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A,gzey -/"o c- Ille " ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID RC DATE(MM/DD/YYYY) RBFCO-1 06 23 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE United Captive Ins. Brokers HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 17151 Newhope St., Ste 211 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Fountain Valley CA 92708 Phone: 714-708-4370 Fax: 714-708-2300 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: U.S. Fidelity and Guaranty Co. 25887 INSURER B: INSURER C: RBF Consulting 14725 Alton Parkway Irvine CA 92618 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. ADD'LTR NSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE POLICY MMPDD1 N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE JUNLNILD PREMISES (Ea occurence) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC CT JE AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE D123WO0187 07/01/09 07/01/10 X TORY LIMITS ER E. L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYE $ 1000000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIALPROVISIG:S bc-o,v E.L. DISEASE -POLICY LIMIT $ 10000Q0 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 days notice of cancellation for non-payment of premium. Re: Environmental Services and Technical Studies CERTIFICATE HOLDER CANCELLATION C+ITSAN2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * 30 DAYS WRITTEN City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn : Tonia Zerba IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Civic Center Plaza .a. �- P.O. Box 1988, M-20 �'�' � ao) 3q Es. Santa Ana CA 92702 l� _ AUTFVQfIZED REPRESENTATIVE F7*NJA'VI'_ _1r.!� PA.01N e1 has- ' _«nt Ct: / .t .L r; lt--y