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M CERTIFICATE OF LIABILITY INSURANCE <br />Acord <br />Date 10/M5D013R) <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 j� IN fQJSI)f the FF��gqlicy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms <br />and conditions of the policy, certain policie l 1' n or en *A(ftitement on this certificate does not confer rights to the certificate holder in lieu of <br />such endorsement(s). <br />PRODUCER (Ff a Ct 3;- , 1 c1 <br />Risk Strategies Company ( "1 f A ANA <br />2040 Main Street, Suite 580 ' ` Ott% <br />CONTACT Sherry Young <br />NAME: <br />A PHONE /CNo,Ext: 949.242.9240 <br />FAX 949.596.0866 <br />EMAIL syoung @risk - strategies.com <br />ADDRESS: <br />Irvine, CA 92614 <br />Lic. #OF06675 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED - <br />INSURER A: <br />Citizens insurance Co. of America <br />31534 <br />Nabih Youssef & Associates <br />INSURER B: <br />Hanover American Insurance Co. <br />36034 <br />800 Wilshire Blvd., Ste 200 <br />Los Angeles, CA 90017 <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />Ar° 7U! ! °17 2.2.. <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 RESPECT TO 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 />WVO <br />POLICY NUMBER <br />POLICY EFF <br />MWDOIVVVV <br />POLICY EXP <br />MWDDM'YY <br />LIMITS <br />GENERAL L LIABILITY <br />EACH OCCURRENCE <br />$1,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />OB3921707202 <br />10/13/13 <br />10/13/14 <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />$1,000,000 <br />CLAIMS -MADE EXI OCCUR <br />MED EXP(Any one person) <br />$5,000 <br />PERSONAL B ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L. AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMPIOP AGG <br />$2,000,000 <br />POLICY X PROJECT LOU <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALLOWNEDAUTOS SCHEDULED <br />AUTOS <br />NOW <br />HIRED AUTOS OWNED <br />AUTOS <br />BODILY INJURY (Par accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAR <br />CLAIMS- MADE <br />AGGREGATE <br />$ <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITV YIN <br />X <br />WCSTATU- <br />TORY <br />LIMITS <br />OTH- <br />ER <br />B <br />ANY PROPRIETORIPARTNER /EXECUTIVE/ <br />OFFICER /MEMBER EXCLUDED? ❑ <br />(Mandatory in N.H.) <br />If yes, describe under DESCRIPTION OF <br />NIA <br />WZ3905232002 <br />03/06/13 <br />03/06/14 <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE - EA <br />EMPLOYEE <br />$1 A00,000 <br />E.L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Pr0'ects as on file with the insured including but not limited to City of Santa Ana One Broadway, W.O. 07332.01. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH <br />Clerk of the City Council <br />THE POLICY PROVISIONS. <br />20 Civic Center Plaza (M -30) <br />AUTHORIZED REPRESENTATIVE <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />ACORD 25 (2010105) @1.8.2010 ACORD CORPORATION. All rights reserved. <br />