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.?- ? ,?acc?izrt CERTIFICATE OF LIABILITY INSURANCE ??? ii?e/zoiiY' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlfl cats holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subJect to the terms and conditions of the policy, certain poll ties may require an endorsement. A statement on this certlflcate does not confer rights to the certlflcate holder In Ileu of such endorsements . PRODUCER NAME: Laura Gage Preferred Specialty 2ns11Tance Services, LLC PHONE (626) 963-1800 Arc No: (626)609-1730 License No.OF76061 .laura@ps-insurance_com 303 N. Glendora AVe. $131 t0 B. INSURER 3 AFFORDING COVERAGE NAICi Glendora CA 91741 INSURERa:Travelers INSVRED INSURERB:Travelers Casualt & Suret 19038 Enthusiast, 2nc. INSURERC: 901 South Magnolia Avenue INSURERD: INSURER E MAASOV1a CA 91(716 INSVRERF: COVERAGES CERTIFICATE NUM BER:CL1111£302367 REVISION NUMBER: THIS IS TO CERTIFY THAT 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 1AM ICH 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. LIMrrS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- INSR LTR TV PE OF INSURANCE POLICY NUMBER POLICY EFF MMlDDlYYYY POLICY EXP MMIDD/VYYY LIMITS GENERAL LIABILITY EACH OCCVRREN CE $ 1 , 000 , 000 X COMMERCIAL GENERAL LWBIL ITV PREMISES Ea occurrence $ 300 , 000 A CLAIMS-MADE ? OCCUR 680-2852 P287 /19/2011 /19/2012 MED EXP (Any one person) $ 10 , 000 PERSONAL 6 ADV INJURY $ EXCluded GENERAL AGGREGATE $ 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: PR ODV CTS -COMP/OP AGG $ 2 , 000 , 000 X POLICY PRO- LOC $ AUT OMOBILE LIABILnY APPROVED A Ea accltle nl ANY AUTO /? --?.---- ?- BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS ` SC•-_ BODILY INJURY (Per eccitl errt ) $ HIRED AUTOS AUTOS?JED LISA STORCK per ac ICtl nt AGE $ ant City Attor ey $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WO RKERS COMPENSATION VAC STAT U- OTH- AN D EMPLOYERS' LIABILITY ?, / N ANY PROPRIETOR/PAR TNER/EXECV TIVE O N/A E.L. EACH ACCIDENT $ 1 000 000 OFFICER/MEMBER EXCLUDED? (Mantlatory In NH) H6828M472 0/1/2010 O/1 /2011 \ _ E.L. DISEASE-EA EMPLOYE $ 1 000 000 If yes, describe untler ` _ !t -? DESCRIPTION OF OPERATIONS below I E.L. DISEASE -POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 107, Atltlltlonal Remarks Schetlul e, Ir more apace Is rsqulretl) w30 day NOC except 10 for nonpayment/nonreporting o£ payroll The city o£ Santa Ana, its oP£icers, EYttployees, agents, Volunteers and presentativd are included under the general liability coverage as additional insureds. I.CK Ilr'11..H1 C r1VLLlCK 1.?HNGCLLHIIVN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City O£ Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza - M-25 Santa Aaa, CA 92701 AVTHO RIZED REPRESENTATIVE __ Laura Gage/GAG r? --- ACORD 25 (2010/05) O 7988-20'10 ACORD CORPORATION. All rights reserved. INS025 (2o?oos).ot The ACORD Hama and logo are registered marks of ACORD