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Client#: 50903 BUCKASO ACORD- CERTIFICATE OF LIABILITY INSURANCE 08/28108Dmrn PRODUCER HRH Professional Practice Insurance Brokers, Inc. 2030 Main Street, Suite 350 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. AD NSR TYPE OF INSURANCE Irvine, CA 92614 -7248 POLICY EFFcCTI'JE DATE MM /DD/YY INSURERS AFFORDING COVERAGE NAIC # INSURED BUCKNAM & ASSOCIATES, INC. 30131 TOWN CENTER DR STE 295 LAGUNA NIGUEL, CA 92677 INSURER A: Travelers Property Casualty Co of Am 36161 INSURER B: Travelers Indemnity Company of CT 25682 INSURER C: Continental Casualty Company 20443 INSURER D: INSURER E: COVERAGES 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 AD NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFcCTI'JE DATE MM /DD/YY POLICY EXPIRATION DATE MM /DD/YY LIMITS • GENERAL LIABILITY 680488OL652 09101/08 09/01/09 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $300,000 CLAIMS MADE 51 OCCUR MED EXP (Any one person) s5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG s2,000,000 POLICY PRO LOC JECT • AUTOMOBILE LIABILITY ANY AUTO 680488OL652 09101/08 09/01/09 COMBINED SINGLE LIMIT (Ea accident) $1'000'000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON- OWNEDAUIOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS /UMBRELLA LIABILITY CUP7637Y444 09/01/08 09/01/09 EACH OCCURRENCE s4,000,000 X OCCUR 7 CLAIMS MADE AGGREGATE s4,000,000 $ DEDUCTIBLE $ X RETENTION $ O B WORKERS COMPENSATION AND UB711OY58A 09/01108 09/01/09 X WC LIMIT O R EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 OFFICER/MEMBER EXCLUDED? II yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C OTHER Professional AEA113988680 01102/08 01102/09 $1,000,000 Per Claim Liability $2,000,000 Aggregate DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS GENERAL LIABILITY: CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE NAMED ADDITIONAL INSURED PER ATTACHED ENDORSEMENT. 123itI" aM-11 ai L•1, 9,104 ki CITY OF SANTA ANA PUBLIC WORKS AGENCY M -36 ATTN: JASON GABRIEL, PROJECT MGR. PO BOX 1988 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL R9RXjt MAIL _30 _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,ypIIRRAI K REPRESENTATIVE ACORD 25 (2001108) 1 of 2 #S442608/M441659 CCL © ACORD CORPORATION 1988