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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID KG DATE{MMIDDnYYY) PRDnuc£a PLANN -1 07/09/09 Alliant Insurance Services Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION , (Lic- OC36861) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 735 Carnegie Drive, Ste 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Bernardino CA 92408 Phone: 909 - 886 -9861 Fax: 909 - 886 -2013 INSURERS AFFORDING COVERAGE INSURED - --NAIC # INSURER A: Travelers Casualty & Surety INSURER B: Evanston Insurance Co (PTN Plannin Center Inc 1580 Megro Drive INSURER C: Travelers property casualty 25674 SURER D: IN - _ - Costa Mesa CA 92626 .A INSURER E: COVE RAGES 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. 'N - - --- LTR NSR TYPE OF INSURANCE POLICY NUMBER aQrrav allcv xrsmaTro DATE VD11Y DATE MMIODIYY ) z LIMITS LIABILITY B X OMMERCIAL GENERALLIABILITY E 09PKGM00041 07/01/09 07/01/10 EACH OCCURRENCE Eaoccu $5,000,000 qGENERAL CLAIMS MADE OCCUR PTSREMG $ 50,000 MED EXP (Any one person) $ rj , 00 0 PERSONALSADVINJURY $ 5, 000, 000 - GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000 PRODUCTS- COMP /OP AGG $5,000,000 — POLICY PRO- JEC7 LOC AUTOMOBILE LIABILITY C X ANY AUTO BA6684N324TIL 07/01/10 COMBINESINGLE LIMIT {Ea accident $1,000,000 ALL OWNED AUTOS O L -- BODILY INJURY _ SCHEDULEDAUTOS (p� EO7/01/09 (Per person) $ HIREDAUTOS � URY (BODaccident) ! $ NON- OWNEDAUTOS ) �� AD �� '.,... S hCe,M PROPERTY DAMAGE $ -' ; � (Per accident) GARAGE LIABILITY ,,. --'" , ANY AUTO , ,'��`+t L ' ' `v AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ `i y�Wgl2n AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY C OCCUR CLAIMSMADE EX6806N611TTL 07/01/09 07/01/10 EACH OCCURRENCE T� s4,000,000 AGGREGATE $4,000,000 OVER AUTO $ DEDUCTIBLE - & EL ONLY .._. g X RETENTION $Nil WORKERS COMPENSATION AND A EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE UB6804N41AACR OFFICERIMEMBEREXCLUDED? _ X TORY LIMITS ER 07/01/09 07/01/10 E.L. EACH ACCIDENT O $1,00-0,00 If es, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $1,000,000 '-------------- - OTHER E.L. DISEASE - POLICY LIMIT $1,000,000 C Property 6606806N611TIL 07/01/09 07/01/10 Pollution $5,000,000 B Pollution /Prof 08PKGM0041 07/01/09 1 07/01/10 Prof $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT Operations pertaining to named insured for I SPECIAL PROVISIONS certholder; Professional Liab includes E &O Coverage. Certholder its officers, agents, employees and volunteers are add'1 insd /prim wrdg /waiver as respect gen'1 liab per IE0036 4/04 & IE0054 4/04 as required by written contract. *30 day N 0 C except 10 day for non - payment of premium. Null & Voids prior cent 06/29/09. CERTIFICATE HOLDER CANCELLATION CITYSAO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO City of Santa Aria DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN Melanie McCann NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 20 Civic Center Plaza, M -20 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Santa Ana CA 92701 REPRESENTATIVES. AV AV I MUKIZE TATIVE ACORD 25 (2001108) © ACORD CORPORATION 1988