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ACDRD,. CERTIFICk fE OF LIABILITY INSURANCE os;610 °"Y PRODUCER Brown & Associates, L.L.C. 1407 Union Ave., Suite 100 P. O. Box 40999 Memphis, TN 38174-0999 INSURED Southern California College of of Optometry, at al n 2575 Yorba Linda Blvd. Fullerton, CA 92831 COVERAGES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURERA: Travelers INSURER B: Landmark American(Heath) INSURERS: Admiral Insurance Company (Heath) INSURER D 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTNE DATE MMIDD POLICY"PIRATION DATE MMO LIMITS A I GENERAL LABILITY Y630315D5206TIL04 04/15105 04/15106 EACH OCCURRENCE $1 000 000 IX COMMERCIAL GENERAL LIABILITY LIABILITY FIRE DAMAGE (Any one lire) $100000 _ CLAIMS MADE L^J OCCUR MED EXP (Any one person) $5 000 PERSONAL B ADV INJURY $1 00O 000 GENERAL AGGREGATE $2 000,000 BERL AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMPIOP AGO $2000,000 PRO-J CT LOU POLICY I A AUTOMOBILE LIABILITY Y810315D5206TIL04 04115/05 04115/06 COMBINED SINGLE LIMIT (Ea accitleni) $1,000,000 ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per ac idi i) PROPERTY DAMAGE $ (Per=Sdenl) f GARAGE LIABILITY AUTO ONLY - EA ACCIDENT i $ ANY AUTO -- OTHER THAN EA ACC -___-- _-- $$ AUTO ONLY: AGG A Excess LIABILITYYSMCUP315D5206TIL04 — 04/15105 04/15/06 EACH OCCURRENCE $5.000,000 I �_X, OCCUR I CLAIMSMADE AGGREGATE $5,000,000 DEDUCTIBLE X RETENTION $0 $ WORKERS COMPENSATION AND OTH- ORS QRY. EMPLOYERS' LIABILITY _.. $ E L EACH ACCIDENT E.L. DISEASE - EA EMPL OYEE 3 E.L. DISEASE - POLICY LIMIT $ B OTHER Prof. Liab. LHM705677 01119/05 07/01106 $1, 000, 0001$3, 000, 000 C Excess Prof. XE00000005901 01119/05 07/01106 $4,000,0001$4,000,000 Liability yy�1O DESCRIPTION OF OPERATIONSILOCATIONSNEHICLEWEXCLUSIONS ADDED BY ENDORSEMENTSPROVISIONS A PRLv. J1 v •+ r�PECAL City of Santa Ana, its officers, employees, agents and volunteers are named additional insureds as respects to the general liability (Form CGD2471002 attached) as required by written contract. This insurance is ----- primary and non-contributory. (See Attached Descriptions) Asset rnt Orly City of Santa Ana, CDBG M-25 Community Development Agency P.O. Box 1988 M-25 Santa Ana, CA 92702-1988 SHOULD ANYOFTH EABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ZXM§ffi AXTp MAIL 30- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TO E LEFT, B%XRKXRM%MAAI�%MA7IJtX N1HPA/DII1lXgXR 0eFX)817 NAIMKXJDRAXX)t"%11R11N XAVOt 3tX)n (MXIUJPRX v.wrcU LDJ (miry of 3 #S644741M63562 PLF © ACORD CORPORATION 1988