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i_ <br />I <br />ACORD CERTIFICATE OF LIABILITY INSURANCE DATEPAUDOfYYY'l) <br />07/07/2010 <br />PRODUCER Phone: (626) 854-9541 <br />The Master Insurance Agency, Inc. <br />18063 Valley Blvd., 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 />City of Industry, CA 91744 <br />License #: OB03663 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: Travelers Insurance Com a <br />Softmaster, Inc. INSURER B: Oak River Insurance Company <br />23 Peters Canyon Road INSURER C: Continental Casualty Company <br />Irvine, CA 92606 INSURER D: <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />ANY REQUIREMENT <br />, <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 <br />LIM tY <br />IN <br />TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICYE%PI TION LIMITS <br />A Y GENERAL LIABILITY 1-6804429RO83-ACJ=10 0710112010 0710112011 EACH OCCURRENCE $ 2,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occ r nce $ 300,000 <br /> CLAIMS MADE © OCCUR MED EXP An one arson $ 6,000 <br /> PERSONAL & ADV INJURY S 2,000,000 <br /> GENERAL AGGREGATE $ 4 000 000 <br /> GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 4,000,000 <br /> X POLICY P <br />JECT RO LOC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />$ <br /> ANY AUTO (Eaaccidsrtt) <br /> ALLOWNEDAUTOS r? FO <br />0 BODILY INJURY $ <br /> SCHEDULEDAUTOS A S (Per erson) <br /> `, <br />?? Cy <br /> HIRED AUTOS A 9py D <br />` <br />ly HODILY INJUt? y <br />$ <br /> NON-OWNED AUTOS <br />t (Per M ? <br /> 4 ay PROPERTY DAMAGE <br /> <br />1.1 ?ee <br />(Per acddent) $ <br /> GARAGE LIABILITY <br />t <br />1 AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO $t3n <br />?SSl FJ1 ACC <br />OTHER THAN $ <br /> AUTO ONLY: AGG $ <br /> EXCES9fUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR FICLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br />B WORKERSCOMPENSATIONAND 2200000037-91 .10/27/2009 10/2712010 X WCSTATU- OTH- <br /> EMPLOYERS' LIABILITY <br />E.L. EACH-ACCIDENT <br />$ 1.000.000 <br /> ANY PROPRIE70RMARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ J,000,000 <br /> Ityyeeee describe under <br />SPEI LAL PROVISIONS below <br />EL. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br /> OTHER <br />C Errors & Omssions 287601716 02/20/2010 0212012011 Per Ann renate $1,000,000 <br />DESCRIPTION OF OPERATIONS ( LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS <br />The City of Santa Ana, Its Officers, Agents and Employees are named as Additional Insured for the location: <br />20 Civic Center Plaza <br />P.O.'BOX 1988-11112 <br />Santa Ana, CA 92702 <br />Primary & Non-Contributory <br />Subject to Policy Terms, Conditions and Exclusions. <br />•30 Days Notice should the policy cancel for non-payment <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana - - DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO ML 30* DAYS WRITTEN <br />Its Officers, Agents and Employees NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL <br />20 Civic Center Plaza IMPOSE NO OBLIGATION OR LIABILITY OF ANY I9ND UPON THE INSURER, ITS AGENTS OR <br />P.O. BOX 1988-M12 REPRESENTATIVES. <br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE _,e <br />ACDRD 25 f20011081 <br />® ACORD CORPORATION 1988 <br />Printed by MDD on July 07, 2010 at 10:26AM