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ACQO�®® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDMYY) 10/10/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER CONTACT NAME: Karin ThQrp Dealey, Renton & Associates P. O. Box 10550 Santa Ana CA 92711-0550 PHOC.NE FAX No: 27 6818 E-MAIL r . REss:kthorpoinsdra.com INSURERS AFFORDING COVERAGE NAIC k Y INSURERA: 10/15/2013 INSURED _22667 INSURER S:Travelers Property Su l Cc of A 25674 INSURER C: PSOMAS 555 South Flower Street, Suite 4300 Los Angeles CA 90071 INSURER D INSURER E INSURER F MED EXP (Any one person) $10000 COVERAGES CERTIFICATE NUMBER: 1622915839 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICYNUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDPIYVY LIMITS B GENERAL LIABILITY Y Y 530265M676A 10/15/2013 0/15/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO REN TED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10000 CLAIMS -MADE IT] OCCUR PERSONAL &ADV INJURY $1,000,000 X Contractual X BFPD, XCU GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 $ POLICY X PRO- jECT [7 LOC I I I B AUTOMOBILE LIABILITY Y Y BABA708266 10/15/2013 0/15/2014 Ea accident 1,000 000 BODILY INJURY (Per person) $ X ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HREDAUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAB Id OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESSLIAB CLAIMS -MADE DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN y UB6A526643 10/15/2013 0/15/2014 X WC STATU- OTH VLIM E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE❑ OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYE $1,000,000 (Mandatory in NH) Ifyes,describeunder DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $1,000,000 A Professional Liability G23638381005 10/15/2013 0/15/2014 Per Claim $1,000,000 Claims Made Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) General Liability policy excludes claims arising out of the performance of professional services. Independent Contractors Included as respects to General Liability, 30 Day Notice of Cancellation 4SAN020100 City, its officers, employees, agents, volunteers and representatives are additional insured as respects to General and Auto Liability as required by written contract. Primary and Non -Contributing coverage, Waiver of Subrogation applies to GL as required by written contract. Waiver of Subrogation or Rights applies to Workers' Compensation policy only as required by a written signed contract prior to any loss occurring. City of Santa Ana Attn: Clerk of the City Council 20 Civic Center Plaza Santa Ana, CA 92702 ACORD 25 (2010/05) LR -t r 1"3 q 4\t MJ ON Er.111A 11014Na OL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AU HORIZED REPRESENTATIVE 2� 0 kogp ©1988.2010 ACORD The ACORD name and logo are registered marks of ACORD reserved.