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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID VP OATE(MMIDD/PYYY) KOODE-1 03 18 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INS"Cov- LTR ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Clifford 6 Bradford Ins Agency 1515 20th Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Bakersfield CA 93301 POLICY EXPIRATION DATE MMIDOIYY Phone:661-283-8100 Fax:661-283-8111 INSURERS AFFORDING COVERAGE NAICR INSURED INSURERA xartford Oaeualty Insurance co INSURER It KOO Development Inc Kris sanders INSURERC: 100 Sunrise Way 3226453 Palm Springs CA 9 INSURER D: 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. INS"Cov- LTR INSREI TYPE OF INSURANCE POLICY NUMBER DATE M OD POLICY EXPIRATION DATE MMIDOIYY LIMITS REPRESENTATIVES. AUTHORIZED REP SENTATIVE GENERAL LIABILITY EACH OCCURRENCE 52000000WAGETORERTED A X X COMMERCIAL GENER��ALLIABnITY 51SBANY1446 10/26/08 10/26/09 PREMISES(Eeoccivanca) $300000 CLAIMS MADE X OCCUR MED EXP (Arty one person) $ 10000 PERSONALS AOV INJURY $2000000 GENERAL AGGREGATE $ 4000000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG S4000000 POLICY JEDT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $2000000 A ANY AUTO 51SBANY1446 10/26/08 10/26/09 (Eaaccideni) BODILY INJURY $ ALL OWNED AUTOS SCHEDULEDAUTOS (Per Person) BODILYINJURY S X HIRED AUTOS X NONAWNEDAUTOS I (PS,eccident) PROPERTY DAMAGE $ (Per accident) GAR AGE LIABILITY JL�a AUTO ONLY -EA ACCIDENT S OTHER THAN EA ACC $ ANY AUTO 1J ( �.� AUTO ONLY: AGO S EXCESSIUMBRELLA LWBNTY OEACH OCCURRENCE $ OCCUR CLAIMS WIDE p p,YY� ,9 1:!� Q � 1 �y AGGREGATE $ $ / DEDUCTIBLE 5�y1 �* GtreJ g RETENTION $ 3U1a ani S WORKERS COMPENSATION AND TORYLMITS ER EMPLOYERS' LIABILITY - E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNEMEXECUTNE E.L. DISEASE -EA EMPLOYEE 5 OFFICERIMEMBER EXCLUDED? If yyes dascrlbe under SPECIAL PROVISIONS be. E.L DISEASE -POLICY LIMIT $ OTHER *10 DAY CANC. APPLIES FOA ROB-PAPHENT OF PREMIUM DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insured with regard to liability and suite arising from the operations and uses performed by or on behalf of the named insured, this policy is primary and waiver of subrogation applies if required by written contract per attached form SS0008 04 05. CERTIFICATE HOLDER CANCELLATION CITSANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYSWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL CITY OF SANTA ANA 20 CIVIC CENTER PLAZA, M-21 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR SANTA ANA CA 92702 REPRESENTATIVES. AUTHORIZED REP SENTATIVE ACORD 26 (2001108) 0 ACORD CORPORATION 1988