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Fax Server EDT 6/16/2009 1:36:58 PM PAGE 2/006 Fax Server
<br />` Client#: 1259431 insrnRnnrnR
<br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE
<br />MIDDlYYY1r)
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />1119/
<br />01119109
<br />PRODUCER ' f
<br />BB&T Insurance Services IV-(�?=Q(� 5
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />of Orange County (�
<br />680 Langsdorf Drive Suite 100
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />E ( WDD Y
<br />Fullerton, CA 92831
<br />INSURERS AFFORDING COVERAGE NAIC #
<br />INSURED
<br />Cordoba Corporation
<br />1401 N. Broadway
<br />Los Angeles, CA 90012
<br />INSURER A: Hartford Casualty Insurance Company 29424
<br />INSURER B: Everest National Insurance Co 10120
<br />INSURER c: Lloyds of London FOREGN
<br />INSURER D: Property S Casualty Ins Co of Hartfo 34690
<br />INSURER E:
<br />EACH OCCURRENCE $1,000,000
<br />COVERAGES
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 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 />LTRDL
<br />N
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />E ( WDD Y
<br />DATEDmN
<br />MIID
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />72SBACP3130
<br />01/20109
<br />01/20/10
<br />EACH OCCURRENCE $1,000,000
<br />MERCIAL GENERAL LIABILITY
<br />CLAIMS MADE 51OCCUR
<br />n:—Clm
<br />DDAMAGE TO RNTEED$3OO OOO
<br />MED EXP (Any one person) $10 000
<br />PERSONAL& ADV INJURY $1,000,000
<br />GENERAL AGGREGATE s2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS- COMPIOP AGO $2,000,000
<br />PRO. F LOC
<br />X POUCV
<br />D
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />72UECUS9769
<br />01/20%09
<br />01120110
<br />COMBINED SINGLE LIMIT
<br />(Ea accident) $1,000,000
<br />BODILY INJURY
<br />(Per Pew) §
<br />X
<br />X
<br />ALL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />HIRED AUTOS'
<br />NON -OWNED AUTOS
<br />PRO■yy. "
<br />L�$
<br />pa yrs
<br />g 1�
<br />E. SZGftCK
<br />pttorn
<br />CIty
<br />3y
<br />BODILY INJURY $
<br />(Peraccident)
<br />PROPERTY DAMAGE $
<br />(Per accident)
<br />GARAGE LIABILITY
<br />il
<br />AUTO ONLY -EA ACCIDENT $
<br />OTHER THAN . EA ACC $
<br />ANY AUTO
<br />AUTO ONLY: AGO $
<br />A
<br />EXCESSIUMBRELLA LIABILITY
<br />X OCCUR FiCLAIMSMADE
<br />72SBACP3130
<br />01/20109
<br />01120110
<br />EACH OCCURRENCE $5,000,000
<br />AGGREGATE $5,000,000
<br />§
<br />$
<br />DEDUCTIBLE
<br />$
<br />X RETENTION $10,000
<br />B
<br />WORKERS COMPENSATION AND
<br />CA20011117091
<br />01120109
<br />01120/10
<br />X ORY INC STATUS LIMITS OTT+
<br />EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNERIEXECUTIVE
<br />E.L. EACH ACCIDENT $1,000,000
<br />E.L. DISEASE- EA EMPLOYEE $1,000,000
<br />OFFICERIMEMSER EXCLUDED?
<br />If desvibe q6er ALAL PROVISIO low
<br />E.L. DISEASE- POLICY LIMIT $1,000,000
<br />C
<br />OTHER Professional
<br />PCOR02208
<br />09/27108
<br />09/27109
<br />Limit: $2,000,000
<br />Liability
<br />Ded: $25,000 Per Claim
<br />"Claims Made"
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
<br />Per form SS0008 04105 pages 11.13 of 24 attached, the following are named as Additional
<br />Insureds, as respects to General Liability, as required by written contract.
<br />Additional Insureds: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California
<br />92701; Its officers, employees, agents, volunteers and representatives.
<br />City of Santa Ana
<br />Transportation S Traffic Engineering Public
<br />Works Agency M-93
<br />Attn: David Biondollllo
<br />20 Civic Center Plaza
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'AQ_ DAYS WRITTEN
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
<br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
<br />REPRESENTATIVES.
<br />AUTHORIZED REPRESENTATIVE
<br />
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