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Client#: 1259431 305CAROOCnR ACORD,-CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR 1/19/2012mYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BBBT Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE of Orange County HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 680 Langsdorf Drive Suite 100 GEN ERALLIABILITY Fullerton, CA 92831 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Sentinel Insurance Company, Ltd 11000 Cordoba Corporation 1401 N. Broadway Los Angeles, CA 90012 INSURER B: Everest National Insurance Co 10120 INSURER c: Property & Casualty Ins Co of H 34690 INSURER D: INSURER E: RAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM,. YYY POLICY EXPIRATION DATE MM/DD/YYYY LIMITS A GEN ERALLIABILITY 72SBACP3130 01/20/2012 01/20/2013 EACH OCCURRENCE $1,000,000 AUTHORIZED REPRESENTATIVE X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $1,000,000 ,1OOOOOO MED EXP (Any one parson) $10,000 CLAIMS MADE F—X-1 OCCUR PERSONAL & ADV INJURY S1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 X POLICY JPEC0. LOC C AUTOMOBILE X LIABILITY ANY AUTO 72UECUS9769 01/20/2012 01/20/2013 COMBINED SINGLE LIMIT $1,000,000 acc (Ea ident) BODILY INJURY $ (Par parson) ALL OWNED AUTOS SCHEDULED AUTOS ,'R A -_ _ i _ ... - � X BODILY INJURY HIRED AUTOS NON -OWNED AUTOS ,FI` 7 X PROPERTY DAMAGE _ it GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ A EXCESS / UMBRELLA LIABILITY 72SBACP3130 01/20/2012 01/20/2013 EACH OCCURRENCE $5,000,000 X 1 OCCUR F1 CLAIMS MADE AGGREGATE $5,000,000 $ DEDUCTIBLE $ X RETENTION $ 10000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY CA2001111 7121 0112012012 01/2012013 X IAC STATU- OTRH ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 FI EWMT'r AaaF EXCLUDED? n story N E.L. DISEASE - EA EMPLOYEE $1,000,000 SPECIAL PROVISIONS —I— E.L. DISEASE - POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Per form SS0008 04/05 pages 11-13 of 24 attached, the following are named as Additional Insureds, as respects to General Liability, as required by written contract. Additional Insureds: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702; its officers, employees, agents and volunteers are named as additional insureds with regard to liability and (See Attached Descriptions) - CERTIFICATE HOLDER CANCELLATION 10 Days for Non -Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL an DAYS WRITTEN Transportation & Traffic Engineer Public NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL Works Agency M-93 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Attn: David Biondolillo; 20 Civic Center Plaza REPRESENTATIVES. Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) 1 of 3 #S8070501/M8064223 O 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LXMCN