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Client#: 2791 COMPULMGM <br /> ACORD,M CERTIFICA OF LIABILITY INSUF NCE DATE YY) <br /> 04/03/2006 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> John Burnham Iry 1210 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 2415 Campus Drive, Suite 200 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Irvine, CA 92612-8530 <br /> 949 833-2462 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED / INSURER A: <br /> St. Paul Fire&Marine Insurance Co. 24767 <br /> 888 Partners, LLC 4-a�0(� ,00.,/ <br /> DDT INSURERB: Employers Compensation Insurance Co 11512 <br /> Compulink Management Center <br /> 3545 Long Beach Blvd.#110 �- 6't.Ra INSURER C: Colony Ins <br /> INSURER D: <br /> Long Beach, CA 90807 <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSRIADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR NSRC DATE(MWDD/YYI DATE IMM/DD/YY) <br /> A GENERAL LIABILITY TT06100058 01/06/06 01/06/07 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> PREMISES(Fa occurrence/ $250,000 <br /> CLAIMS MADE X OCCUR MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES�IEPER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> nPOLICY n jECT I LOC <br /> A AUTOMOBILE LIABILITY TT06100058 01/06/06 01/06/07 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $1,000,000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY <br /> X NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> A EXCESS/UMBRELLA LIABILITY TT06100058 01/06/06 01/06/07 EACH OCCURRENCE $2,000,000 <br /> OCCUR CLAIMS MADE AGGREGATE $2,000,000 <br /> DEDUCTIBLE $ <br /> X RETENTION $10000 <br /> B WORKERS COMPENSATION AND FN33177901 12/27/05 12/27/06 XJWMUS- OHR- <br /> EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> SPECIAL PROVISIONS below E.L,DISEASE-POLICY LIMIT $1,000,000 <br /> C OTHER Professional E0400116 02/13/06 02/13/07 1,000,000 Occ <br /> Liability 2,000,000 Agg <br /> Claims Made 5,000 Ded <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Evidence of Professional Liability coverage <br /> _ f$$$oyy AS TO FORM' <br /> CERTIFICATE HOLDER CANCELLATION -lrul. :oe:sny <br /> --,--- H1101'y-- <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> City of Santa Ana DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br /> Attn: Bruce Fruchter NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> 24 Civic Center Plaza, M-42 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> Santa Ana, CA 92702 REPRESENTATIVES. <br /> AUTHORIZED TTjHORIZED REr//P��RESlENNTA�7T�IIV�V/jE <br /> ACORD 25(2001/08)1 of 2 #S319480/M314271 MASUA a ACORD CORPORATION 1988 <br />