KEEFE COMMISSARY NETWORK, L.L.C. 1A - 2007

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ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE3/23//YYYY) MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 3!23!220010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wells Fargo Insurance Services USA, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1401 South Brentwood Boulevard, Suite 625 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. LIMITS St. Louis, MO 63144 INSURERS AFFORDING COVERAGE NAIC # INSURED Keefe Commissary Network, LLC INSURER A: Great Northern Insurance Company (Chubb) 20303 INSURER B: Federal Insurance Company 20281 10880 Linpage Place 0/V V - INSURER C: INSURER D: $t. LOUIS, MO 63132 �A INSURER E: COVERAGES 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE p E M POLICY EXPIRATION DATE (MM1DDrM LIMITS A GENERAL LIABILITY 7321-00-90 01/01/10 01/01/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RSES (E.ENTEDoccurrence) $ Included CLAIMS MADE a OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY JERQ X LOC B AUTOMOBILE LIABILITY 7321-00-92 01/01/10 01/01/11 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY 1 TO FORM AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC E ANY AUTO ,� (U AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY ❑ Deputj City Attorney EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND 7165-55-50 01/01/10 01/01/11 X WC STATU- OTH- ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 80-02-2367 8/04 Certificate holder shown below is included as an Additional Insured as respects General Liability coverages shown regarding operations of the named insured. City of Santa Ana Attn: Purchasing Department 20 Civic Center Plaza Santa Ann, CA 92701-4010 ACORD 25 (2001/081 4 —6-7 1273713 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 AUTHORIZED REPRESENTATIVE 9� (This certificate replaces certificate# 1054410 issued on 12/22/2009)