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A 02 <br />SAC? <br />,4-CORD.. CERTIFICATE OF LIABILITY INSURANCE UOBB <br />12-21AT2009 <br />PRODUCER <br />TUTTON INSURANCE SERVICES INC/ PHS <br /> <br />251107 P:(866)467-8730 F:(877)905-0457 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 />PO BOX 33015 <br />SAN ANTONIO TX 78265 <br />INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: Hartford Casualty Ins Co <br />EDUARDO FIGUEROA DBA HISPANIC BUSINESS INSURER B: <br />CONSULTANTS INSURER C: <br />2510 N. GRAND AVE. STE 101 INSURER D: _ <br />SANTA ANA CA 9 2 7 0 5 INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIGA I tO. NU I VYI I its r ANURVCi <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 />LTA <br />TYPE OFINSURANCE <br />POLICY NUMBER POLICYEFFECTIVE <br />DA F AfM/DD Y POLICY EXPIRATION <br />DATE MM/DD/YY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br />A COMMERCIAL GENERAL LIABILITY 72 SBA AB6463 01/03/10 01/03/11 FIRE DAMAGE (Anyone fire) 4300, 000 <br /> CLAIMS MADE ? OCCUR MED EXP (Any one person) $10, 000 <br /> X General Liab PERSONAL&ADVINJURY 41 000 000 <br /> GENERAL AGGREGATE 42 1 000, 000 <br /> GEML AGGREGATE LIMIT APPLIES PER: - PRODUCTS - COMPIOP AGG 42 0001 000 <br /> POLICY JEPRCT O- X LOC <br />---- <br /> <br /> AUT OMOBILELIABRITY COMBINED SINGLE LIMIT <br />l <br />000 <br />o0a <br />A ANY AUTO 72 SBA AB6463 01/03/10 01/03/11 (Eaaccideni) , <br />, <br />a <br /> ALL OWNED AUTOS BODILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per person) _ <br /> X HIRED AUTOS BODILY INJURY <br />4 <br /> X NON-OWNED AUTOS RM (Per accident) <br /> ?qp'?? A TO <br />PROPERTY DAMAGE <br /> accident) <br />$ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ?/ <br /> ANY AUTO ?- n <br /> <br />? <br />ACC <br />EA OTHER THAN <br />$ <br /> A rnel <br />R AUTO ONLY: <br /> ,g to AGG $ <br /> EXCESSLIABILITY ss15tan EACH OCCURRENCE $ <br /> OCCUR I 1 CLLUMS MADE A <br />i AGGREG <br />T <br />E <br />A S <br /> b <br />- _ <br />_ <br />_ __ <br />_ <br /> DEDUCTIBLE l V 4 <br /> RETENTION 4 <br />_ <br />$ <br /> WORKERS COAfPENSA TION A NO w WC STATU• 0TH- <br /> EAfPL0YER5' unarurr <br />E.L. EACH ACCIDENT <br />$ <br /> E.L. DISEASE - EA EMPLOYEE 4 <br /> E.L. DISEASE - POLICY LIMIT 4 <br /> OTHER <br />I <br />DESCRIPTION OF OPERATfONSAOCA TIONS/VENICLES/EXCLUSIONS ADDED BY ENDORSEAIENT/SPECIAL PROVISIONS <br />The City of Santa Anna its officers, employees, agents and volunteers are <br />Ilisted as an Additional Insured by endorsement under the IH1200 form, <br />I.Designated Person-Organization. Coverage is Primary and Non-Contributory. A <br />;General Liability Waiver of Subrogation is included per coverage farm SS0008. <br />CANCELLATION <br />The City of Santa Ana <br />20 CIVIC CENTER PLZ <br />SANTA ANA, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE 110 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE <br />HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO <br />OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />ACORD 25-S (7197) ® ACORD CORPORATION 1988