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~ f <br /> ACORDTM CERTIFICATE OF LIABILI TY INSURANCE DATE(MM/DD/YYYY) <br /> PRODUCER <br />Complete Insurance, Inc. 1 1 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> 19000 MacArthur Blvd. PH Floor ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Irvine, CA 92612 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 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED - <br />Johnson-Frank & Associates, InC. <br />5150 E <br />H - <br />INSURER A: Beazle Insurance Com an Inc. <br /> . <br />unter Avenue <br /> <br />Anaheim CA 92807 INSURER B: <br /> INSURER C: <br /> A <br />`. --~ ~ ^,~ <br />~ -~ O INSURER D: <br /> - <br />~(~ INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE I <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTH NSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> E <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED R DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />H <br /> EREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> <br />INSR DD' . <br /> POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> LIMBS <br /> GE NERAL LIABILfrY <br /> EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMA TO RENTED <br /> <br />CLAI PREMISES Ea ocwrence $ <br /> MS MADE OCCUR MED EXP (Any one parson) $ <br /> -~ <br /> PERSONAL & ADV INJURY $ <br /> -- <br /> <br />GE <br />N'L AGGR GENERAL AGGREGATE $ <br /> EGATE LIMIT APPLIES PER: - <br /> PRO- <br />POLICY PRODUCTS - COMPlOP AGG <br />- $ <br /> LOC <br /> AUT OMOBILE UABIL <br /> nY <br /> ANV AUTO COMBINED SINGLE LIMIT $ <br /> <br />ALL OWNED A (Ea acddent) <br />-- <br /> UTOS <br /> SCHEDULEDAUTOS BODILY INJURY $ <br /> <br />HIRED A <br />T (Per person) <br />- <br /> U <br />OS <br /> NON-OWNED AUTOS BODILY INJURY $ <br /> (Per accident) <br /> <br /> O~ PROPERTY DAMAGE <br /> <br />(Per accident) $ <br />GARAGE LIABILITY <br />~ <br />ANY AUTO ~. AUTO ONLY - EA ACCIDENT $ <br />-~ <br />.~j <br />~1~ OTHER THAN EA ACC $ <br /> <br />EXCESS/uMBRELLA LIABILITY Y"'4 ~ AUTO ONLY: AGG $ <br />O <br />oCre EACH OCCURRENCE $ <br />OCCUR ~ CLAIMS MADE <br />A ~. <br />` ~ <br />„' P. <br />AGGREGATE <br />~`S <br />r <br />~a~ `7 <br />$ <br />$ <br />DEDUCTIBLE ASS\S <br />"" ~ <br /> <br />1 <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY WC STATU- OTH- <br />ANV PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ <br />If yes, describe under <br />SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ <br />OTHER E.L. DISEASE -POLICY LIMIT $ <br />A Professional V15PR308PNPA <br />Liability 12/1/2008 12/1/2009 $1,000,000 per Claim <br /> $2,000,000 Aggregate <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />30 Day Notice Endt. BICAE00411105 included <br />CERTIFICATE HOLDER rwurv~ r .ter.,., <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 />CRRT NO.: 4126219 <br />Betty Tran 12/1/2009 12:07:56 PM Page 1 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATNES. ~ 10 Days for Non-Payment of Premium <br />AUTHORIZED REPRESENTATIVE ~.f} ~n <br />4licia K. I ram _~~'`-'~GtGGt-~/j~~,7~U~,y.,-_...-) <br />9 ~/ <br />ACORD 25 (2001108) ©ACORD CORPORATION 1988 <br />