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Cllant:gt 1259431 <br />305CORDOCOR <br />TE(R=„ <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMlODJYYYY) <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS <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.MSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terns 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 />CONTACTNAME: Christy plata <br />BB&T insurance Services <br />PHONE. <br />E : 714 578-7$70 No): <br />of Orange County <br />Cha's {, <br />ta <br />L@b <br />ADDRESS: bandt.com <br />680 L.angsdorf Drive Suite 100 <br />j <br />Fullerton, CA 92831 <br />INSURER( AFFORDING COVERAGE WUC / <br />INSURERA: Lloyds of London FOREGN _ <br />INSURED <br />Cordoba Corporation <br />INSURER 13: . <br />1401 N. Broadway <br />INSURER C: <br />Los Angeles, CA 50012 <br />INSURER 0: <br />MED EXP one $ - <br />PERSONALS ADV INJURY $ <br />INSURER E: <br />INSURER F: <br />. <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER - <br />THIS 13 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 WTH 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 />lNSR <br />LTR <br />TYPE OF INSURANCE <br />II <br />POLICI'NUNBER <br />POL <br />POUG <br />LOYfTs <br />GENERAL LIABILITY <br />I <br />OCCURRENCE S <br />GEN <br />COMMERCIAL MINERAL LIABILITY <br />CLAIMS -MADE 7 OCCUR <br />pEACH <br />PRE 6j3j " g. <br />MED EXP one $ - <br />PERSONALS ADV INJURY $ <br />. <br />i <br />GENERAL AGGREGATE S <br />GEN*. AGGREGATE UMIT AFfttES PER:. <br />I PRODUCTS - COMPIOP AGG S <br />POLICY PRO- JECT L] LOC <br />$ <br />AUTOMOBILE <br />UAiR&M <br />Wa amiN SING <br />dent 5 <br />ANY AUTO <br />BODILY INJURY (Per.person) $ <br />i <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) $ <br />HIRED AUTOS AUTOS NED <br />PROPERTYenIDAMAGE S <br />S <br />UMBRE RAU48 OCCIJR <br />~^ <br />EACH OCCURRENCE S <br />EXCESS UAB CLAIMS -MADE <br />AGGREGATE S <br />DED I R N <br />8 <br />VK WCERS COMPENSATION <br />WC STATU- ! OTH. <br />AND EMPLOYERS' LMSftJrY YIN <br />ANY PROPRIETpg�pq�T RiEXECUTIVE <br />OFFKtEMBER� EXCLUDED? <br />N I A <br />jbRY LLlJ ITSIFR <br />EL EACH ACCIDENT_ $ <br />EL DISEASE - EA EMPLOYEE $ <br />(llsnddwy in NMI <br />Ryes, describe under <br />E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS below <br />I <br />t <br />A <br />Professional Uab <br />PCOR03211 <br />11912712011 0912-1/2012 <br />$3,000,000 Per Claim Ag <br />"Claims Made" <br />Ded: $25,000 Per Claim <br />DESCRIPTION OF OPERATIONS t LOCA71ONS I VEHICLES (Attach ACORD 101, Additional Remarks 3chedu* K OWN apace 4 raquMed) <br />Verification of Insurance <br />NS TO FORINA <br />i,aura 5t; Sl:eedy <br />City of Santa Ana <br />Transportation & Traffic Engineer Public <br />Works Agency M-93 <br />Attn: David Biondollilo; 20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 25 (2010145) 1 of 1 <br />#S74576611M7457105 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED fN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />019W2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />LXMCN <br />