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A�� CERTIFICATE OF LIABILITY INSURANCE OP ID AP DATE (MMlDD/YYYY) WISEPLI 01/25/11 LTR PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE POLICY NUMBER (WC) Heffernan Insurance Brkrs 1350 Carlback Ave, Suite 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. LIMITS Walnut Creek CA 94596 Phone:925- 934 -8500 Fax:925- 934 -8278 INSURERS AFFORDING COVERAGE NAIC# $ 1,000,000 INSURED INSURER A: Philadelphia Indemnity Ina. Co • INSURERB: STATE COMPENSATION INS. FiTND 35076 PHPK653590 01/01/11 01/01/12 Wiseplace, a Ca Corp dba: Wise Silver Center INSURER C: INSURER D: CLAIMS MADE � OCCUR 1411 N. Broadway Santa Ana CA 92706 PERSONAL & ADV INJURY $ 11000,000 INSURER E: rnvconr_cc 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 DATECMM /DD CTIVE DATE MM/DD T O LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occurence) $ 100, 000 • X X COMMERCIAL GENERAL LIABILITY PHPK653590 01/01/11 01/01/12 MED EXP (Any one person) $ 5,000 CLAIMS MADE � OCCUR PERSONAL & ADV INJURY $ 11000,000 X Prof. Liability GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY PRQ LOG JECT • AUTOMOBILE X LIABILITY ANY AUTO PHPK653590 01 /01 /11 01/01/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS 'F® BODILY INJURY (Per accident) $ X X HIRED AUTOS NON -OWNED AUTOS a!'� E"� �a,/� /` TO PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ri ty AUTO ONLY- EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO ASS IS'tallt �j $ J AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 AGGREGATE $1,000,000 A X I OCCUR F—I CLAIMSMADE PHUB327847 01/01/11 01/01/12 $ DEDUCTIBLE $ X RETENTION $10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE[- OFFICERIMEMBER EXCLUDED? L.J (Mandatory in NH) 488000067909 08/15/10 08/15/11 - - JOTH TORY LIMITS ER E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYEE $1000000 E.L. DISEASE - POLICY LIMIT $ 1000000 If yes, describe under SPECIAL PROVISIONS below OTHER A Crime PHPK653590 01/01/11 01/01/12 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project: As on file with the insured. The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured on General Liability policy per attached endorsement. *Except 10 days notice for non - payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION SANTAN4 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Santa Ana REPRESENTATIVES. 20 Civic Center Plaza AUTHORIZ SENTATIVE Santa Ana, CA 92701 ACORD 25 (20091flil Ccl 9AB -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD