 Limit/Agg 1000000 <br />Liabi1it <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORS5 0 0 0 <br />EMENT /SPECIAL PROVISIONS Ddc tbl : <br />;The City of Santa Ana, it's agents, officers and employees are named as <br />;additional insured's per the attached forms. <br />*10 Days Notice for Non Payment of Premium <br />1"c IIrN.AIc MULUtK <br />City of Santa Ana <br />Carolyn Richard <br />20 Civic Center Plaza ( m-41 ) <br />Santa Ana CA 92701 <br />L_ <br />ACORD 25 (2001/08) <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI <br />DATE THEREOF, THE ISSUING INSURER WILL 9§MXX9f07i =MAIL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT ![0(7E176X <br />ONf11111156 �49Cpipltt�IW�1piBIL1� p I�IyIDOfl�o![jelnasta�CedO6X[OtWW OG <br />ACORD <br />988 <br />