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AC4OR°f CERTIFICATE OF LIABILITY INSURANCE <br />F6/TE 2/2011 IDA (MM D /YYYY) <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 IT S t policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />�Xr %Ndorsement. <br />the terms and conditions of the policy, certa ol. c 'Ir5n A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER �� - <br />Alliant Insurance Services, Inc. -t'C.� ( <br />701 B Street, 6th floor " <br />_ . <br />Sari Diego CA 92101 <br />.NAME: Anna Garcia <br />HONE FAX <br />A/C No Ext: - - (A/C No):619- 699 - 2142 <br />E -MAIL <br />ADDRESS: a arcia @alliantinsurance.com <br />PRODUCER - <br />CUSTOMER ID #: DALE &HE - O1 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />$ <br />INSURED <br />Daley & Heft <br />INSURER A: Hartford Ins Co of the Midwest <br />37478 <br />462 Stevens Avenue #201 <br />INSURER B: <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence)$ <br />INSURER C: <br />MED EXP (Any one person) <br />Solana Beach CA 92315 <br />INSURER D: <br />CLAIMS -MADE a OCCUR <br />INSURER E <br />INSURER F: <br />PERSONAL & ADV INJURY <br />$ <br />UUVtKAbCJ UP!H 1IIFICDIIi- NIIMFIFR"r.QSRR'7r1 9 171= 111CIAAI Kil IMCCC• <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br />WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT <br />TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />INSR <br />UBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM /DD/YYYY <br />POLICY EXP <br />MM /DD/YYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence)$ <br />MED EXP (Any one person) <br />_ <br />$ <br />CLAIMS -MADE a OCCUR <br />PERSONAL & ADV INJURY <br />$ <br />-- <br />GENERAL AGGREGATE <br />$ <br />I <br />! <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$ <br />POLICY PRO LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ALL OWNED AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />SCHEDULED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />HIRED AUTOS <br />$ <br />NON -OWNED AUTOS <br />$ <br />UMBRELLA LIAB OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB CLAIMS -MADE <br />I <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />16/8/2012 <br />A <br />I <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBEREXCLUDED? ❑ <br />N/A <br />72WECZX3412 <br />6/8/2011 <br />X WCSTATU- OTH- <br />TORY LIMITS I ER <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE - EA EMPLOYE <br />$1,000,000 <br />(Mandatory in NH) <br />Ues, describe under <br />SCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Proof of Coverage �)� <br />(. F <br />-_ _..._- ..... -.- . -.,.,_ yhl9liLLLM11V1-4 ^lU LHYJ 1vV- 111 -r; PVic NVNYAYMIJN'1' <br />r <br />City of Santa Ana <br />Attn: City Attorney Office <br />20 Civic Center Plaza M -29 <br />Santa Ana CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />U 79tStf -2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />