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1 ACORD,~ CERTIFICATE OF LIABILITY INSURANCE 5iioi2oo7Y' PRODUCER (775) 831-1422 FAX: (775) 831-7873 Cal-Nevada Insurance Agency 926 Incline Way, Suite 100 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 5419 Incline Village NV 69450 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A. TraVelerS Insurance Co . Abbey Group Consultants ~- aoo ~ -/'=/ I INSURER B: 923 Tahoe Blvd r $te . 212 INSURER C: INSURER D: Incline Village NV 89451 INSURER E. 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. A RE ATE LIMIT H WN MAY HAVE E N R D E BY PAID LAM . INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER DATE MMIDDlW DATE MMIDDlYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1 r QQQ r QQQ X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES a occurrence 300 ,QQQ S A X CLAIMS MADE ~ OCCUR TT09402129 3/20/2007 3/20/2008 MED EXP An one arson S 5r QQQ PERSONAL&ADV INJURY S 1 r QQO r QQQ GENERAL AGGREGATE S 2 r QOQ r 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODU TS -COMP/OP AGG S Included X POLICY jRt° LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT S 1 r QQQ r QQQ ANY AUTO (Ea accidenQ A ALL OWNED AUTOS TT09402129 3/20/2007 3/20/2008 BODILY INJURY SCHEDULED AUTOS (Par person) S X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) S - PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY _ AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA A 5 AUTO ONLY: AGG S EXCESS/UMBRELLA LIABILITY S 2 r QQQ r QQQ X OCCUR ~ CLAIMS MADE AGGREGATE S 2 r QQQ r QQQ S A X DEDUCTIBLE TT09402129 3/20/2007 3/20/2008 S RETENTION $ A WORKERS COMPENSATION AND OTH- X WCYT MU- EMPLOYER ' LIA IL Y X IT S B ANY PROPRIETOR/PARTNERlEXECUTIVE E.L. EACH ACCIDENT $ 1 r QQQ r QOQ OFFICER/MEMBER EXCLUDED? If e de ib d HN-US-1763L41-7 3/20/2007 3/20/2008 E.L. DISEASE- EA EMPLOYEE S 1 r QQQ r QQQ y s, scr e un er SPECIAL PR VISIONS below E.L. DISEASE- POLICY LIMIT S 1 r QQQ r QQQ OTHER professional Liab. Per Occurrence 1, 000 r 000 A Errors & Omissions TT09402129 03/20/2007 03/20/2008 General Aggregate 1,000,000 DESCRIPTION OF OPERATIONS(LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTlSPECIAL PROVISIONS City of Santa Ana & Santa Ana Police Department, its officers, employees, agents, volunteers and representatives are named as additional insured, primary, non-contributory with a waiver of rights regarding the applications of the named insured. The endorsement has been requested and will follow shortly. 10 Days Notice of Cancellation for Non-Payment of Premium. City of Santa Ana Santa Ana Police Department Bob Faster 60 Civic Center Plaxa PO Box 1981 Santa Ana, CA 92701 ACORD 25 (2001/08) ~'~-G-~~~~ ,~~fl~~:l~`,'; lucn~r,n,no,,,o eule SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATNES. AUTHORIZED REPRESENTATIVE ^_ C f Terry Jarcik/DD 411.2_"/ ~~F_'"""-`,- ©ACORD CORPORATION 1988 1~ 1 iM 1A/nllere I(li,,.rer Cinonniol Cun,inne Oonc , of ~