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ACORD HAROP OL CERTIFICATE OF LIABILITY INSURANCE ROL L DATE IMM -2 12/27/05 ' 2 27 OS 7/05) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BOSWELL INS AGENCY ( #OA96080) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ,Agents 6 Brokers, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR I P.O. Box 4648 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Mission Viejo CA 92690 Phone: 949- 855 -0430 Fax: 949 - 837 -5528 INSURERS AFFORDING COVERAGE NAIC # INSURED !- INSURER A: CNA Insurance CO nle$ 0 7 INSURER B: Everest National Harold Wells Associates Inc. INSURER C. Landmark American Ins Cc 741 E. Ball Rd. Ste. 166 INSURER O'. Anaheim CA 92808 -5952 rnveowr_cc 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM /DD DATE MWDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 PREMISESEaocwrance) $50,000 A X COMMERCIAL GENERAL LIABILITY CA00000823701 12/23/05 12/23/06 CLAIMS MADE ILJ OCCUR MED EXP (Any om Person) $ Excluded PERSONAL S ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGO s2,000,000 POLICY PRO- ECT LOG AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS . 'A � ?,1 r^ COMBINED SINGLE LIMIT (Eaewident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per amidenq $ HIRED AUTOS NON -OWNED AUTOS f `� PROPERTY DAMAGE (Per amident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE IS $ $ DEOIKTIBLE $ RETENTION S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY OFFICERIMEM ER EXCLUDED?ECUTIVE 5900001020051 10/01/05 10/01/06 X [QR� T _ ER E.L.EACHACCIDENT $1,000.000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 K s, desaibeundar SPECIAL PROVISIONS below E. L. DISEASE - POLICY LIMIT $1,000,000 OTHER C Professional Liab LHR804296 07/10/05 07/10/06 Ea Claim $1,000,000 Limit $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 days notice of cancellation for non - payment of premium rPRTIFIrATF Hnl nFR CANCELLATION CITYA -1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City Attorney DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYSWRITTEN City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 20 Civic Center Plaza (M -29) P.O. Box 1988 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Santa Ana CA 92702 REPRESENTATIVES. AUTHORIZED REPRESENTA E Joe A. Boswell ACORD 25 (2001/08) cu nL:urtu wnrul l iwwii eoo l 1 X L