HISPANIC BUSINESS CONSULTANTS 1C - 2011

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)'Jlv,-- ......--, SA ACORD~ CERTIFICA TE OF LIABILITY INSURANCE P4SA I DATE (MM/DDJYYYYI ~ 03 -28 -2011 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFJRMA TIVEL Y 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 ADDIT/ONALlNSURED, the policy(iesl must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, .certaln policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT TUTTON INSURANCE SERVICES INC/PHS NAME: 1 FAX -- r1l8N~o Exl': (8661467 - B73 0 WC 1'101: (877) 905-045 251107 P: (866)467-8730 F: (877) 905-0457 ~~D1l~SS: PO BOX 33015 ~~~~g~.EE~ID ,: ..~ SAN ANTONIO TX 78265 _. .. --- JNSURERISI AFFORDING COVERAGE -- N^!~ INSURED INSUflERA: Hartford Casualtv Ins Co EDUARDO FIGUEROA DBA HISPANIC BUSINESS INSURER B : CONSULTANTS 2510 N GRAND AVE STE 101 INSURER C : SANTA ANA CA 92705 INSURER 0 : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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. 'i't: TYPE OF INSURANCE QOOL UBR l:ftb'b";yW'Y1 llwgJIY~~) lIMffS lf1..R Il<ND POLICY NIIMBER GENERAL LIABILITY ~~CCURRENCE $1 ogO.OOO - 3MERCIAL GENERAL LIABILITY . E"iOJ'iENTW $300,000 ~ PAEMIS ES lEa occurrence] A ~ CLAIMS.MADE [X] OCCUR MED EXP rAiw one personl $ 10,000 X General Liab X 72 SBA AB6463 01/03/2011 01/03/2012 PERSONAL & AOV INJURY $1,000,000 GENERAL AGGREGATE .$2,OOO,OQ2- ~'~ AGGRELf LIMIT ACXr PER' PROOUCTS. COMPIOP AGG $2,000,000 POLICY P'~RT X LOC $ AUTOMOBILE liABILITY COMBINED SINGLE LIMIT $1,000,000 - lEa accldentl ~ ANY AUTO BOOIL Y INJURY IPer personl $ ALL OWNED AUTOS 1---- ~ BODILY INJURY IPer acoldenll $ A ~ SCHEDULED AUTOS PROPERTY OAMAGE 72 SBA AB6463 01/03/2011 01/03/2012 $ .x HIRED AUTOS IPer accldent] .x NON.OWNED AUTOS $ $ UMBREllA LIAB H OCCUR - EACH OCCURRENCE $ r- AS r 0 FOR.L' EXCESS LIAS CLAIMS.MAOE APPROV BD AGGREGATE $ 1--. DEDUCTIBLE k7/ { t ~(VH(j $ ._.~ RETENTION $ ...- $ WORKERS COMPENSA TION r/ . ;A E. STC RCK 1 ;X~.;WI~;' 1 10J,\1' AND EMPLOYERS' LlABILffY Y/N - LI ANY PROPRIETORJPARTNERlEXECUTIVED NIA Assic ant City ttorney E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED 1 (MBndatoty In NHJ 1/'1 E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE. POLICY LIMIT $ {J DESCRiPTION OF OPERATIONS I LOCA TIONS / VEHICLES IAttBch ACORD tOI. AelelitionaJ R.marks Sch.el.,..1f mQI. spaca is/'q_i-'''') The City of Santa Anna its officers, employees t agents and volunteers are listed as an Additional Insured by endorsement under the IH1200 form, Designated Person-Organization. Coverage is Primary and Non-Contributory. A General Liability Waiver of Subrogation is included per coverage form 880008. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WilL BE The City of Santa Ana DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHOR/ZED REPRESEmATTVE 20 CIVIC CENTER PLZ . SANTA ANA, CA 92701 7tvc 1?J-d~ ACORD 25 (2009/091 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD