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c it <br />A`c,oRD® CERTIFICATE OF LIABILITY INSURANCE <br />910/2012 ) <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 <br />Frederiksen & Frederiksen, A Corp. <br />Insurance & Risk Mgmt Services <br />12900 Preston Road, Suite 500 <br />Dallas TX 75230 <br />NAME, CONTACT Melinda Carey <br />PHONE . (972)387-8646 FAX AIC No(972)991-9307 <br />ADMDRRE :melinda@fredandfred.com <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURERA:Travelers Lloyds Insurance Co 41262 <br />INSURED <br />CE Dean Enterprises, Inc. <br />dba LD Systems <br />4200 International Parkway <br />Carrollton TX 75007 <br />INSURERB:Travelers Casualty and Surety 19038 <br />INSURERC: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />GUVtHAti1-5 CFRTIFIU'ATF NIIMRFR•CL122bUUH44 DC\/ICIl1W W111111DCD- <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDIYYYY <br />POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />PRENTED <br />REMISES AMAGE ToEa occurrence $ 300,000 <br />A <br />CLAIMS -MADE Fx_] OCCUR <br />ILPACP0661W261TLC <br />/25/2012 <br />/25/2013 <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG $ 2,000,000 <br />X POLICY PRO LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident $ 1,000,000 <br />BODILY INJURY (Per person) $ <br />AANY <br />AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />ILPACP0661W261TLC <br />/25/2012 <br />BODILY INJURY (Per accident) $ <br />X <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />[/25/2013 <br />PROPERTY DAMAGE $ <br />Per accident <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE $ 3,000,000 <br />B <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE $ 3,000,000 <br />DED I X I RETENTION$ 10,00 <br />$ <br />P7584Y575 <br />/25/2012 <br />/25/2013 <br />B <br />WORKERS COMPENSATION <br />WC STAT OTH- <br />X TORY IMIT R <br />AND EMPLOYERS' LIABILITY YIN <br />E.L. EACH ACCIDENT $ 500,000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />N / A <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />IAUB5937L148 <br />/25/2012 <br />/25/2013 <br />If yes, describe under <br />E.L. DISEASE - EA EMPLOYE $ 500,000 <br />E.L. DISEASE - POLICY LIMIT $ 500,000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) - <br />_i a <br />(1 T J <br />City of Santa Ana <br />Treasury Manager <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLXCIE&wBE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICEL DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Frederiksen/MKC `%�� �o v p� _l <br />N%.VRU 40 tcv[vivo) ©1988-2010 ACORD CORPORATION. All rights reseryed! <br />INS025 (201005).01 The ACORD name and logo are registered marks of ACORD <br />