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ACORD "" CFRTIFICATE OF LIABILITY INSURANCE D. 31620121YR} <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 NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. - <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ie �11'ejUst ti ;e ddrsed �f )JB%� ATION'�S WAIVED, subject to the terms <br />and conditions of the policy, certain policies require an endorsement. A statement on this certificate does iiot l6oflfer rights to the certificate holder in lieu of <br />such endorsement(s). <br />PRODUCER ; ` { <br />Heffernan Professional Practices Insurance Brokers i,l <br />License No. 0564249 <br />r30NTACT St}errVyoung <br />NAME: <br />PAHi�No Ext : '714 -3 -7700 <br />714- 361 -7701 <br />EMAIL sherryy @heNlns.com <br />ADDRESS' <br />6 Hutton Centre Dr., Suite 500 <br />Santa Ana, CA 92707 <br />POLICY EXP <br />MMJDD <br />LIMITS <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />Nabil) YOUSSef & Associates <br />INSURER A: <br />I Citizens Insurance Co of America <br />31534 <br />INSURER B: <br />Ilanover American Insurance Co <br />36034 <br />INSURER C: <br />800 Wilshire Blvd., Ste 200 <br />Los Angeles, CA 90017 <br />g � <br />INSURER D. <br />INSURER E: <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />INSURER F: <br />THIS IS TO CERTIFY THAT 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 RESPECTTO WHICH THIS CERTIFICATE MAY BE <br />ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF <br />SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MWD <br />POLICY EXP <br />MMJDD <br />LIMITS <br />GENERAL L UABILITY <br />EACH OCCURRENCE <br />$1.000.000 <br />DAMAGE TO RENTED <br />$500000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />PREMISES (Ea occurrence) <br />MED EXP(Any one person) <br />$5,000 <br />CLAIMS -MADE IF OCCUR <br />OBF921707200 <br />10/13/11 <br />10/13/12 <br />PERSONAL S ADV INJURY <br />$1,000,000 <br />GENERALAGGREGATE <br />$2,000,000 <br />GEN'L. AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMPlOPAGG <br />$2,000,000 <br />$ <br />POLICY X PROJECT LOC <br />O ASTOFOW <br />INGLE LIMIT <br />a <br />S <br />AUTOMOBILE LIABILITY <br />(Ea Ideni) <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL O'NN ED AUTOS SCHEDULED <br />AUTOS <br />NON-OWNED <br />0. <br />II ( <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />$ <br />HIRED AUTOS AUTOS <br />(Per accident) <br />S <br />UMBRELLA LIAR <br />OCCUR <br />- <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />Vs'ORKERS COMPENSATION <br />X WC STATU- OTH- <br />TORY LIb11TS ER <br />AND EMPLOYERS' LIABILITY YIN <br />E.L EACH ACCIDENT <br />$1,000,000 <br />ANY PROPRfETORFARTNERiEXECUTIVFI <br />B <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />WZF905232001 <br />03/06/12 <br />03/06/13 <br />(Mandatory in N.H.) <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000000 <br />E.L DISEASE - POLICY LIMIT <br />$1,000,000 <br />If yes, describe under DESCRIPTION OF <br />OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS f VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />Projects as on file with the insured including but not limited to City of Santa Ana One Broadway, W.O. 07332.01. <br />ACORD 25 (2010105) W1-75-ZUIU At+VKU GVKYVKA I itiN. At rigors reserveu. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City of Santa Ana <br />Clerk of the City Council <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH <br />THE POLICY PROVISIONS. <br />20 Civic Center Plaza (M -30) <br />P.O. Bon <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, , CA 92702 <br />ACORD 25 (2010105) W1-75-ZUIU At+VKU GVKYVKA I itiN. At rigors reserveu. <br />The ACORD name and logo are registered marks of ACORD <br />