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AC.?RL?J <br />?? ?CERTIFIC._ ?TE OF LIABILITY INSUL ONCE DATE (MM/DD/YYYY)? <br />2i24i2011 <br />THIS- CERTIFICATE-IS-I:;SUED-AS'-A' MATTEROF-INFORMATION- ONLY-AND-CONFERS-NO RIGHTS UPON-THE CERTIFICATE HOCDERc 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: <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER NAMEACT Erica Hornaday <br />The Empire Company PHONE t (714) 836-9945 q/C No : (T14) 836-9946 <br />550 Par)ccenter Drives E-MAIL eylornada @em l.ra-co.oom <br />ADDRESS- Y P <br />Sui to 205 PRODUCER p0017900 <br />Santa Arta CA 92705-3521 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURERA:Hartford Casualt 2nsuranca 29424 <br /> INSURERB:Oa)c River 2nsurance Com an <br />Rosenow Spavacelc Group, Inc. INSURERC:National L.7ni on Fi ra Ins. Co. <br />309 W. Fourth Stra@t INSURERD- <br /> INSURER E - <br />Santa Ana CA 92701 INSURERF- - <br />COVERAGES CERTIFICATE NUMHER-2011/2012 Master RFV)clnN NI IMRFR- <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 />I <br />POLICY NUMBER <br />MM/DD/Y`/YYY <br />MM DD/YYYY <br />LIMITS <br /> GENERAL LIABILITY EACH OCCVRR ENCE $ 1 , 000 , 000 <br /> X COMMERCIAL GENERAL LIABILITY <br />PREMISES Ea occur ante <br />$ 300 , 000 <br />A CLAIMS-MADE ? OCCUR 72SBAAH6040 3/1/2011 3/1/2012 <br />MED EXP (Any one person) <br />$ 10 , 000 <br /> PERSONAL 8 ADV INJURY $ 1 , 000 , 000 <br /> <br /> GENERAL AGGREGATE $ 2 , 000 , 000 <br /> <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 , OOO , OOO <br /> X POLICY PRO LOC $ <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />000 <br />000 <br />$ 1 <br /> A <br />Y <br />O - (Ea accitlent) , <br />, <br /> <br />A N <br />AUT <br />LL O 72 SBAAH6040 <br />/1/2011 <br />3 <br />/?/ <br />2012 BODILY INJURY (Per person) $ <br /> A <br />WNED AUTOS <br />S <br />? a <br />a <br />Ay?Vl BODILY INJURY (Per acclden0 $ <br /> CHEDV LED AUTOS ?? DAMAGE <br />O <br /> X $ <br /> HIRED AUTOS V?? (Per <br />a cltlen{ <br /> X NON-OWNED AUTOS ??? V $ <br /> RCK $ <br /> X UMBRELLA LIAR X OCCUR LISA pttorr EACH OCCURRENCE $ 2 , 000 , 000 <br /> EXCESS LIAB CLAIMS-MADE ` <br />55\rjt.an? qty AGGREGATE $ 2 r 000 , 000 <br /> A <br /> DEDUCTIBLE <br />A X RETENTION $ 10 000 ?23HP.1\H6090 3/1/2011 3/1/2012 $ <br />B WORKERS COMPENSATION X WC STATU- OTH- <br /> AND EMPLOYERS' LIABILITY <br /> Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ? <br /> <br />N/A <br />E.L. EACH ACCIDENT <br />$ 1 000 OOO <br /> (Mantlatory In NH) 2210018664-111 3/1/2011 3/1/2012 E.L. DISEASE - EA EMPLOYE $ 1 000 000 <br /> IT yes, describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1 000 000 <br />C Errors & Omissions 04-293-23-10 3/1/2011 3/1/2012 Each Clalm/Aggregate 2,000,000 <br /> Deductible 10 , 000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Atlditlonel Remarks Schedule, H more space Is required) <br />t.'1 ty Of .9anta 113Ya, 1t9 OffiC0r9, aCJBntEf, ampl oyeas, volunteers and repress antativaa aranamed as additional instarads. <br />+*10 day no t3ca oP cancellation sYtall apply Por non-payment oP prem_iuan. <br /> <br />vrt, c rwa-v?rt a..g IVLCLLH 1 IVIV <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ' <br />Community Development Agency o£ ACCORDANCE WITH THE POLICY PROVISIONS. <br />The City o£ Santa Ana <br />Attn: Dane11 Mercado AUTHORIZED REPRESENTATIVE '? <br />20 Civic Center Plaza M-25 ?' <br />Santa Ana, CA 92701 ?- <br />Larry Jonas /ERSCA <br />AcOKU z5 (2009/09) ©1958-2009 ACORD CORPORATION. All rights reserved. <br />INS025 (zoosos) The ACORD name and logo are registered marks of ACORD