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ACORD CERTIFICATE OF LIABILITY INSURANCE DAT04/101200 YY> TM. PRODUCER Phone: (949) 597 -1001 Fax: (949)597 -2199 ALLIED BROKERS 26487 RANCHO PARKWAYS LAKE FOREST CA 92630 A-2008-106 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD INSURERS AFFORDING COVERAGE NAIC # Agency Lic#: OF65208 GENERAL INSURED INSURER A: Hartford Casualty Insurance Company 29424 INSURER B: Oak River Insurance Company 34630 85 ARGONAUT, ADAMS &ASSOCIATES, INC. 85 ARGONAUT, SUITE 220 INSURER C: Houston Casualty Company 42374 INSURER D: ALISO VIEJO CA 92656 COMMERCIAL GENERAL LIABILITY CLAIMS MADE FV7 OCCUR INSURER E: 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. INSR LTR INSR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRAIiON DATE MMD /D -- LIMITS AUTHORIZED ENTATIVOE GENERAL LIABILITY 72SBANI1293 08/01/07 08/01/08 EACH OCCURRENCE $ 2,000,000 X PREMISES DAMAGE TO (Ea RENTED Ix) $ 300,000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE FV7 OCCUR MED. EXP (Any one person) $ 10,000 PERSONAL 6 ADV INJURY $ 2,000,000 A GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE 0 LOC PRODUCTS- COMP /OP AGG. $ 4,000,000 AUTOMOBILE LIABILITY ANY AUTO 72SBAN11293 08/01/07 08/01/08 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ A HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY OCCUR El CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2210013354 -071 08/31/07 08/31/08 TORY uMITS OTHER E.L. EACH ACCIDENT $ 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yea, describe under E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE- POLICY LIMIT $ 1,000,000 SPECIAL PROVISIONS below C OTHER: Professional Liability Claims Made Form H70616295 01/01/08 10/08/08 $3,000,000 per occurrence $3,000,000 General Aggregate $10,000 Deductible Each Claim DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECIA P OVISIONS *Except 10 days for non payment of premium. CITY OF SANTA ANA, ITS OFFICERS, AGENTS, VOLUNTEERS AND EMPLOYEES SHALL BE NAMED AS AN ADDITIONAL INSURED PER ATTACHMENT B. CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' PLANNING AND BUILDING AGENCY 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 20 CIVIC CENTER PLACE INSURER, ITS AGENTS OR REPRESENTATIVES. SANTA ANA, CA 92702 AUTHORIZED ENTATIVOE Attention: Ar`non Oe renn.l In o� I___ - ---r ..�I UZFV4 v 9 ACORD CORPORATION 1988