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Client#= 663174 <br />SERVFIRSI <br />ACORD­ 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 ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 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 <br />NAME: Sara Pickens <br />Hub International <br />PHONE 916-770-2914 <br />El[t A� Ne <br />HUB InYI Insurance Serv. Inc. <br />I- <br />ADDRESS. sara.pickens(@?hubintensional.com <br />—1091 <br />1091 North Shoreline Blvd 200 <br />Mountain View, CA 94043 <br />INSURER(S) AFFORDING COVERAGE NAILa <br />INSURER A: Endurance American Specialty In 41718 <br />INSURED J� <br />�/� I � � � <br />INSURER B <br />Service First Contractors Y"'i- ©, <br />Network, DBA: Service First <br />INSURER C <br />3505 Cadillac Ave Bldg F-9 <br />INSURER— <br />NSUREROCosta <br />CostsMesa, CA 92626 <br />INSURER E : <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 CONTRACTOR 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 />L„: <br />TYPE OF INSURANCE <br />I'N R <br />Yyyp <br />POLICY NUMBER <br />­­ DDY <br />CDY EXP LIMITS <br />A <br />GENERAL LIABILITY <br />X <br />ECCIOID1141801 <br />1/11/2011 <br />11111/2012 s2,000.000 <br />X COMMERCIAL GENERAL LIABILITY <br />EEAAIC.,1Hq�O�CTCURRENCE <br />PREMISES Ea ortOca $50,000 <br />CLAIMS -MADE F—x] OCCUR <br />MED EXP An one person $5,000 <br />X BI/PD Ded: $2,500 <br />PERSONAL &ADV INJURY s2,000,000 <br />X CPL/PL Ded: $2,500 <br />GENERAL AGGREGATE s2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGO $ 2,000,000 <br />X POLIcv PRO Loc <br />CPL/PL $2,000,000 <br />AUTOMOBILE LIABLITY <br />OM INED SINGLE LIMIT <br />Ea actltlent <br />ANY AUTO <br />BODILY INJVRY (Per person) $ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Par accltlerx) $ <br />NON -OWNED <br />PROPERTY DAMAGE <br />$ <br />HIREDAUTOS AUTOS <br />Per­Idt <br />S <br />AUMBRELLALIAB <br />OCCUR <br />EXS10101268901 <br />1/11/2011 <br />11/11/21D12 EACHOCCURRENCE $1,000,000 <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE $11,000,000 <br />OED I X RETENTION S3,000 <br />S <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABLE <br />TT7� l e A i_ <br />APPRO V J-1, AS <br />TO Fo <br />p n STATU- <br />M WC OTH- <br />Y / N <br />ANYPROPRIMB R/EXCLU R/EXECUTIVE <br />R/MEMBH) EXCLUDED? <br />N / A <br />(_ <br />/// <br />E.L. EACH ACCIDENT S <br />(F .d <br />(Mandatory In NH) <br />- <br />/� <br />E.L. DISEASE - EA EMPLOYEE $ <br />It yes tlascrlbe ander <br />�— _ <br />/ <br />DESCRIPTION OF OPERATIONS bebw <br />E.L. DISEASE - POLICY LIMIT S <br />) <br />uC; Y <br />Assists Ci(y <br />ttorncv <br />`'- <br />DESCRIPTION OF OPERATIONS / LOCATgNS / VEHK:LES (Attach ACORD '101, Atldabnal RamarKs Srhadub, M mora space V raqulrarl) ' <br />additional certificate holder Parks, Recreation & Community Service Agency; Attn: Silvia Cuevas / City of _ <br />Santa Ana, its officers, agents 8: 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 ...t=. <br />attached endorsement. .. <br />CO <br />CERTIFICATE HOLDER CANCELLATION <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 />® 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) 1 Of 1 The ACORD name and logo are registered marks of ACO RD <br />XS 1435281 /M 1404866 M V41 <br />