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s�LCO� o CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM, °D/ryri'
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />3/1/2012
<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
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ,R! n _ �y' +� 13
<br />IMPORTANT= If the certificate holder is an ADDITIONAL INSURED, the policy(ie) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certjftcate does not confer rights to the
<br />certiFCate holder in lieu of such endorsement ( s). - - :Jt,
<br />PRODUCER
<br />�
<br />NAME C^ � "Alberding � l_
<br />SPIB Insurance Agency, InC.
<br />License Number 0719264 -
<br />PHONE - "(949) SB2 -5220 aC No: (949)582 -3512
<br />nDORI FSS: amy @spit. com
<br />26441 Crown Valley Parkway #200
<br />PROTOCER 00000969
<br />Mi5510n Vle O CA 92691 -
<br />INSURER(S AFFORDING COVERAGE
<br />NAICO
<br />INSURED
<br />INSURER A:Pe:E:r1E:58 Insurance Co
<br />4198 G
<br />INSURER B:The Netherlands Insurance Co
<br />4171 G
<br />Rue Vac Property Services Inc %
<br />600 W. Taft Avenue � a0 /, `O( /J
<br />INSURER C:G01 den Ea 1e Insurances Co
<br />10836 G
<br />INSURER D:
<br />/1/2013
<br />INSURER E:
<br />$ 100.000
<br />range CA 92865 _ O L.'
<br />INSURER F:
<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 />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />IN
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/Yri
<br />POLICY EXP
<br />MM/DDNriY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1 , 000 , 000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMSMADE � OCCUR
<br />BP 9558563
<br />/1/2012
<br />/1/2013
<br />PREMISES Ea occu Trance
<br />$ 100.000
<br />MED EXP (Any one person)
<br />$ 5 , 000
<br />PERSONAL 8 ADV INJURY
<br />$ 1 , 000 , 000
<br />GENERAL AGGREGATE
<br />$ 2 r OOO , 000
<br />GEN'L AGGREGATE
<br />LIMIT APPLIES PER:
<br />PRODUCTS - COMP /OP AGG
<br />$ 2 , 000 , 000
<br />I X POLICY
<br />PRO LOC
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />$ 1 , 000 , 000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />$
<br />ALL OWNED AUTOS
<br />9797086
<br />/1/2012
<br />/1/2013
<br />BODILY INJURY (Per accident)
<br />$
<br />SCHEDULED AUTOS
<br />(Per°a cldentDAMAGE
<br />$
<br />X
<br />HIRED AUTOS
<br />X
<br />NON -OWNED AUTOS
<br />Underinsured motorist property
<br />$
<br />Medical payments
<br />$
<br />C
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EACH OCCU RRENGE
<br />$ 1 , OOO , 000
<br />][
<br />EXCESS LIAB
<br />CLAIMSMADE
<br />U9556B 63
<br />AGGREGATE
<br />$ 1 , 000 , 000
<br />DEDUCTIBLE
<br />RETENTION $
<br />/1/2012
<br />/1/2013
<br />$
<br />i WORKERS COMPENSATION
<br />WG STATU- OTH-
<br />AND EMPLOYERS' LIABILITY
<br />ANY PR OPRIETOR/PARTN ER/EXECUTIVE Y / N
<br />OFFIGER/M EM BER EXCLUDED? �
<br />N /A
<br />EE SCIF CERT
<br />E.L. EACH ACCIDENT
<br />$
<br />E.L. DISEASE - EA EMPLOYE
<br />$
<br />(Mandatory In NH)
<br />li yess, dascdba under
<br />DESCRIPTION OF OPERATIONS below
<br />EL DISEASE - POLICY LIMIT
<br />$
<br />A
<br />PROPERTY SPECT nT. FORM
<br />BP 9558563
<br />/1/2012
<br />/1/2013
<br />BUILDING 1,248,480
<br />REPL COST, $1000 DED
<br />BUS. PERSONAL PROPERTY 104 , 000
<br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD t01, AlYditlonal Remarks Schetlule, M more space Is required)
<br />RE: SANTA ANA REGIONAL TRANSPORTATION CENTER, 1000 E. SANTA ANA SLVD., SANTA ANA, CA.
<br />THE C2TY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND RESPRESENTATIVES ARE NAMED AS ADDITIONAL
<br />INSUREDS WITH RESPECT TO GENERAL LIABILITY AS PER COMPANY FORM GECG 602 (09/04) SECTION V, A 6 B. PRIMARY AND
<br />NON - CONTRIBUTORY WORDING IS PROVIDED IN FORM $ 22 -111 01/07.
<br />TFIE CITY OF SANTA � � -!�� � :.I � 1 ! : _._a: y
<br />20 CIVIC CENTER PLAZA - ^. >��.I . t_:. -,: i�ar�i ,- ',I >rr: r��
<br />SANTA ANA, CA 92701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />Hines , CPCU ARM CLU ��aa � � ��ll
<br />©'1988 -2009 ACORD CORPORATION_ All rights reserved.
<br />IIV'VZO (200909) 1 ne AI.VKU name ana IOgO are reglSLereO marKS OT ACJV KU f ,�(,= `
<br />� .
<br />A:
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