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Client #: 50903 BUCKASO ACORDTM CERTIFICATE OF LIABILITY INSURANCE 0 DA /1 /0 OD/YYYY) 8/14/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Willis Ins. Srvcs of CA, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 18101 Von Karman Ave HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Irvine, CA 92612 INSURED BUCKNAM & ASSOCIATES, INC. 30131 TOWN CENTER DR STE 295 LAGUNA NIGUEL, CA 92677 COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Property Casualty Co of Am 36161 INSURER B: Travelers Casualty Insurance Co of A 19046 INSURER C: Continental Casualty Company 20443 �I J, INSURER D: I•/� INSURER E: 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 DD' LTR NSII TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD/YY POLICY EXPIRATION DATE MM /DD/YY , LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR 68 0488OL652 09/01/09 09/01/10 EACH OCCURRENCE $1 OOOOOO ORMAGE TO RENTED urrence) $1 OOO OOO MED EXP (Any one person) $10-10— 0— 0— PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS - COMP /OP AGG s2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 680488OL652 A.PPRO V Lau 09/01/09 D AS i <� a Stitt Sheedy 09101/10 , rrl - ' ' COMBINED SINGLE LIMIT (Ea accident) $INCLUDED BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO LD - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: $ A EXCESS /UMBRELLA LIABILITY X1 OCCUR ❑ CLAIMS MADE 2 DEDUCTIBLE X RETENTION so CUP7637Y444 UB711 OY58A 09/01/09 09/01/10 09101110 _ AGG EACH OCCURRENCE $ $4,000,000 AGGREGATE $41000,0-0-0— B _ WORKERS COMPENSATION AND J EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 09/01/09 X PVL. STA I U- O1 H- $ E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C OTHER Professional Liability$2,000,000 AEA113988680 01/02/09 01/02/10 $1,000,000 Per Claim Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I 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. �TIr1I'A Tr 11A1 e�r� CITY OF SANTA ANA PUBLIC WORKS AGENCY M -36 ATTN: JASON GABRIEL, PROJECT MGR. PO BOX 1988 Santa Ana, CA 92702 arnon 94 r9nnirnc% . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL (RRXjk MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Aj(XR* K REPRESENTATIVE -' 1 V1 � 1r1V1.+"`404 CCL © ACORD CORPORATION 1988