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CERTIFICATE OF LIABILITY INSURANCE BLPIKG DATE (MMIDD /YYYY) l 08/04/10 Liant Insurance Services , Inc I rill) ur-K I IrILIA I t Il) IJJUtu AS A MA I I tK Ur INI-UKMA I IU ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lc- OC36861) 5 Carnegie Drive, Ste 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW z Bernardino CA 92408 -- LIMITS X one: 909 -886 -9861 Fax: 909 - 886 -2013 INSURERS AFFORDING COVERAGE NAIC # iRED - - - - INSURER Travelers Property Casualty - - 25674 INSURER B: Travelers Casualty & Surety 19038 -- .._. -_- PREMISES (Eaoccurence) INSURER C. Evanston Insurance Co (PTN) Plannin Center Inc 1580 Me ro Drive Costa Mesa CA 92626 Q q 0n INSURER D -- - -- - -- -- -- INSURER E. — I� (, _ �I 1l 1 ` VERAGES 1E POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING VY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR AY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 3LICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADD'LT INSRO TYPE OF INSURANCE - POLICY NUMBER POLICY EFFECTIVE DATE MMIDD /YYYY POLICY EXPIRATION DATE MM /DD/YYYY -- LIMITS X GENERAL -- LIABILITY COMMERCIAL GENERAL LIABILITY 1OPKGM00041 07/01/10 07/01/11 EACH OCCURRENCE s5,000,000 X -- .._. -_- PREMISES (Eaoccurence) - - -_ -- - S 50,000 -. 1 CLAIMS MADE X J OCCUR - MED EXP (Any one person) -- $5, 000 PERSONAL & ADV INJURY $ 5 000,-00-0 j GENERAL AGGREGATE $ 5 000 000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG li ! S 5, 000 , 000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO BA6884N32410CAG 07/01/10 07/01/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ i ALL OWNED AUTOS, SCHEDULED AUTOS , - ! X HIRED AUTOS NON -OWNED AUTOS ! `%L..I'Tl APPROVED �+ �7- S J O g: OR� BODILY INJURY (Per accident) $ — X s PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO Laura S(i(C assistant Ct( an ",dy A I i o rn fry AUTO ONLY - EA ACCIDENT $ _. $ S OTHER THAN EA ACC AUTO ONLY AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ 4,0 00, 000 _ OCCUR CLAIMSMADE PFSEX6806N611TIL10 07/01/10 07/01/11 AGGREGATE $ 4,000,000 OVER AUTO $ & EL ONLY I DEDUCTIBLE $ X RETENTION $Nil $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below PACRUB6804N41A10 07/01/10 07/01/11 X TORY,LIMITS ER E.L. EACH ACCIDENT $ 1,000,000_ E.L. DISEASE -EA EMPLOYEE ---- $ 1, 000, 000 -- E.L. DISEASE -POLICY LIMIT - - - - - -- $1,000,000 OTHER Property P6606806N611TIL10 07/01/10 07/01/11 Pollution $5,000,000 Pollution /Prof 1OPKGM00041 07/01/10 07/01/11 Prof $5,000,000 CRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS erations pertaining to named insured for certholder; Professional Liab cludes E &O Coverage. Certholder its officers, agents, employees and lunteers are add'1 insd /prim wrdg /waiver as respect gen'l liab per IE0036 04 & IE0054 4/04 as required by written contract. *30 day N O C except 10 y for non - payment of premium. Null & Voids prior cert 6/29/10. RTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITYSAO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Attn : Judy REPRESENTATIVES. 20 Civic Center Plaza, M -20 AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 ORD 25 (2009/01) © 1988 -2009 ACORD GORPOFUtMN. All rights reserved. The ACORD name and logo are registered marks of ACORD