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Lmenx*. o lazy uLLrLA <br />'ACORUM CERTIFICATE OF LIABILITY INSURANCE 0911908D"Y'") <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HRH Professional Practice ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Insurance Brokers, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2030 RA ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />' <br />aln Street, Suite 350 <br />Irvine, CA 92614-7248 <br />INSURED <br />Lilley Planning Group, Inc. <br />440 South Brea Boulevard, Suite E <br />Brea, CA 92821 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A: Employers Fire Insurance Company 20648 <br />INSURER B: Continental Casualty Company 20443 <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <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 />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM/DD/YY <br />POLICY EXPIRATION <br />DATE MM/DD/YY <br />LIMITS <br />A <br />GENERAL <br />LIABILITY <br />FF1 U40852 <br />09/19/08 <br />09/19/09 <br />EACH OCCURRENCE <br />$2 000 000 <br />X <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />.PREMISES E rz n <br />$300 000 <br />MED EXP (Any one person) <br />$5 000 <br />CLAIMS MADE Ex_] OCCUR <br />PERSONAL & ADV INJURY <br />$1 000 000 <br />GENERAL AGGREGATE <br />s4,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- <br />JECT LOC <br />PRODUCTS - COMP/OP AGG <br />s4,000,000 <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />FF1 U40852 <br />09/19/08 <br />09/19/09 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1,000,000 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />X <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />/ <br />$ <br />AUTO ONLY: AGG <br />EXCESS/UMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WC STATU- OTH- <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />E.L. EACH ACCIDENT $ <br />If yes, describe under <br />E.L. DISEASE - EA EMPLOYEE $ <br />SPECIAL PROVISIONS below <br />B OTHER <br />E.L. DISEASE - POLICY LIMIT 1 $ <br />Professional MCA288275433 09/19/08 09/19/09 <br />LiabilityF. <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />ALL OPERATIONS. GENERAL LIABILITY: CITY OF SANTA ANA IS NAMED ADDITIONAL <br />$1,000,000 Per Claim <br />nno,000 Aggregate <br />INSURED PER ATTACHED ENDORSEMENT. <br />rcoTicirwrc un, - <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA (M-30) <br />Santa Ana, CA 92702-1988 <br />mow+, wrr <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL jtj[§LMAIL '1(1_ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,]�J K <br />REPRESENTATIVE <br />AL`nDn 94 1-3nn4/no\ . <br />--- _.- "r ` trin•►•tai is CCL © ACORD CORPORATIOK <br />