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From: Kenai) Goad At Austin, Cooper & Price FaAD. 909-886-2013 To: Tonia Zerba <br />Date: 02/072007 01:50 PM Page: 2 of <br />ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID X <br />DATE IMME)D/VYYY) <br />eLANN-1 <br />02 07 07 <br />PRODUCEfl <br />Alliant Insurance Services, Inc <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />(Lie-OC36861) <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P 0 Box 3280 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Bernardino CA 92413-3280 <br />Phone: 909-886-9861 Fax:909-886-2013 <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />NAIC# <br />I. <br />9at1 er,o ma co oY ea,r (CNA, <br />FFr'NSURERA-. <br />NSURER& clarenaon Nac ina co (XRN) <br />20532 <br />P arming Center Inc <br />1 <br />SURER-C_Valley FOr(le Ins Co (CNA) <br />- ----- <br />80 Metro Drive <br />Costa Mesa CA 92626 <br />INSURER D. wastchalters MMus Lanes (>En <br />-------- <br />INSURER E. <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 PERTARI, 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 />____._.._.- _ ......._..._. — <br />LTR N TYPE OF INSINANCE POLICY NUMBER <br />.. _.._ <br />tiICVEFPEC"fl GCRP EXP'IRAriDN <br />GATE MUM DATE MMDOIYI' LIMITS <br />GENERAL <br />LABILITY <br />EACH OCCURRENCE <br />E 1, GOO, OOO <br />IIREMW ESO RENIunnno <br />PREMISESIE accurerKe <br />-- <br />$1,000,000 <br />A <br />X <br />X <br />COAYAERCALGENERALUA&urv' <br />H2O90701722 <br />07/Ol/06 <br />07/Ol/07 <br />CLAIMSMAOE OCCUR <br />U <br />ME. DEXPNnyone Person) <br />Is 10 DOO <br />PERSONAL &ADV IWURY <br />$1,000 000 <br />rGENT <br />GENERAL AGGREGATE <br />$2,000,OOD <br />AGGREGATE LIMIT APPLIES PER. <br />`I <br />PRODUCTS-COMP'OPAGG <br />$2,000,000 <br />POLICY PRO- <br />JECTJECT LOC <br />--_-- _-- <br />AUTOMOBILE <br />LIABILITY <br />C <br />ANY AUTO <br />7 <br />07/Ol/06 <br />07/01/07 <br />COMBINED SINGLE LIMIT <br />(E.aodde,I) <br />$ 1 DO <br />r O,D00 <br />1 <br />ALL OWNED AUTOS <br />-' <br />$ <br />1 <br />SCHEOULEDAUTOS <br />BODILY INJURY <br />IP. Person) <br />-. <br />HIREOAUTOS <br />- -_-.— <br />NON-OWNEDAUTOS <br />BODILY IWURY <br />IPeramiberU <br />S <br />$ <br />_-- <br />_-- --- <br />PROPERTY DAMAGE <br />(Per awtlent) <br />GARAGE LIABILITY <br />ACGIOENT <br />$ <br />ANY AUTO <br />EA ACC <br />=UTO <br />$ <br />DOG <br />$ <br />A <br />EXCESSIUMSRELLA LABILITY <br />X OCCUR CLAIMS <br />EACH OCCURRENCE <br />$4,000,000 <br />MADE <br />2088126939 <br />O7/O1/O6 <br />O7 O1 Q7 <br />AGGREGATE <br />E <br />DEDUCTIBLE <br />I__ <br />�'$ <br />RETENTION 810 OOO <br />$ <br />$ <br />WORKERS <br />WORKERS COMPENSATION AND <br />-- X_ TORY LIMITS <br />B <br />ANY PROPRIETORPARTNEWEXECUTIVE 01KR0033085 <br />O7 /OS / O 6 07/01/07 EL. EACH ACCIDENT <br />$1,000,000 <br />OFPICEMMEMSER EXCLUDED? <br />-- -- <br />-- - <br />Myes,aee0nbe,.nCer <br />E.L.DISEASE EA EMPLOYE <br />$1,oO0,000 <br />SPECIAL PROVISIONS bebw <br />OTHER <br />EL DISEASE - POLICY LIMIT <br />$ 1 OOO OOO <br />A Property 2090701722 <br />07/01/06 07/O1/07 Prof <br />$1,000,000 <br />D Prof/Pollution W2067291002-CLAIW mD, <br />DESCRIPTION <br />07/01/06 07/O1/07 Pollution <br />$1 000,000 <br />OF OPERATIONS I LOCATDNIS I VEHICLES 1 EXCLUSION8 ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Operations pertaining to named insured for <br />certholder; professional Liab <br />includes E S O Coverage.Certholder its officers, <br />agents, employees and <br />volunteers are addrl insd as respects gen'1 <br />liab per SE146968A 01/06, as <br />required by written contract. *Except 10 day for nonpayment. CARRIER WILL <br />NOT MODIFY CANCELLATION CLAUSE/NO XXX OUT, <br />Replaces prior cert 07/07/06 <br />CERTIFICATE MTw nPR <br />.....__.. __._.. <br />L`ITY!!'SSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br />_ " I 1 DATE THEREOF, ME ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN <br />City of Santa Ana TjE/itQ,QD / /� NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />20 Civic Center Plaza, M,rLL UV / IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIM UPON THE INSURER, ITS AGENTS OR <br />Santa Ana CA-92701 REPRESENTATIVES. <br />AUTHOR EP z;n E <br />(2001108) <br />