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III <br />CERTIFICATE OF LIABILITY INSURANCE R054 <br />0ATE05DDNYYY <br />2013 <br />THIS CERTIFICATES 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 CERTIFICATEOF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. f iPUBROPATIONIS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorseme t. ,A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s).R a , <br />PRODUCER <br />INTUIT INSURANCE SERVICES INC <br />250822 P:()- F:(888)443-6112 <br />PO BOX 33015 <br />CONTACT f j ;.-. ` <br />NAME 1 t, '. 4 <br />€_ F <br />PHONE'` FAx <br />IA/c NO Ext): IANC, N.): (888)443-6112 <br />E- AIL <br />ADDRESS: <br />INSURERS) AFFORDING COVERAGE NAICH <br />SAN ANTONIO TX 78265 <br />INSURER A: Hartford Ins Co of the Midwest <br />INSURED <br />INSURER e: <br />EACH OCCURRENCE 6 <br />INSURER C: <br />REDLANDS SOFTWARE INC. <br />2656 REDLANDS DR <br />INSURER D : <br />INSURER E: <br />COSTA MESA CA 92627 /) <br />I <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />INSR <br />WVD <br />POLICY NUMBER <br />O <br />(MM/DD/YYYYL <br />POLICY EXP <br />IMM/DD/YYYYI <br />LIMITS <br />GENERAL <br />LIABILITY <br />EACH OCCURRENCE 6 <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE <br />PR MISEST(Ea occurrence) $ <br />CLAIMS -MADE F7 OCCUR <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE 9 <br />AGGR <br />POLICY <br />GATE <br />LIMIT APPLIES PER: <br />PRO- <br />JECILOC <br />PRODUCTS- COMP/OP AGO 6 <br />GEN'L <br />L)PROVED AS 1'0 <br />FORM <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT S <br />(Ea accident) <br />BODILY INJURY (Per peraon) 9 <br />ANYAUTO <br />ALL OWNED SCHEDULED1:1 <br />fj•`f _ <br />pL,auTR n tltt Sh0'Ci <br />BODILY INJURY (Per accident) S <br />AUTOS AUTOS <br />HIRED AUTOS NONOWNEDAssistant <br />AUTOS <br />City Attonw)` <br />PROPERTY DAMAGE $ <br />(Par accident) <br />6 <br />UMBRELLA L/AB <br />OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAR <br />CLAIMS -MADE <br />Ll <br />11 <br />AGGREGATE $ <br />DE RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY XECUTIVE� <br />OFFICER/MEMBER <br />N/A <br />❑ <br />76 WEG LP1504 <br />08/03/2013 <br />08/03/2014 <br />X TORY CSTATUS <br />OER <br />E.L. EACH ACCIDENT S 1 DOD 000 <br />F.L. DISEASE - EA EMPLOYEE $ 1 000,000 <br />Wecdrafary k NHL <br />If ee, 4cer,ibc cin <br />DESCRIPTION OFder OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT 61,000,000 <br />El <br />El <br />T <br />DESCRIPTION OF OPERATIONS /LOCATIONS/ VEHICLES (Attach ACORD 101, AddltIanal Remarks Schedule, Bmore space k requlred) <br />Those usual to the Insured's Operations. <br />CERTIFICATE HOLDER CANCELLATION <br />0 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />The City of Santa Aria <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />Public Works Agency <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, <br />AUTHORIZED REPRESENTATIVE <br />20 CIVIC CENTER PLZ # M21 <br />SANTA ANA, CA 92701 <br />/ a-�—a <br />0 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />