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._ .II! -_ 2 0128 - ~eR~ -- -- ""I 'PRo~~ORD~ C_ER"fIFICATE 9F !-IA~ILI"f~Jl~;~~~~~ED AS A MATTER l-I~~i~:N:-1 I MARSH RISK & INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1 CALIFORNIA STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR CALIFORNIA LICENSE NO. 0437153 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. I' SAN FRANCISCO, CA 94111 Alln: Audrey Segaud (415)743-8632 ,~:~::~BOND-MM-08-09 1,:~;~E:~w~E6~:~i;~n~~:::c~ - ~:~9~ , BOND LOGISTIX LLC I I FUND SERVICES ADVISORS, INC. r'N~~ERB: ~artford Un_~_rwriter~~suranGe C~mpa~. 130104 I 777 SOUTH FIGUEROA STREET, SUITE 3200 INSURER c: .= LOS ANGELES, CA 90017 __ __ _n__' INSURER D" [INSURER E:- 1 I -COVERAGES -- -- THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA1ED. 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. INSRj ADD'L TYPE OF INSURANCE POLICY NUMBER rOllCY EFFECTIVE POLicy EXPIRATION LTR INSRD DATE tMM/DDfYY) DATE tMMIDDNY) I GENERAL LIABILITY I' I COMMERCIAL GENERAL LIABILITY _ ~ CLAIMS MADE l _I OCCUR r j - - - ,GENERAL AGGREGATE LIMIT APPLIES PER POLICY j~g LaC AUTOMOBILE UABlLITY -F LIMITS -j ~ -"-' 1 EACH OCCURRENCE DAMAGE TO RENTED ~ - - -, P.B-EM!~E~a occurenc~ 1$- --1' MED EXP (Anyone person) $ -- -- - - . - ~ER~O. NAL & ADVIN,JU~'( jt$ __ --------1. ' GENERAL AGGREGATE $ , I L~RODLicTS - COMP/OP AG $---==-- COMBINED SINGLE LIMIT (Ea accident) $ I ANY AUTO ! '--~' ALL OWNED AUTOS I SCHEDULED AUTOS HIRED AUTOS r-~ NON.QWNEDAUTOS GARAGE UABlLlTY I -_OJ ANY AUTO Ii EXCESS/UMBREUA LIABILITY I I ~I f- , BODILY INJURY (Per person) ~ODIL Y INJURY (Peracc_identl___ PROPERTY DAMAGE (Per accident) $ - I --I OTHER THAN AUTO ONLY: - ----j AUTO ONLY - EA ACCIDENT $ EA ACC $ AGG $ EACH OCCURRENCE $ AGGREGATE $ JL $ OCCUR CLAIMS MADE I x I WC STATl). IjOTH- H1RY IIMIT~ ~, _ L EACH ACCIDENT 1$ ~IS~ASE.EAE~~LOYE~ L. DISEASE - POLlC.... LIMIT $ -j _1 ,000~00A 1,000,000 1,000:000 'A DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORfPARTNERfEXECUTlVE OFFICER/MEMBER EXCLUDED? 57 WE TU9541 (AOS) 57 WE TU9541 (TX) 10/01/08 10/01/08 10/01/09 , 10101/09 B If yes. tlescribeunder SPECIAL PROVISIONS below OTHER APPROVED AS TO FORM I DESCRIPTION OF OPERATIONSfLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS I Evidence of Workers' Compensation coverage. Laura ~Ltlt ::,Lccdy Assistant City AttuTney L SEA-001249344-02 CANCELLATION CERTIFICATE HOLDER r I _I City of Santa Ana .1.1 Attn: Slch Ta X 5"',$-r 20 Civic Center Plaza M-17 Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WIll. ENDEAVOR TO MAIL 3L- 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 ITS AGENTS OR REPRESENTATIVES. UPON THE INSURER, ~T~~~:f~'r~~~~8rvic8S Gene Williams ~ I I o ACORD CORPORA nON 1988 . ACORD 25 (2001/08)