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OP ID: FAST <br />DATE/0612013 <br />. ll.,.?.? R ?' CERTIFICATE OF LIABILITY INSURANCE 06106/2013 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NE ATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERT,)_FIQfi ,F,,.,Q,F IN!URj!(?ICb?p NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />the terns and <br />Fax: <br />SURED, the pORCy(Iss) must be endorsed. If SUBROGATION IS WAIVEU, 111 10 <br />require an endorsement A statement on this certificate does not confer rights to the <br />TRESE•1 <br />INSURED <br />1000 E. Santa Ana Blvd, #10 <br />Santa Ana, CA 92701 <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NSR EXP UMITB <br />TYPE OF INSURANCE POUCYNUMBER /OD INAR <br /> GENEMLUAEJUTY EACH OCCURRENCE $ 3,000,00 <br />A MMERCIAL GENERAL LIABILITY X GL3929916 0610412013 0610412014 PREMISES En occommes s 100,00 <br /> CLAIMS-MADE O OCCUR MED EXP(Any ono parson) S 6,00 <br /> X 0. Deductible <br />T <br />$ <br />ic PERSONAL S ADV INJURY S 3,000,00 <br /> claim <br />P <br />l GENERAL AGGREGATE S 4,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO S 3,000,00 <br /> X POLICY PART LOC S <br /> AUT OMOBILEIJASIUTY COMBINED SINGLE LIMIT S <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY Per peraon) S <br /> ALLOMEOAUTOS BODILY INJURY (Per accident) S <br /> SCHEDULED AUTOS PROPERTY DAMAGE <br />$ <br /> HIREDAUTOS (Par accident) <br /> ,C?gi6B. S <br /> NONANTIEDAUTOS r U <br />t <br /> ?1C <br />d tt'0'S. a <br /> oT1 .01 <br /> UMBRELLA"AB OCCUR ?QGO Ca - EACH OCCURRENCE $ <br /> E%CESS LIAB CWMB-MADE AGGREGATE S <br /> DEDUCTIBLE $ <br /> <br /> RETENTION $ $ <br /> WO RKERS COMPENSATION <br />' WCS ATU- OTH- <br /> ANOEMPLOYERS <br />LIASIUTY <br />Y yp(" <br /> 7 <br />CNURIF ECUTIVE <br />P <br />ANYPR <br />PRAE <br />B6 E.L. EACH ACCIDENT 8 <br /> E <br />M <br />EX <br />R NIA <br /> (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ <br /> Ryan, describe under <br />DESCRIPTION OF OPERATIONS below <br />EI. DISEASE-POLICY LIMIT <br />S <br /> <br />DESCRIPTIONOFOPEMMONSILO6A ONSIVEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mom apace is required) <br />Certificate holder is added as ADDITIONAL INSURED as respects to leased <br />premises located at the: Santa Ana Regional Transportation Center, 1000 E. <br />Santa Ana Blvd., Santa Ana, CA 92701. It is also agreed that this insurance <br />shall be Primary & Non-Conributory. <br />Ca MrGt 1 ATInM <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE <br />E WILL BE DELIVERED IN <br />EOF, N <br />The City of Santa Ana, It's IONS <br />ACCORDANCE WITH THE POLICY <br />Officers, employees B agents <br />Attn: Christy Kindig <br /> <br />22 Civic Center Plaza (M21) AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />%P T Bee-ZUUU At{ V KIJ t Ulr(ru W I I V N. All rlgnts reserYeu. <br />ACORD 26 (2009109) The ACORD name and logo are registered marks of ACORD