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/)- ?,O/I- ;)./12 .. ACORQ" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY) 10/19/2011 P/(ODUCE/( Phone: (626J 854.9541 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Master Insurance Agency, Inc. O~LY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 18053 Valley Blvd., HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR City of Industry, CA91744 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. License #: OB03663 INSURERS AFFORDING COVERAGE NAIC# INSU/(ED INSURER A: Travelers Casuall:v Ins. Co. of America Softmaster, Inc. INSURER B: Emolovers ComDensation l~suranc8 Comoanv 23 Peters Canyon Road INSURER C: Continental Casualtv ComDanv Irvine, 'CA 92606 INSURER 0: I INSURER E: COVERAGES 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. ~ 'fI~ ~~~ POUCY NUMBER POLICY EFFE~E Pg1!fY EXPIRATION LIMITS . . A Y ~NERAL UABlLITY 680-4429R083.11 07/01/2011 07/01/2012 EACH OCCURRENCE 5 2 000.000 . X- COMMERCIAL GENERAL LIABILITY PREMISES lEa cccurenca\ $ 300 000 - :JCLAIMS MADE ~ OCCUR MED EXP (Any ono person) $ 5000 X Hired Auto PERSONAL.& ADV INJURY 5 2 000_000 X Non Owned Auto. GENERAL AGGREGATE 54 000 000 ilL AGG~n LIMIT AnS PER: PRODUCTS. COMPtDP AGG . S 4 000:,000 X POLlCY ~fR,: LOC -' ~OMOBILE LIABILITY COMBINED SINGLE LIMIT 5 ANY AUTO (Ea SCCidsnt} - '- ALL OWNED !,-UTOS . BODILY INJURY , SCHEDULED AUTOS (P'er person) $ ~ . - HIRED AUTOS BODILY INJURY (Par accldon~ $ - NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) ~RAGE LIABILITY . AUTO DNL Y .. EA ACCIDENT 5 '. ANY AUTO OTHER THAN EAACC 5 AUTO DNL Y: AGG $ A fJESSlUMBRELLA LIABILITY CUP4A776206 08/12/2011 07/01/2012 EACH OCCURRENCE $ 5 000 000 X OCCUR D CLAIMS MADE AGGREGATE $ 5 000 000 $ =J DEDUCTIBLE $ RETENTION $ -. $ B WORKERS COMPENSATION AND EIG1255230-01 10/27/2011 10/27/2012 X I T"X~!rr:J,V;, I IOJ~- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1 000 000 ANY PROPRIETORlPARTNERiEXECUTIVE OFFICERlMEMSER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ 1.000 000 ~~~CI~te~ri'~~~~~6 below E.L. DISEASE - POLICY LIMIT $ 1 000.000 OTHER ("-) ::-.. "'-' c;) C Errors & Omissions 287501715R1 02120/2011 02/20/2012 Per Aaareaare- -1 1,09QiOOO C Deductible: $10,000 287501715R1 02/20/2011 02/20/2012 Per Claim Liiriit ._<: 1,OQQ..00O DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES J EXCLUSIONS ADDED BY E_~DO'rEMENTl11PP?IALJROVISIONS' ::z: Computer ConaullBnt ancj Staffing Sarvlcee. ~ p DR 0 V b iJ A ~ 0 r V 1 d 1 - Subject to Policy Tarms, Conditions and Exclusion 1 C) Insurodfor LOCBtlon at: ~ /3 -0 23 Pete... Cenyon Rd Irvine, CA 9260B ___.__--...----:------ === - '_.'L'I'l St.~: Snc."':u'v ~:;..., ~. .30 Daye Nolice should tho polley cancel for non.payment .' . " ,,, ... ......" . "'--.. D'I:' 'Sla'ill '-'.I i.) ,- ~ I. ,. ,-. . I. )",,' CERTIFICATE HOLDER , _ ~ 1 CAN CELLA TlON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAN ElLiJl:BEFOR~E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL~ DAYS WRITTEN ..) t;PTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAll. IMPOse NO OBLIGATION OR l.IABILlTY OF ANY KIND UPON THE INSUREIl, ITS AGENTS OR REPRESENT A TlVES. AUTHORizeD REPRESENTATIVE City of Santa Ana Its Officers, Agents and Employees 20 Civic Center Plaza . P.O. Box 1988-M12 Santa Ana, CA 92702 ACORD 25 (2001/08)