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k�- 8 t' -c 4,4 <br />IDATE (MMtDD/YYYY) <br />Ay o' CERTIFICATE 4F LIABILITY INSURANCE <br />1 09/28/2010 <br />rPRODUCER <br />THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />Marsh USA, Inc. <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />4400 Comerica Bank Tower <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1717 Main Street <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Dallas, TX 75201-7357 <br />Attn: dallas.certs@marsh.com Fax 212-948-0519 <br />063165-RSC-GAWU-10-11 LA 0620A 5M Y No <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />INSURER A: Insurance Company Of The State Of PA <br />19429 j <br />Royal Street Communications, LLC <br />INSURER B: Commerce And Industry Ins Co <br />19410 <br />2250 Lakeside Blvd. <br />Richardson, TX 75082 <br />INSURER C: National Union Fire Ins Co Pittsburgh PA <br />19445 <br />C, <br />INSURERD:tlT� <br />n l <br />, INSURER E: <br />3 <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE <br />MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND <br />CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN <br />REDUCED BY PAID CLAIMS. <br />" NSRIADD'TYPE OF INSURANCE POLICY NUMBER <br />LTR INS <br />POUCY EFFECTIVE I POLICY FXPM'nON LIMITS <br />DATE (MMIDDIYYM OATS (MMOD/YYM <br />A <br />GENERAL LIABILITY <br />GL4360871 <br />09/01/2010 <br />ji 08/D1/2011 <br />EACH OCCURRENCE <br />1ED-- <br />__7,000.000 <br />! <br />X COMMERCIAL GENERAL LIABILITY <br />AMA <br />PREMISE Ea oecurronce <br />$ 1,000,000 <br />MS MADE . x - OCCUR <br />.X <br />P�i_e_-Icl; <br />I <br />MED EXP (Arty one person) <br />$ 10,000 <br />AggrggateLimll <br />! <br />PERSONAL aADVINJURY <br />$ 1,000,000 <br />Per Policy $10,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GENERAL AGGREGATE LIMIT APPLIES PER <br />_, <br />M-COPO <br />PRDCTS P AGG <br />$y 2,000000 <br />___U <br />POLICY JECT X . I - <br />i A <br />AUTOMOBILE <br />LIABILITY <br />CA3976563 <br />09/01/2010 <br />09/01/2011 <br />COMBINED SINGLE LIMIT <br />!$ 1,000,000 <br />X <br />ANY AUTO <br />I <br />(Ea accident) <br />"I$ <br />_ <br />ALLOWNEDAUTOS <br />_... <br />BODILY INJURY - <br />.-_ <br />SCHEDULEDAUTOS <br />PPROVED <br />A <br />TO FORM <br />�.IF-person] <br />?.... --- <br />X <br />HIRED AUTOS <br />; BODILY INJURY <br />ii$ <br />!. <br />X <br />� <br />NON -OWNED AUTOS <br />(Per accident) <br />_ — — <br />X <br />. Comp/Coll $1,000 Dad <br />PROPERTY <br />ROP RTYDAMAGE <br />j$ <br />_. <br />L .I <br />H <br />•/ <br />GARAAG�EAIAB <br />AOILITY C� <br />R Y <br />AUTO ONLY * <br />-.... <br />�- <br />OTHERTHAN�AEAACCT$ <br />... <br />$ <br />I <br />AUTO ONLY. AGG <br />C <br />EXCESS I UMBRELLA LIABILITY <br />BE15972 <br />09/01/2010 <br />09/01/2011 <br />EACH OCCURRENCE <br />$ 5,Doo,D00 , <br />AGGREGATE <br />X OCCUR n CLAIMS MADE <br />! <br />$ 5,000,000 '',. <br />DEDUCTIBLE <br />1$ <br />j RETENTION S <br />B <br />` WORKERSCOMPENSATION AND <br />WCO26149488 (CA) <br />09/01/2010 <br />09/01/2011 <br />X WC STATu- oTH- <br />ER <br />A <br />EMPLOYERS' LIABILITY-.- <br />ANY PROPRIETOR(PARXECUTNE YIN <br />wc026149489 (ADS) <br />09/01/2010 <br />osrol/ZD11 <br />1,000,000 <br />.L. EACH ACCIDENT <br />OFFICER/MEMBEREXCLUDEDLUDED? <br />� <br />1,000,000 <br />'- "�-�""'— <br />.L. DISEASE - EA EMPLOYE <br />(Mandatory in NH) It yes, describe under <br />j <br />DISEASE -POLICY LIMI7 <br />I $ 1,000,000 <br />SPECIAL PROVISIONS below <br />.L. <br />OTHER <br />i <br />DESCRIPTION OF OPERATIDNSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENOORSEMENTISPECIAL PROVISIONS <br />Re: Site #: LA0620A - 2115 W Mcfadden Ave., Santa Ana, CA 92704, 3'e M VV►e tea rK <br />Where required by written contract, Certificate Holder is an Additional Insured <br />(except on Workers' Comp) as respects Operations of the Named Insured. <br />i <br />I <br />CERTIFICATE HOLDER HOU-001115914-37 <br />City of Santa Ana -City Attorneys Office <br />20 Civic Center Plaza (M-23) <br />PO Box 1988 <br />Santa Ana, CA 92702 <br />ACORD 25 (2009101) <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRnTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY MIND <br />UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. <br />William <br />[.T/ �_. - <br />©1998-2009 ACORD CORPORATION. All Rights Reserved <br />The ACORD name and logo are registered marks of ACORD <br />