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ACERTIFICATE OF LIABILITY INSURANCE DAT9/1212D/D11 9/12 11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ISU Ins. Services - The Professional Solutions P.O. Box 16729 Irvine, CA 92623-6729 CONTACT NAME: Glenda Jimenez PHONE o Eat , 714-305-1044 % A C No E-MAIL ADDRESS: lends rofessional-ins.com INSURERS AFFORDING COVERAGE NAIC# _ - www.professional-ins.com License#OD43409 INSURERA: Travelers Property Casualty Co. INSURED Pacific Coast Cabling, Inc. PCC Network Solutions INSURER B: Travelers Indemnity Co. Of Conn. INSURERC: Travelers Casualty & Surety INSURER D: The Hartford 9340 Eton Avenue Chatsworth CA 91311 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 11104607 REVISION NUMBER• THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OFINSURANCE ADDLSUBR POLICY NUMBER POLICYEFF MMIDD/YYYY POLICYE%P MMIDDIYYYY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR 1/ 630-3558P489TIL-11 1/1/2011 1/1/2012 EACH OCCURRENCE $ 1,000,000 DAMAGE T U �ENTER PREMISES Ee occurrence) $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: 1/ PRO- LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OS e SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS H-8103559P578TCT-11 11IJ2011 1/1/2012 EeaBSTdeotswGLE OMIT $ 1000000 BODILY INJURY (Per person) $ BODILY INJURY (Per acGtlenQ $ PROPERdYDAMAGE Peraccl ent $ $ $ A UMBRELLA LIAR EXCESS U ✓ OCCUR CLAIMS -MADE HSMCUP3558P489TIL-11 1/1/2011 1/1/2012 EACH OCCURRENCE $ 9000000 AGGREGATE $ 9 000,000 DED RETENTION$10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under NIA UB-3985P647-11 1/1/2011 1/1/2012 WCSTATu- 010- TORY LIMITS ER E.L. EACH ACCIDENT $ 1000000 E.L.DISEASE - EA EMPLOYEE $ 00 E.L. DISEASE - POLICY LIMIT $ 1000000 DESCRIPTION OF OPERATIONS below A Professional Liability LHR81312700 1/1/2011 1/1/2012 1,000,000 Each Claim 1,000,000 Aggregate Limit DEd 10 000 Each Claim DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) SEE ATTACHMENT APPROVED ASTO /FORM CERTIFICATE HOLDER_.. ...... ._....__ ..__..__-._------ __.-- CANCELLATION Laur: JC1L[ DeeL City of Santa Ana A%sistant City AHornoC Attn: Insurance Services Division M-12 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 Kenneth Craig Salazar ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD GER1NO.: 11104607 Glenda Jimenez 9/12/2011 2:15:32 PM Page 1 of 10