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OP ID: LV <br />.?acoRO• CERTIFICATE OF LIABILITY INSURANCE <br />?`? DATE(MM/DDNYYY) <br /> 05/05/1 1 <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 OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />UTE A CONTF??? ?F <br />TyVFE?N Tf{F. 1$$ll?/?lC INSURER(S), AUTHORIZED <br />F <br />i <br />S <br />_ <br />t <br />REPRESENTATIVE OR <br />PRODUCER <br />AND THE CERT F <br />CATE HOLDER. <br />P <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SU <br />6 <br />ROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsementsp-statement on this. certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). V t i <br />PRODUCER <br />(U) 949-336-8370 <br />United A <br />encies <br />Inc CONTACT 1 -- <br />-_ t-` ?? ? ?? ? ? ' _- <br />g <br />, <br />. <br />CA License #0252636 949-336-5390 PHONE <br />FAX <br /> A/c No Ert : A/C Na <br />9114 Adams Ave. #142 E-MAIL <br />Huntington Beach <br />CA 92646 ADDRESS: <br />, <br />Steffen L. Goltra PR DU ER AARDV-2 <br />CUSTOMER ID #: <br /> INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED Aardvark Tactical Foundation INSURERA:LandmarkAmerican-Ins. Co. <br />Jon Becker <br />1935 P <br />ddi <br />t <br />D INSURER B: <br />u <br />ngs <br />one <br />r, <br />La Verne <br />CA 91750 INSURER C <br />, <br /> INSURER D <br /> INSURER E <br /> INSURER F <br />COVERAGES CERTIFICATE NUMBER: RFVICInN 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 />POLICY NUMBER POL Y EFF <br />MM/DD/VYYY POLICY EXP <br />MM/DD/YYW <br />LIMITS <br /> GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,00 <br />A X COMMERCIAL GENERAL LIABILITY LHC816009 04/18/11 04/18/12 PREMISES Ea occurrence $ 50,00 <br /> CLAIMS-MADE ? OCCUR N <br /> MED EXP (Any one person) on <br />$ <br /> PERSONAL BADV INJURY $ 1,000,00 <br /> X. E&O $1,000,000 <br />GENERAL AGGREGATE <br />$ 1,000,00 <br /> <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 1,000,00 <br /> POLICY PRO LOC $ <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accitlent) $ <br /> <br />ALL OWIJED AUTOS BODILY INJURY (Per person) $ <br /> <br />SCHEDULED AUTOS BODILY INJURY (Per accitlent) $ <br /> PROPERTY DAMAGE $ <br /> HIRED AUTOS (Per accitlent) <br /> NON-OWNED AUTOS $ <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE <br /> <br /> RETENTION $ <br /> WO RKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS' LIABILITY <br />. T Y LIMIT ER <br /> , <br />/ N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFIGER/M EM BER EXCLU DED9 ? <br />N / A <br />E.L. EACH ACCIDENT <br />$ <br /> (Mantlatory In NH) E.L. DISEASE - EA EMPLOYE $ <br /> IT yes, tlescribe untler <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />A Professional Liab. LHC816009 04/18/10 04/18/11 E&O 1,000,00 <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Atltlltlonal Remarks Schetlule, 1/ more space Is required) i <br />City of Santa Ana its officers aggents,volunteerstSemployees are named as <br />additional insured 8shall include,but not be limited to protection against \ <br />. <br />claims arising from bodily and personal injury including death resulting ( 1 <br />? <br />there from and damage to property, resulting {rom any covered act or <br />? <br /> <br />occurrence arising out of Insured's operations in the performance of Agrm nt. ???xx?? ?- <br />? <br />? <br />?. cry I Ir la.ri I c rivwcrc VANI..tLLA I IVIV -- - <br />SHOULD ANY OF THE ABOVE DESC RIBELTPC3L)CIES BE ?Jtkfb'?I'L?15 BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC Center Plaza (M-30) ACCORDANCE WITH THE POLICY PROVISIONS. <br />P.O. Box 1988 <br />Santa Ana, CA 92702-1988 AUTHOR?RE?D R/E?PRESEN?T?/A/TIVE <br />© 1988-2009 ACORD CORPORA TION_ All rights reservari_ <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD