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i ACORD CERTIFICATE OF LIABILITY INSURANCE DATE / ' PRODUCER (714) 836 -9945 FAX: (714) 836 -9946 The Empire Company 550 Parkcenter Drive Suite 205 Santa Ana CA 92705 -3521 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. INSURERS AFFORDING COVERAGE NAIC # INSURED Peranich Reporting, Inc. 02��' roo fl�� 5241 E Santa Ana Canyon #100 Anaheim Hills CA 92807 INSURER A: Preferred Employers Ins. Santa Ana, CA 92701 INSURER B: INSURER C: AUTHORIZED REPRESENTATIVE INSURER D: INSURER E: OVERAGES 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 LIMIT H N MAY H V E N REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY E (MM DDIYYE POLICY DATE MM /DD/YY) LIMITS GENERAL LIABILITY CLAIMS MADE FI OCCUR ff—c:01MMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PRE I rr n $ MED EXP An one person) $ AL A V INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY JECT LOC - COMP /OP AGG $ -PRODUCTS AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) P-4 $ C7 BODILY INJURY (Per person) C CJ� CD BODILY INJURY N (Per accident) 00 mfi r`.,"_ , f— - PROPERTY DAMAQ� (Per accident) GARAGE LIABILITY ANYAUTO 1Y�� AUTO ONLY - EA ACCIDENT $ OTHER THAN QJ& A AUTO ONLY: AGG $ �'- $ EXCESSIUMBRELLA LIABILITY OCCUR FI CLAIMS MADE DEDUCTIBLE RETENTION EACH OCCURRENCE $ AGGREGATE $ S $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WKNI17683 -5 9/1/2007 9/1/2008 X O STIMIT O R E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS _ *10 day notice of cancellation shall apply for non - payment of premium. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2001108) © ACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City Of Santa Ana EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Attn : Rosa Flores 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT P.0 BOX 1988 Santa Ana, CA 92701 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Michael Condy /ERICA ACORD 25 (2001108) © ACORD CORPORATION 1988