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ACORDM CERTIFICATE OF LIABILITY INSURANCE osi19izoos <br />PRODUCER (619)574-6220 FAX (619)574-6288 <br />Insurance Office of America, Znc. <br />DBA IOA Insurance Services THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <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 />I775 Hancock Street, Ste. I80 <br />Sdn Diego, CA 92110 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED INSURER A: Travel er5 Indemnity CO Of [t 2.5681 <br /> INSURER a: Travelers P&C Co. of Amer7ca 1,5674 <br />Scott Fazekas & Associates INSURERC Dne Beacon America Ins. Co. <br />9 Corporate Park Drive wsuRERD Zurich North America <br />Irvine, Gi 92606 INSURER E. <br />C VERA E <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 DD' TYpE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY 6802152L18A 06/05/1008 06/05/2009 EACH OCCURRENCE $ 2,000,00 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,0 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ $, DD <br />A PERSONALSADVINJURY $ I, ODD,OO <br /> GENERAL AGGREGATE $ Z, DDD, DD <br /> GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMPIOP AGG $ 2, DDD, DD <br /> POLICY X PRO LOC <br />JECT <br /> AUT OMOBILE LIABILITY 6802252L28A 06/05/2008 06/05/2009 <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accitlenU Include <br /> ALL OW NED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br />A <br /> X HIRED AUTOS <br />BODILY INJURY <br /> <br />X <br />NON-OWNED AUTOS <br />(Per accidenQ $ <br /> PROPERTY DAMAGE <br /> <br />P <br />id $ <br /> ( <br />er acc <br />ent) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO EA ACC <br />OTHER THAN $ <br /> AUTO ONLY AGG $ <br /> E%CESSIUMBRELLA LIABILITY CUP6527Y30I 06/05/7008 06/05/2009 EACH OCCURRENCE $ I, DDD, DD <br /> X OCCUR ~ CLAIMS MADE AGGREGATE $ 2, DDD, DD <br />B $ <br /> DEDUCTIBLE $ <br /> RETENTION $ g <br /> WORKERS COMPENSATION AND <br />' 4060I7268 D6/DS/1DD8 06/OS/1U09 X WC STATU- OTH- <br /> EMPLOYERS <br />LIABILITY <br />ANY PROPRIETORIPARTNER/E%ECUTIVE <br />E.L. EACH ACCIDENT <br />$ I,000,O <br /> OFFICERlMEMBER EXCLUDED? E L DISEASE - EA EMPLOYE $ 1, DDD, DD <br /> If yes, tlesctibe untler <br />SPECIAL PROVISIONS below <br />E L. DISEASE -POLICY LIMIT <br />$ I, DDD, DD <br /> ProE~essionaT Liability EOC966945600 06/05/2008 06/05/2009 $2,000,000 each claim <br />0 Claims Made $I, 000, 000 aggregate <br /> $20,000 deductible <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BV ENDORSEMENT I SPECIAL PROVISIONS <br />e: A71 Operations of the Named Insured <br />ity of Santa Ana, its officers, employees, volunteers, representatives and agents are named <br />s certificate holders and additionai insured per the attached endorsment. <br />°'10 day notice of cancellation applies for non payment of premium. <br />A R <br /> ~,^:~)y ~y~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> <br />c7 ty of Santa Ana - EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />* <br /> <br />Tonia Zerba _ <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />20 C7V7c Center Plaza- <br />P. O. BOX I98B (M20) / ~- <br />~~ BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NOOBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />Santa Ana, CA 91702 ~ AUTHORREO REPRESENTATIVE ~ ,/ I' I` /'en <br />~II~.W Q~grT ~(h <br /> Ke71 Howell/CABRAS <br />ACORD 25 (2007108) ~ ©ACORD CORPORATION 1988 <br />