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�` ROC °� CERTIFICATE OF LIABILITY INSURANCE °A�' ""'°°'YY""' <br />06/34/3011 <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 INSU RER(S). AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE MOLDER. <br />IMPORTANT: H the ceniTicat• holder Ia en ADDITIONAL INSURED, th• pollcy(laa) must bs andorasd_ H SUBROGATION IS WAIVED, subject to <br />the tanner and condltlons oT the policy, canaln policlea mey raqulre an endoraamant. A afatament on thla esrtlflcats doaa not cooler rights to the <br />ceniflcate holder In Ibu o} such endoraament(s). <br />PgoDUCEq 1 -990 -352 -1223 <br />Oreyling Inauranne Hrekarage <br />CONTAO Serry Neyela <br />PNONE T9O -332 -4323 Fiv�c Me: 866- 350 -1083 <br />130 Northridge psrkvay <br />Buiee 102 <br />grey 9 -oom <br />AppRIE jetty. lea lin <br />: r?4]'e <br />- <br />tN$VRER($t AFFORDINO_COV ERAGE <br />NAIL/ <br />Atla9ta• V]L 303$0 <br />INBURER A: Ce ®•Z B 4 IndY•try InaYranCe COmpa9y <br />IMBVRER a: CharCi/ Bpeciaiity ZnaYrinee C ®pony <br />-- <br />G 168 1fL <br />Natlaa OrmaZa <br />INBVRED <br />xnC Se lutieaa. Inn. <br />- - - - - - - -- <br />wauweRC: Twin City Plre InaYranCe Company <br />1,000,000 <br />IN9URERD. <br />X <br />123 Tenh9ology Dr1Ye <br />INa VRER E: <br />G T16••Bfi A/O <br />Irvine, G 92618 <br />INSURER F <br />BODILY INJURY (Pk pMepl) <br />S <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IxaR 1l5 POLICY NUMBER POLICY EFF M VL Y EiP LMfrE _ - <br />TR TYPE OFINSURANCE <br />A GENERAL LIABILT' OL 7168709 OT /OS /1 07/01/12 EgOIy CGCUgRENCE S 1,00°,000 <br />X COMNERCIAL GENERAL IIgBILTY PR M19E e n S 300.000 <br />- -_ <br />CLAlM9 -MADE OOCCUR ME°E %P (My ms pa,ewU S 3, °°O <br />_ _ PER90NAlfi ADV IKIURY 3 1,000,°00 <br />____... GENERAL AGGREGATE S 2. 000,00° <br />GENT AGGREGATE LIMITMPLIES PER: PRODUCT$- COMP /OPAGG 53,000,00° <br />POLICY X PRO- X LDC _S.. <br />A <br />AUTOMOBILE LIABILNY <br />G 168 1fL <br />M INED I LE LIMIT <br />Ee 1 <br />1,000,000 <br />A <br />X <br />G T16••Bfi A/O <br />OT /01/1 <br />07/01/12 <br />BODILY INJURY (Pk pMepl) <br />S <br />ANY AUTO <br />ALL OWNED $CNEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Peramipenl / <br />S <br />X HIRED AUT09 X NONOWNE° <br />AVT0.9 <br />PROPERTY DAMA E <br />$ <br />S <br />B <br />X <br />UMBRELLA LIAR <br />X <br />«�L/Iy <br />IIl(B 7169710 <br />OT /OS /1 <br />OT/D1/13 <br />EACN OCCVRREM:E <br />$ 10,000,000 <br />gppREGATE <br />510,°00,000 <br />EXCESS LIAR - <br />CLAIMSMA°E <br />°E° X RETENTION 10,000 <br />$ <br />- <br />C <br />w°RKERS COYPEM3ATNNi <br />30 YN YP3434 A/O <br />°T Ol <br />/ /1 <br />OT /01/13 <br />X WC STATU- OTI4 <br />C <br />AND EYPLOYERa'L4BILITY y/N <br />ANY PROPRIETOILPARTNERIE%ECVnVE <br />30 YBR MP3133 qI <br />O% /O1 /1 <br />OT /01/12 <br />E.L_EACHACCIDENT <br />3 1.000,000 <br />OFFICER/MENSER E%CLVDED't YO <br />MIA <br />-- <br />E.L. °ISEM9E -EA EMPLOYE <br />_ - -- <br />000, 000 <br />IYyeetletwyln NN1 <br />L °19 EASE - POLICYLIMIT <br />_S_1, ___ <br />31. 00 °. 0°O <br />°ESCRIPTION °F OPERATIONS ONOV� <br />B <br />Pre[`saaionai Liability <br />399a333 <br />OT O1 /1 <br />OT /01/12 <br />Par Clsim 10,000,000 <br />640- Innludlag Po13Ytien Liab. <br />Aggregate 13,000,000 <br />DEKRIPTNJN OF OPERATON6 / LOLATNWE / VENICLEE (AneCII ACOR° 101, AaJRlenel gelneNle 9r11ed, Y. N n,pre epee b nqulletl) <br />Tba City of Banta Aaa, 20 Civic Caataz Plana, Banta Ana G 93901, its of Licere, empleyeea, agents, olYateere 4 <br />repeeeentativea a arced as Additional Inaurada under the Oanaral Liabiliey 4 Auteeobile LiabilityYrhere required by <br />zxhia <br />vrltten eeatract. Saauranna is primary 4 9 - ntributery wet say eaaaiting inaureaCe 4 is limitsd to liability <br />eziaing cut et tree oyerationa of the named inauredn4 vlaeze � ¢sized by writtaa contract. Ysiver of Subrogation is <br />appl lnaDle where required by vri ttenlvit {rntAr' a3]l�a�re *�(a�{tllk�. <br />Arrx lJ <br />-1 —f S9LL Shce Y <br />Laura <br />CILV Alt�Pnc� <br />SHOULD ANY OF THE ABOVE DESCRIBED POLIUES BE CANCELLED BEFORE <br />City o[ Banta Ana ,4CS)Gl:1pt <br />THE E%PIRATK)N DATE THEREOF, NOTCE WILL BE DELIVERED IN <br />AOCORDANOE WRH THE POLICY PROVISIONS. <br />30 C1Y1C Center P1eie - ROaa AiY1eZ (N -36) <br />AUTNORILE°REPRE$ENTATVE <br />9sota Aiaa, G 93701 <br />_ <br />����� <br />vaA <br />® 1999 -2070 ACORD CORPORATION. All righter reserved. <br />ACORD 25 (2070/05) The ACORD name and logo are reglster•d marks of ACORD <br />.TNOyola <br />21930013 <br />