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Client#: 663174 <br />SERVFIRSI <br />ACORD,CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM1D01YYYY) <br />,ti,a,20„ <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: Ifthe 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 />Hub InternationalPHONE <br />HUB Int'I Insurance Serv. Inc. <br />1091 North Shoreline Blvd 200 <br />Mountain View, CA 94043 <br />NAME: Sara Pickens <br />Ey 916-770-2914 A� Ne <br />E-MMAL <br />ADDREss: sara.pickens@hubintenaional.com <br />INSURE S AFFORDING COVERAGE NAIC t: <br />INSURER A • Endurance American Specialty In 41718 <br />INSURED { I fi{ <br />Service First Contractors f 1 '� O ` `~� 1 1 <br />INSURERS: <br />1/11/2011 <br />Network, DBA: Service First <br />3505 Cadillac Ave Bldg F-9 <br />Costa Mesa, CA 92626 <br />INSURER C: <br />INSURER D: <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 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 />.LTR <br />TYPE OF INSURANCE <br />NNW <br />POLICY NUMBER <br />MPOLICY EFF <br />MPOLICY EXP <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X <br />ECC10101141801 <br />1/11/2011 <br />11/11/201 <br />OCCURRENCE s2,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />pEAACCH��T <br />PREM% a oaence $SO1 OOO <br />CLAIMS -MADE 51OCCUR <br />MED EXP one person $5,000 <br />PERSONAL &ADV INJURY s2,000,000 <br />X BI/PD Ded: $2,500 <br />X CPL/PL Ded: $2,500 <br />GENERAL AGGREGATE s2 00o OOo <br />GE N'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG s2,000,000 <br />X1 POLICY F7 PRO- LOC <br />CPUPL $2 000 000 <br />AUTOMOBILE UABLRYOM <br />INED SINGLE LIMIT <br />Ea acct ret <br />BODILY INJURY (Per person) S <br />ANY AUTO <br />ALL OWNEDSCHEDULED <br />AUTOS AUTOS <br />accident) BODILY INJURY (Per lderrt S <br />NON -OWNED <br />HIREOAUTOS AUTOS <br />PROPERTY DAMAGE <br />Per acCident $ <br />s <br />A <br />UMBRELLA LIAB <br />OCCUR <br />EXS10101268901 <br />1/11/2011 <br />11/1112012 <br />EACH OCCURRENCE $1000000 <br />AGGREGATE S11,000,000 <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED X RETENTION s3.000 <br />$ <br />WORKERS COMNSATION <br />PEAND EMPLOYERS' LJABLLTY Y / N <br />ANY PROPRIETORIPARTNERIEXECUTNE <br />OFFICER/MEMBER EXCLUDED <br />N / A <br />APPRO yr I� AS <br />TO l�U <br />MIFR <br />WC STATU- OTH- <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE S <br />(Mandatory In NH) <br />Ryes describe under <br />DESCRIPTION OF OPERATIONS be <br />�� <br />/� <br />E.L. DISEASE - POLICY LIMIT S <br />JI_Rur�,;�fltt Sacedy <br />ASSistatK City ii,ttOrtiev <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Addlibnal Remarks Schedule, I mon space Is required) - {- <br />additional certificate holder. Parks, Recreation & Community Service Agency; Attn: Silvia Cuevas / City of <br />Santa Ana, its officers, agents & employees are reamed as additional insureds with respects to liability Z <br />arising out of the insured'$ operations per endorsement FEi-319-ECC-0708. *Primary Wording applies per C <br />attached endorsement. <br />`. co <br />City of Santa Ana <br />26 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD 25 (2010/05) 1 of 1 <br />#51435281IM 1404866 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />C 1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo aro registered marks of ACORD <br />MV41 <br />