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<br />ACORD~ <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />OPID R <br />RBFCO-1 06 27 06 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br /> <br /> <br />PRODUCER <br /> <br />United Captive Ins. Brokers <br />17151 Newhope st., Ste 211 <br />Fountain Valley CA 92708 <br />Phone: 714-708-4370 Fax:714-708-2300 <br />A-~3- /7;), <br />A- ;}.()O:3- ,7).-01 <br />11- dCQ5'- if'1 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />RBF Consulting, Inc. <br />14725 Alton Parkway <br />Irvine CA 92718 <br /> <br />INSURER A" <br />INSURER B: <br />INSURER C <br />INSURER 0: <br />INSURER E <br /> <br />u.s. Fidelity and Guaranty Co. <br /> <br />NAIC # <br />25887 <br /> <br />INSURED <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE !NSURED 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 />I'NS. J'lDO' POLICY NUMBER ~~~~;J~~E~~!XE Pgk~1YI~:'::~~~~~N LIMITS <br />LTR NS. TYPE OF INSURANCE <br /> ~NERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence\ , <br /> CLAIMS MADE D OCCUR MED EXP (Anyone person) $ <br /> e- PERSONAL & ADV INJURY , <br /> f-- GENERAL AGGREGATE $ <br /> rl'L AGG~EnE ~~M; APPlS PER' PRODUCTS - COMP/OP AGG $ <br /> POLICY JECT LOC <br /> I ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT , <br /> ANY AUTO (Ea accident) <br /> f-- <br /> e- ALL OWNED AUTOS BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> e- <br /> f-- HIRED AUTOS BODILY INJURY <br /> , <br /> NON-OWNED AUTOS (Per accident) <br /> 1-- <br /> e-- PROPERTY DAMAGE $ <br /> (Per accident) <br /> RAGE LIABILITY C h<d AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO ,[ tv___ EA ACC , <br /> VOln OTHER THAN <br /> -/ AUTO ONLY: AGG , <br /> t=]ESStuMBRELLA LIABILITY / EACH OCCURRENCE , <br /> OCCUR D CLAIMS MADE / AGGREGATE $ <br /> , <br /> R DEDUCTIBLE , <br /> RETENTION , , <br /> WORKERS COMPENSATION AND : I wes ~:~-I IOJ~- <br /> X TORY LIMITS <br />A , EMPLOYERS' LIABILITY D123WOO135 07/01/06 07/01/07 , 1000000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACr;IDENT <br /> OFFICER/MEMBER EXCLUDED? ~~SEASE - EA EMPLOYE , 1000000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT , 1000000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES / EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS <br />*10 days notice of cancellation for non-payment of premium. <br />Re: Design GUidelines, IN 10-104231 <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />CITSAN2 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAIL.URE TO DO SO SHAL.L <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENT 1 IV <br /> <br />Mark Barrie . <br /> <br /> <br />@ACORD CORPORATION 11 <br />~ 2-. <br /> <br />city of Santa Ana <br />Planning Division <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br /> <br />ACORD 25 (2001/08) <br />