JOHNSON FRANK & ASSOCIATES, INC. 5B-2011

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ACOORl?® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD,YYYY) 12/2/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ieS) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Insurance Office of America CONTACT NAME: 130 Vantis, Suite 250 PHONE • 949_297-5962 A/c No: 94 -297-5960 Aliso Viejo, CA 92656 _ E-MAIL ADDRESS: _ _?- INSURER(S) AFFORDING COVERAGE NAIC # www.ioausa.com CA License #OE67768 INSURER A : Travelers Ploperty Casualty Ins Co of America _ 25674 _ INSURED Johnson-Frank & Associates, Inc. INSURER B: Beazley Insurance Company 37540 5150 E. Hunter Avenue Anaheim CA 92807 INSURER C: INSURER D : INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 8898708 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDL I?TR TYPE OF INSURANCE NqR SUVrfJn BR POLICY NUMBER MMID Y EFF MWD f EXP LIMITS A GENERAL LIABILITY 68068251-007 1211/2010 12/1/2011 EACH OCCURRENCE a 1,000,000 _? COMMERCIAL GENERAL LIABILITY Scheduled At Endt DAMAGE T ENTED PREMISES Ea occurrence) 1,000,000 CLAIMS -MADE 1z OCCUR #CGD3820907 Professional Services MED EXP (Any one person) E 10,000 ? Primary/Non-Contributory- _ performed by the insured PERSONAL 8 ADV INJURY s 1,000,000 ? Waiver of 9ubrocation are Excluded GENERAL AGGREGATE S --- 2,000,000 L AGGREGATE LIMIT APPLIES PER: MI PRODUCTS - COMPIOP AGG $ 2,000,000 ? PRO- ? LOC POLICY JECT S A AUT OMOBILE LIABILITY ? BA68191_639 12/112010 12/1/2011 COMBINED DE SINGLE LIMIT S ? X00000 V1 ANY AUTO Designated Insured BODILY INJURY Per person) _ s A LL OWNED SCHEDULED Auros AUTOS U Endt #CA20480299 Blanket Waiver of BODILY INJURY (Per accident) - - a y/ HIRED AUTOS NON-OWNED / AUTOS Subroation #CAT3400808 g PR PERTY DAMAGE PeraccidentL S S A UMBRELLA LIAB ? OCCUR CUP7915Y817 121112010 12/1/2011 EACH OCCURRENCE ____ $ 4,000,00 EXCESS UAB _ CLAIMS-MADE Excludes Professional AGGREGATE $ 4 000 000 ? DEDi-I RETENTION SO Liability _ , , S E a WORKERS COMPENSATION V4CSTATU- OR - AND EMPLOYERS' LIABILITY TORY LIMITS E Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ? NIA E.L. EACH ACCIDENT _ S OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE - $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S B Professional Liability V15PR3100301 12/1/2010 12/1/2011 $1,000,000 Per Claim Claims-Made $2,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space Is required) Certificate Holder is an Additional Insured with respect to General Liability and Automobile Liability but only when required by written contract with Named insured prior to an occurrence as per Endorsement(s) noted above. General Liability includes Separation of Insureds and Contractual Liability per limitations in the Liability Coverage form #0000011001. Coverage is subject to all policy terms, conditions, limitations and exclusions. 30 Day Notice of Cancellation/10 Day Notice for Non-Payment of premium. C I ICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana Its Officers and Employees THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN , P.O. Box 1988 ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA 92702 APPROV RECEIVED ED AS 1.0 FOR V ArORIZED REPRESENTATIVE APR 1) 7 2011 (AVC) Alicia K. l gram v 25 2010/0 j CERT NO.: 8898]38 T-eaa-"FarLc 12/"2/2010 -t1i t Syedy ©1988-2010 ACORD CORPORATION. All rights reserved. The ACbrtti(rFalf laifdalogo are registered marks of ACORD 1:17:50 PM Page 1 of 5