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Client #• RI If�KACrI `ACOR�,M CERTIFICATE OF LIABILITY INSURANCE °��' MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 12/30/09 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 600 A Irvine, CA 92612 INSURERS AFFORDING COVERAGE NAIC # INSURED BUCKNAM 8r ASSOCIATES, INC. 30131 TOWN CENTER DR STE 295 LACUNA NIGUEL, CA 92677 INSURER A: Travelers Property CaSUalty CO Of Am 36161 INSURER B: Travelers Casualty Insurance Co of A 19046 INSURER G: Continental Casualty Company 20443 INSURER D: INSURER E: $1 OOO OOO MED EXP (Any one person) 3ES 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE TE MM /DD/YY POLICY EXPIRATION DAT M LIMITS A GENERAL LIABILITY 6804880L652 09/01/09 09/01/10 EACH OCCURRENCE $1 000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $1 OOO OOO MED EXP (Any one person) $1 O OOO CLAIMS MADE � OCCUR PERSONAL 8 ADV INJURY $1 OOO OOO GENERAL AGGREGATE $2 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2 OOO OOO POLICY PROT LOC A AUTOMOBILE LIABILITY ANY AUTO 6804880 L652 O9 /O1 /O9 O9/O1/1 O COMBINED SINGLE LIMIT (Ea accitlen[) $INCL IN GL _� A^ BODILY INJURY (Par person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS �O Q � QsY V _O � �� � �- � � j�•C' �� ! `� �1V' !� r�V�P _ �C/ L1y pStTf'y X BODILY INJURY (Par accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO A 51SL O� AUTO ONLY - EA ACCIDENT $ OTHER THAN E%� ACC $ $ AUTO ONLY: qGG A EXCESS /UMBRELLA LIABILITY X OCCUR � CLAIMS MADE CUP7637Y444 09/01/09 09/01/1 O EACH OCCURRENCE $4 OOO OOO AGGREGATE $4 OOO OOO g DEDUCTIBLE $ X RETENTION $ O B WORKERS COMPENSATION AND UB711 OY58A 09/01 /09 09/01 /1 O �( WC STATU- OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E -L. EACn ACCIDENT $1 OOO OOO E.L. DISEASE - EA EMPLOYEE $1 ,OOO OOO OFFICER/M EMBER EXCLUDED? IT yes, tlescribe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $1 ,OOO OOO C OTHER Professional AEA113988680 01/02/10 01/02/11 $1,000,000 Per Claim Liabilit $2,000,000 A re ate DESCRIPTION OF OPERATONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS PROFESSIONAL LIABILITY POLICY RENEWAL. ALL OTHER COVERAGE ENDORSEMENTS APPLY PER PREVIOUSLY ISSUED CERTIFICATES. (See Attached Descriptions) I.CrtIIr Il.Alc nVLUCrt GANGCLLAIIC)N - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF SANTA ANA DATE THEREOF, THE ISSUING INSURER WILL A9NH�OrftiCX9i MAIL ±!1 DAYS WRITTEN PUBLIC WORKS AGENCY M -36 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LE F7,]67lRRq� K ATTN= JASON GABRIEL, PROJECT MGR_ fe40oJaRl�Rx+ �aKa�xn�rKmKxlnlaKxxxarxwxx�axxlQKxKQCea [Keexac�otx>la;raoce�[ac�cxx PO BOX 1988 xr�esxo[ecoovx�[x Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) 1 of 3 #M459601 CCL ©ACORD CORPORATION 1988