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<br />CERTIFICATE OF LIABILI <br />ACORD DATE (MMIDDIYYYY) <br />TY INSURANCE 1 112 8 <br />N, <br />PRODUCER Complete Insurance, Inc. <br />Compl <br />19000 ompl MacArthur Blvd. PH Floor <br />CA 92612 <br />Irvine THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />, <br />(949) 263-0606 <br />www.Com letel nsurance.com INSURERS AFFORDING COVERAGE NAIC # <br /> <br />INSURER A: Travelers Pf0 ert Casuals Ins Co or America <br />INSURED Johnson-Frank & Associates, Inc---? <br />nue <br />t <br />A <br />H INSURER B: <br />ve <br />er <br />un <br />5150 E. <br />Anaheim CA 92807 A- 2_7?tH INSURERC: <br /> <br /> INSURER D: - <br />?(fi' /•? IP INSURER E. <br />COVERAGES <br />ED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSU <br />OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR <br />ED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIB <br />MAY PERTAIN <br />, <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICIES <br />. <br />INSft OD' POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS <br /> PrOFINqIURANCE 000000 <br />1 <br /> FACHOCCURREN , <br />$ <br />A GENERALLIABILITY ED <br />D E <br /> <br />6806825L007 <br />12/1/2008 <br />12/1/2009 ne <br />PREMISES S en Ee ocwrence <br />$ 1,000,000 <br /> COMMERCIAL GENERAL LIABILITY 10 000 <br /> MED EXP (Any one parson) $ <br /> CLAIMS MADE OCCUR led Al Endt <br />h <br />d <br />S PERSONAL SADV INJURY $ 1 000 000 <br /> / Pr mary/NonContrib e <br />u <br />c 000 000 <br />2 <br /> #CGD3820907 GENERAL AGGREGATE , <br />S <br /> Waiver Subro 000 <br />000 <br />2 <br /> PRODUCTS - COMPIOP AGG , <br />, <br />$ <br /> GEN'L AGGREGATE LIMIT APPLIES PER. <br /> POLICY ?/ PRo- `/ LOG <br />A AUT OMOBILE ABILITY BA6819L639 1211/2008 12/1/2009 ' E COMBINED exdsrIt'INGLE LIMIT $ <br />1,000,000 <br /> ANY AUTO AUTO Designated Insured BODILY INJURY <br /> ALL OWNED AUTOS Endt#CA20480299 (Per person) S <br /> SCHEDULEDAUTOS ' <br /> HIRED AUTOS BODILY INJURY <br />(Per amidenl) $ <br /> NON-OWNED AUTOS <br /> <br />- ` . PRVOAMAGE <br />i <br />t $ <br /> --- (Peer r aw acc <br />dden <br />) <br /> AUTO ONLY - EA ACCIDENT S <br /> GAR AGE LIABILITY <br /> ER THAN EA ACC $ <br /> ZANY AUTO OTH <br /> AUTO ONLY'. AGG S <br /> CUP7915Y817 12/1/2008 12/1/2009 EACH OCCURRENCE $ 4,000,000 <br />A EXCESSMMBRELLA LIABILITY <br /> AGGREGATE $ 4 000 000 <br /> OCCUR CLAIMSMADE <br /> <br /> S <br /> DEDUCTIBLE <br /> RETENTION $0 <br />WC STATU- OTH- S <br /> <br /> WORKERS COMPENSATION AND <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ <br /> ANY PROPRI EXECUTIVE <br />OFFICERIMEMBER MBER EXCLUDED' <br /> <br />E.L. DISEASE - EA EMPLOYE <br /> <br />$ <br /> / <br /> If yes. descnbs under E.L. DISEASE - POLICY LIMIT $ <br /> SPECIAL PROVISIONS below <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Certificate Holder is Additional Insured as respects General Liabilittyy but onlyy if required by written aggreement with <br />d Insured included per <br />t <br />D <br />i <br />L <br />b <br />lit <br />e <br />es <br />gna <br />ia <br />i <br />y <br />the Named Insured prior to an occurrence per coverage form #CGb3820907. Auto <br />rest & Contractual Liability per limitations in Liab <br />bilit <br />f I <br />t <br />y o <br />n <br />e <br />form #CA20480299. General Liability includes Severa <br />coverage form #CG00011001. Coverage subject to all policy terms, conditions, limitations and exclusions. <br />CERTIFICATE HOLDER y^,`..-"^' -------- <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> THE ISSUING INSURER WILL XX)IDt$93QQ MAIL 30 * DAYS WRITTEN <br />DATE THEREOF <br />City of Santa Ana, , <br />Its Officers, Employees, and Representatives NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, KX)(XIKWX)T00qAXMXXx <br />Attn: Sherry Barkley xx?sXXXxnpa NxvBatbxsaae°?ac?c <br />PO BOX 1988 10 Days for Non-Payment of Premium Axmuxl? <br />Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE <br />` <br />? v`- <br />1 <br />' <br /> C?Glaci <br />/ ? ? <br />? <br /> Alicia K. (gram <br /> n wrnon rno onRATinN 14RR <br />CER'I NO. 4125997 N111 Rran l:.j1j2JU9 30 9v.9a - cage a /gyy,?y-t--.„vv1