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Client*: 663174 <br />SERVFIRSI <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />12/10/2011 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY O`ER 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: Ifthe certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WANED, 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 <br />NAME: Sara Pickens <br />Hub International <br />FAX <br />PRONE 916-770-2914 <br />A/C No EH A/C No : <br />HUB I Insurance Inc. <br />rv.Blvd <br />EaYIA1L Sara. icken hubintenaional.com <br />ADOREss: P s@ <br />1/11/2011 <br />o <br />1091 North Shoreline Blvd 200 <br />a <br />EEAg1CHgGOECTCURRR�ENCE $2,000,000 <br />Mountain View, CA 94043 <br />INSURE S) 'NGCOVERAGE NAICA <br />rance Amrican scanI`FFO <br />INSURER A: EndueSpecialty In 41718 <br />INSURED <br />Service First Contractors <br />INSURER B <br />Network, DBA: Service First <br />INSURER C <br />CLAIMS -MADE 1:9 OCCUR <br />3505 Cadillac Ave Bldg F-9 <br />INSURER D <br />Costa Mesa, CA 92626 <br />INSURER I' <br />MED EXP An one pen3on s5,000 <br />PERSONAL & ADV INJURY s2,000,000 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NIIMRFR- <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 />AKIDL <br />INSR <br />UBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X <br />ECC10101141801 <br />1/11/2011 <br />11/11/2012 <br />EEAg1CHgGOECTCURRR�ENCE $2,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />pRE1.,115E5 Ea ooMcuEmenca S50,0()() <br />CLAIMS -MADE 1:9 OCCUR <br />MED EXP An one pen3on s5,000 <br />PERSONAL & ADV INJURY s2,000,000 <br />X BI/PD Dad: $2,500 <br />X CPL/PL Ded: $2,500 <br />GENERAL AGGREGATE s2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG $ 2,000,000 <br />X POLICY PRO LOC <br />CPL/PL $2,000,000 <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accldenl <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY ar acctieM $ <br />P <br />( ) <br />NON-OVMIED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per accldenl $ <br />A <br />UMBREULA LIAB <br />OCCUR <br />EXS10101268901 <br />11/11/2011 <br />11/11/2012 <br />EACH OCCURRENCE $1,000,000 <br />AGGREGATE S11,000,000 <br />EXCESS LIABCLAIMS-MADE <br />OED X RETENTION s3,000 <br />$ <br />WORKERS COMPENSATION <br />AND EMPLLIABILITY ABILITY Y ! N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICE -MEMBER EXCLUDED? <br />N ! A <br />i <br />A PP�UFR <br />Li <br />{ _ <br />/// <br />WC STATU- 01 <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />(Mandatory In NH) <br />0 yea. d[ s ION under <br />DESCRIPTION OF OPERATIONS bebw <br />-- <br />_ —� <br />Fl... IEASE - POLICY LIMIT S <br />Laura . <br />AsSis[an[ c.Ji <br />y <br />DESCRIPTON OF OPERATIONS /LOCATIONS !VEHICLES (At�ch ACORD 101, Addabnal RemarKa Schedu b, M mora spam V raqulrad) <br />additional certificate holder Parks, Recreation & Community Service Agency; Attn: Silvia Cuevas / City of <br />Santa Ana, its officers, agents & employees are named as additional insureds with respects to liability <br />arising out of the insured's operations per endorsement FEI-319-ECC-0708. 'Primary Wording applies per <br />attached endorsement. <br />♦.oR I Ir--- I c ------ ----CLLA 1 ILIN <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />26 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />V17-2010 <br />ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) 1 Of 1 The ACORD name and logo are registered marks of ACORD <br />#S 1435281 /M 1404866 M V41 <br />