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Client#: 269335
<br />LINESYST
<br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE
<br />°5/0912011"""'
<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 />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 />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: if the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 NAMNT
<br />E;CT Jennifer Housel
<br />Hub International PHONE 951 788-8500 951 231-2572
<br />AIC No Ext : A1C,No
<br />HUB Int'I insurance Serv. Inc. ADDRESS: ca001.processIngunit@hubinternational.co
<br />4371 Latham St, Ste #101
<br />'l�? ... -- CUSTOMER ID #:
<br />Riverside, CA 92501
<br />INSURER(S) AFFORDING COVERAGE naw W
<br />_.._
<br />INSURED
<br />INSURER A: Federal Insurance Company
<br />j20281
<br />Linear Systems
<br />- -
<br />INSURER B, Beazley Insurance Company, Inc. 37540
<br />Chris Parsons dba:
<br />INSURER C: General Insurance Company of Am 124732
<br />8403 Maple Place
<br />Rancho Cucamonga, CA 91730
<br />INSURER D:
<br />GENERAL AGGREGATE $2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY 17 PRO• : —1 LOC
<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 />TR
<br />I TYPE OF INSURANCEPOLICY
<br />EFF POLICY EXP
<br />POLICY NUMBER MM/DD/YYYY MMIDDIYYYY ', LIMITS
<br />A
<br />LIABILITY
<br />35785104WUC .,04/25/2011 04/25/201 EACH OCCURRENCE $1,000 000
<br />�GENERAL
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE [Jxl OCCUR
<br />_13AMM. O RENT€U
<br />PREMISES Ea occurrence $1,000,000
<br />MED EXP (Any one person) $10,000
<br />(PERSONAL&ADV INJURY $1,000,000
<br />...
<br />GENERAL AGGREGATE $2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY 17 PRO• : —1 LOC
<br />I
<br />PRODUCTS - COMP/OP AGG 1$1,000,000
<br />1 - $
<br />C AUTOMOBILE LIABILITY
<br />ANY AUTO
<br />I
<br />24CC2790372
<br />04/25/2011 041251201
<br />COMBINED SINGLE LIMIT
<br />(Ea accident) - :$1,000.000
<br />BODILY INJURY (Per person) $
<br />ALL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />/L! HIRED AUTOS
<br />i
<br />BODILY INJURY (Per accident) $
<br />PROPERTY DAMAGE
<br />(Peraccident) $
<br />X'', NON -OWNED AUTOS
<br />$
<br />Is
<br />_
<br />UMBRELLA LIAB
<br />OCCUR
<br />HC
<br />I
<br />EACH OCCURRENCE $
<br />i
<br />EXCESS LIAB
<br />-111--l—
<br />I
<br />-ADE( AGGREGATE Is
<br />I
<br />DEDUCTIBLE
<br />$
<br />$
<br />RETENTION $
<br />A WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY.
<br />ANY PROPRIETOR/PARTNER/EXECU
<br />OFFICER/MEMBER EXCLUDE D9- NJ
<br />(Mandatory In NH)
<br />1 If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />(
<br />N/AE.L.
<br />1271735541
<br />:03/01 /2011
<br />03/01/201
<br />X WC STATU• OTH-'
<br />'
<br />E.EACHACCIDE.NT$1,000 000
<br />E.L. DISEASE - EA EMPLOYEE,) $1,000,000
<br />---
<br />E.L. DISEASE - POLICY LIMIT- $1 000,000
<br />B
<br />Professional
<br />V102F2100201 ,12111/2010
<br />12111/201"
<br />$1,000,000 Each Claim
<br />Liability
<br />$1,000,000A9945,GOODed
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addltfonal Remarks Schedule, If more apace Ia required) -
<br />Certificate holder is additional insured In regards to the general liability policy per the attached
<br />endorsement form 80-02.2367 08/04. General liability policy is primary per the attached endorsement form
<br />80-02-2653 04101.
<br />• "V xU AS �
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />ACORD 25 (2009109) 1 of 1
<br />01169297/M1169278
<br />City
<br />IEHOULD ANY OF THE ABOVE DESCRIBED POL161ES B CE ANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />(9'1988-2009 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />KM44
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