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OP ID DATE (MMNWYT'Y0 <br />ACORD CERTIFICATE OF LIABILITY INSURANCE HEALTog o2 13/oT <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Hays Affinity Solutions <br />1250 24th St NW Suite 725 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Washington DC 20031 '(' NAIL0 <br />Phone:202-263-4000 £ax:202-263-4001 INSURERS AFFORDING COVERAGE <br />INSURED ,, —O % �( -__ _ <br />N / IINSURER B: <br />Healthy U —�OG �oB��QI I.uR.C. <br />Ali as C.Droz <br />io,edcCc2.JJ <br />INSURER D: <br />Huntington Beach <br />MsuRER E. <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTW ITH5TANMNG <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />ANY <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEAMS. D(CLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />N3M1 <br />TYPl OP INSURANCE <br />POLICY NUMBE <br />DA E MMODIYY <br />M OR <br />TE <br />LIMBS <br />s1 000 000 <br />GEN6IULL LIABILITYA <br />070214FA002056 <br />02/07/07 <br />02/07/08 <br />EACH occuRRENGE <br />PREMISES EERam+mnce1 50,000 _.. <br />MED E)tP(Any DPaP 03) s2 OGO <br />A <br />X <br />X COMMERCNLGFNEMLLUIBILIN <br />CLAMSMADE C OCCUR <br />PERSONALIADVINJURY $1,000,000 <br />GENERALAGGREGATE $1 000,000 <br />PRODUCTS-COMPIOP AGG $1,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />X POLICY jECCTT LOC <br />AUTOMOBILE <br />LABILITY <br />COMBINED SINGLE LIMIT $ <br />(Ee adidenQ <br />ANYAUTO <br />ALLOWNEDAUTOS <br />BODILY INJURY S <br />(Per Person) <br />SCHEDULEDAUTOS <br />HIRED AUTOS <br />BOOILY INJURY $ <br />(Par acFICelp <br />NONN MNEDAUTOS <br />PROPERTY DAMAGE $ <br />(Per ecddFM) <br />AUTO ONLY -EA ACCIDENT $ <br />GARAGELNEIUTY <br />EAACC S <br />ANY AUTO <br />OTHERTHAN <br />AUTO ONLY: AGO $ <br />EACH OCCURRENCE $ <br />IXCESSNLIBRELLA LIABILITY <br />AGGREGATE S <br />OCCUR CLAIMS MADE <br />S <br />S <br />DEDUCTIBLE <br />--"'— <br />S <br />RETENTION 3 <br />---'"" <br />�_ <br />TORY LIMITS ER <br />E. EACH ACCIDENT S <br />WOW(ERSGONPEAND <br />EMPLOYERS' LIABILITY <br />EL DISEASE -FA EMPLOYEE 3 <br />N <br />ANY ECUTE <br />OFFICE�FTO"ARRTNER�O'1 <br />E.L. DISEASE. POLICY UMT $ <br />If yymm.. tlewlM mtls <br />" ' " ` <br />SPECIAL PROV150N3 blow <br />OTHER <br />0702MFA002056 <br />02/07/07 <br />02/07/08 <br />100000_ <br />Perrelate <br />A <br />-E60 Liability <br />$1,000,000 <br />LOOATXXIS! VEHIC., EXCLUSIONS ADDED BY ENDORSEMENT I SPECW. PROVISIONS <br />DESCRIPTION OF OPERATIONS, <br />,,City of Santa Ana, its officers, agents, employees, representatives, and <br />volunteers" is listed as Additional Insureds. <br />A e1PC1 1 ."nm <br />City of Santa Ana <br />20 Civic Plaza <br />Attn: Clerk for City Council <br />PO Box 1988 <br />Santa Ana CA 92702-1988 <br />CITY -02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE UPIRATION <br />BATE THEREOF, THE ISSUING INSURERWILL e,DEAVORTO MNL 30 DAYS WRRTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 30 SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE INSURER ITS AGENTS OR <br />