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<br />CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> <br />PRODUCER IOA Insurance Services 11/30/2009 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />130 Vantis, Suite 165 <br />13 <br />0 <br />Su ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Aliso <br />Viejo, <br />92656 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />949-680-1790 OE67768 <br />www.ioausa.com INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Johnson-Frank & Associates, Inc. INSURER A: Travelers Property Casualty Ins Co of America 25674 <br />5150 E. Hunter Avenue <br /> <br />An <br />h <br />i <br />CA 92807 INSURERB: <br />a <br />e <br />m INSURER C: <br /> INSURER D: <br /> INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED <br />NOTWITHSTANDING <br />. <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR OD' <br />t TYPE OF INSURANCE POLICY NUMBER POLICY EF <br />FEECTIVE POT CY EXPIRATION <br /> D LIMBS <br />A GENERAL LIABILITY 68068251-007 12/1/2009 121112010 EACH OCCURRENCE $ 1,000,000 <br /> v1 COMMERCIAL GENERAL LIABILITY Scheduled AI Endt DAMAGE TO RENTED <br /> PREMISES Ea occurrence $ 1,000,000 <br /> CLAIMS MADE O OCCUR #CGD3820907 <br />MED EXP (Any one person) <br />$ 10,000 <br /> ? Pflmary/NOnCOntrib PERSONAL &ADV INJU <br />Y <br /> _ R $ 1,000,000 <br /> Waiver Subro <br />GENERAL AG <br /> GREGATE $ 2,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER: <br />PRO PRODUCTS - COMP/OP AGG $ 2,000,000 <br /> POLICY y <br />`/ LOC <br />A AU TOMOBILE LIABILITY BA68191_639 12/1/2009 T91/2010 <br /> <br />ANY AUTO <br />Designated Insured COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br /> 1 000,000 <br /> ALL OWNED AUTOS Endt #CA20480299 <br /> SCHEDULED AUTOS BODILY INJURY <br />(Per person) $ <br /> HIRED AUTOS <br /> <br />NON-OWNED AUTOS BODILY INJURY <br />(Per accident) $ <br /> <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br /> EA ACC <br />OTHER THAN $ <br /> AUTO ONLY: AGG $ <br />A EXCESS / UMBRELLA LIABILITY <br />/ CUP7915Y817 12/1/2009 1211/2010 EACH OCCURRENCE $ 4,000,000 <br /> r <br />OCCUR CLAIMS MADE AGGREGATE $ 4,000,000 <br /> / <br /> r DEDUCTIBLE <br />ice` <br /> $ <br /> RETENTION so <br />? <br />$ <br /> WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY A ^ <br />L'> WC STATU- OTH- <br /> ?1 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICERIMEMBER EXCLUDED? <br />lcy E.L. EACH ACCIDENT $ <br /> (Mandatory in NH) <br />If <br />yes, describe under , ?TS E.L. DISEASE - EA EMPLOYE $ <br /> SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Certificate Holder is Additional Insured as respects General Liability but only if required by written agreement with the Named Insured prior to an <br />Occurrence per coverage form #CGD3820907. General Liability includes Severability, of Interest & Contract Liability per limitations in Liab <br />coverage form #CG00011001. Auto Liability Designated Insured included perform #CA20480299. Coverage subject to all policy terms <br />, <br />conditions, limitations and exclusions. <br />rtFIaTIeIf'ATC unl nom <br />City of Santa Ana, Its Officers, <br />Employees, and Representatives <br />Attn: Sherry Barkley <br />PO Box 1988 <br />Santa Ana CA 92702 <br />Acr%Dn 9S i-3nnnm4% <br />SHOULDANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL (}V("Q MAIL 30 - DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />7?lec?>KrsK7axrwcoec Jr}1(Xl?COIIAQ1ftFx>4lW(?}QX9CIIOBIC <br />)ID(PIM+( - 10 Days for Non-Payment of Premium. <br />AUTHORIZED REPRESENTATIVE <br />(AVC) Alicia K. Igram /'?%" ?iGJ?//?G? <br />-- W 1988-2009 ACORD CORPORATION. All rights reserved. <br />CERT NO.: 6330899 (AVC) Betty Tran 11/30/2009 9:39:11 AM Page 1 of 4