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ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID <br />DATE(MM/DD/YYYY) <br />SAPPH-2 <br />07 03 08 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Wells Fargo of California (enc) <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Ins Services, Inc. Lic#0352275 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />15303 Ventura Blvd., 7th Floor <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Sherman Oaks CA 91403-3197 <br />Phone:818-464-9300 Fax:818-464-9398 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />A-2008-134 <br />INSURER A: Golden Eagle Insurance Corp. <br />INSURER B: Peerless Ins Co <br />INSURERC: Granite State Insurance Co <br />Sappphos Environmental, InC. <br />INSURERD: Houston Casualty <br />43D N. Halstead St. <br />Pasadena CA 91107 <br />INSURER E: " <br />COVERAGES <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/DDI <br />POLICY EXPIRATION <br />DATE MMlDD/YY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1 , 000 , 000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE FRI OCCUR <br />BOP9866444 <br />06/20/08 <br />06/20/09 <br />PREMISES(Eaoccurence) <br />$500,000 <br />MED EXP (Any one person) <br />$ 5 , O O O <br />PERSONAL & ADV INJURY <br />$ INCLUDED <br />GENERAL AGGREGATE <br />$ 2, OOO, 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />s2,000,000 <br />X POLICY PRO LOC <br />JECT El <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />IRA9868118 <br />06/20/08 <br />06/20/09 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1 000 000 <br />� � <br />X <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <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 />AUTO ONLY: AGG <br />EXCESS/UMBRELLALIABILITY <br />EACH OCCURRENCE <br />$4,000,000 <br />A <br />X I OCCUR EICLAIMSMADE <br />CU9866644 <br />06/20/08 <br />06/20/09 <br />AGGREGATE <br />$4,000,000 <br />$ <br />DEDUCTIBLE <br />X RETENTION $ 10 , 000 <br />$ <br />C <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />WC5560277 <br />03/01/08 <br />03/01/09 <br />X TWG LIMITS ER <br />E.L. EACH ACCIDENT <br />$ 1 000 000 <br />i i <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1 , 000 , 000 <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1 , 000 , 000 <br />OTHER <br />D <br />Professional <br />H70813516 <br />06/21/08 <br />06/21/09 <br />Limits $3,000,000 <br />Liability <br />Ded $10,000 <br />DESCRIPTION OF OPERATIONS ! LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Re: City of Santa Ana Planning Division. <br />*10 days notice of cancellation for non-payment. <br />lets 7111111 Pft11 I ----m;Lai A■JP: ovu, rNa m w,% I rdbi., <br />CCCCCCC <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana <br />Planning Division <br />Attn: Bill Apple <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 />P.O. BOX 1988 M-20 <br />REPRESENTATIVES. <br />Santa Ana CA 92702 <br />ATIVE/A <br />AnOR12 REPRESEt{T[(/ <br />//W. <br />--wmV 40 `LVV 1/VOI V ACORU CORPORATION 1938 <br />