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ACORD~, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DO/YYY1~ <br />PRODUCER Complete Insurance, Inc. <br />19000 MacArthur Blvd. PH Floor <br />Irvine, CA 92612 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />(949)263-0606 <br />www.Com letelnsurance.com <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />_ <br />INSURED Johnson-Frank & Associates, InC. INSURER A: TraVelerS Pf0 <br />party Casualty Ins Co of America <br />5150 E. Hunter Avenue INSURER B: <br />Anaheim CA 92807 INSURER C: <br /> INSURER D: <br />0 ~ ~ INSURER E: <br />atJ <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED <br />NOTWITHSTANDING <br />. <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, 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 />INSR OD' <br />POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />LIMBS <br />A GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> COMMERCIAL GENERAL LIABILITY 6806825L007 12/1 /2008 12/1 /2009 PREMISES Ea oc urence $ 1 ,000,Q00 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 1 0,000 <br /> Primary/NonContrib Scheduled AI Endt PERSONAL 8 AOV INJURY $ 1 <br />000 <br />000 <br /> / Waiver Subro #CGD3820907 GENERAL AGGREGATE , <br />, <br />$ 2 <br />000 <br />000 <br /> , <br />, <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2,000,000 <br /> POLICY ~/ PRO- `/ LOC <br />A AU TOMOBILE LIABILITY <br /> <br />ANV quro <br />BA6819L639 <br />12/1 /2008 <br />12/1/2009 COMBINED SINGLE LIMIT <br />(Ea accident) § <br />1 <br />000 <br />000 <br /> , <br />, <br /> ALL OWNED AUTOS Designated Insured <br /> <br />SCHEDULED AUTOS <br />Endt#CA20480299 BODILY INJURY <br />(Per person) § <br /> <br /> HIRED AUTOS <br /> <br />NON-0WNED AUTOS BODILY INJURY <br />(Par accdent) $ <br /> <br /> -- <br /> ~ PROPERTY DAMAGE § <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br />OTHER THAN ~ ACC <br />§ <br /> AUTO ONLY: qGG $ <br />A EXCESSM1IMBRELLALIABILITY CUP7915Y817 12/1/20~~ /1/2009 EACH OCCURRENCE E 4,000 000 <br /> OCCUR ~ CLAIMS MADE ~5 AGGREGATE S 4 OOO OOO <br /> <br /> DEDUCTIBLE t,J <br />°~~~ - C... ' <br />R <br />~ <br /> RETENTION $O ~ ~(O rey <br /> § <br /> WORKERS COMPENSATION AND <br />EMPLOYERS' LUIBILITY P ~ <br />~~CJ <br />G~~y WC STATU- OTH- <br />- <br /> ' t <br />'n <br />Z <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ~ . <br />S~`'t, E.L. EACH ACCIDENT § <br /> OFFICERIMEMBER EXCLUDED? ~ <br />( <br />' <br /> <br />K yes, describe under ~ E.L. DISEASE - EA EMPLOYEE $ <br /> SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATK)NS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Certificate Holder is Additional Insured as respects General Liability but onlyy if required by written agreement with <br />the Named Insured prior to an occurrence per coverage form #CG 3820907 <br />t <br />A <br />t <br />Li <br />bil <br />D <br />. <br />y <br />u <br />o <br />a <br />l <br />esignated Insured included per <br />form #CA20480299. General Liability includes Severability of Int <br />r <br />t & C <br />t <br />t <br />l <br />i <br />e <br />es <br />on <br />rac <br />ua <br />Liabil <br />ty per Timitations in Liab <br />coverage form #CG00011001. Coverage subject to all policy terms, conditions, limitations and exclusions. <br />~`CDTICI!`ATC unl nre <br />City of Santa Ana, <br />Its Officers, Employees, and Representatives <br />Attn: Sherry Barkley <br />PO Box 1988 <br />Santa Ana CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL Jj~(DQ MAIL 30' DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, t{I~:~Q~at~x <br />-~~ Ivc~cl~ax~c,>sc~ter <br />~ytp~x ` 10 Days for Non-Payment of Premium <br />AUTHORIZEDREPRESENTATNE .-? r - ~- <br />Alicia K. Igram <br />ACORD 25 (2001/08) ©ACORD CORPORATION 1988 <br />