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ACORD- CERTIFICATE OF LIABILITY INSURANCE 1DATE (M119/2/ls/zhUDD/YYYY) olz PRODUCER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION BUT Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE of Orange County HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 680 Longsdon` Drive Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fullerton, CA 92831 INSURERS AFFORDING COVERAGE NAIC # INSURED S t• 11 C Cordoba Corporation 1401 N. Broadway Los Angeles, CA 90012 INSURERA: en Ine Insurance ompany, Ltd 11000 INSURER B: Everest National Jnsurance Co 10120 INSURER C: Property & Casualty Ins Co of H 34690 INSURER D. INSURER E: COVFRAr:FA A 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 DD NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRATION D M D LIMITS A GENERALLIABIUTY 72SBACP3130 01/20/2012 01/20/2013 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR DAMAGE TO RENTED PREMISES00 PEMED K(e ) $10,000 PERSONAL & ADV INJURY $1,000,00Q GENERALAGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 7X POLICY E71 JECOT- LOG C AUTOMOBILE LIABILITY X ANY AUTO 72UECUS9769 01/20/2012 01/20/2013 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS t,. a �; j '�I - ;.�-� 3 +J d' lJ .IYJ. BODILY INJURY (Per person) $ X HIRED AUTOS X NON -OWNED AUTOS �'- � BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) Lau •a .`+I.�� ;+l:�Ct:' — _ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ A EXCESS / UMBRELLA LIABIUTY X OCCUR CLAIMS MADE 72SBACP3130 01/20/2012 01/20/2013 EACH OCCURRENCE $5,000,000 AGGREGATE s5,000,000 $ —�, $ DEDUCTIBLE X RETENTION $ 10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY CA20011117121 01/20/2012 01/20/2013 X I TI.NC STATu I oTH FR E.L. EACH ACCIDENT $10001000 ANY PROPRIETOR/PARTNER/EXECUTIVE FF R/MEMBhr EXCLUDED? N iAan ory In M yae, describe under SPEgAL PROVISIONS below ....L E.L.DISEASE - EA EMPLOYEE $1,000,000 ••— E.L. DISEASE - POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Per form SS0008 04/05 pages 11-13 of 24 attached, the following are named as Additional Insureds, as respects to General Liability, as required by written contract. Additional Insureds: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702; its officers, employees, agents and volunteers are named as additional insureds with regard to liability and (See Attached Descriptions) VGR Uf"rVMIG nvwcrt CANCELLATION 10 Days for Non -Payment SHOULD ANY OF THE ABOVE DESCRIBED POUC16S BE CANCELLED BEFORE THE EXPIRATION City Of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL I_ DAYS WRITTEN Transportation & Traffic Engineer Public 1 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Works Agency M-93 ( IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Attn: David Biondolillo; 20 Civic Center Plaza REPRESENTATIVES. Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) 1 of 3 #S8070501/M8064223 G 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LXMCN