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<br />Page 2 of4
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<br />From:KatJe Marr faxlD:
<br />
<br />ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 KU 1- DATE IMMJDDIY"r1'YI
<br />PACI009 12/16/08
<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />(PA) Heffernan xnsurance Brkrs HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />180SA Embarcadero Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Palo Alto CA 94303
<br />Phone: 650-842-5200 Fax:650-842-5201 INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED INSU:<ERA Tu..,.l.u prop.rty CIl$ualty Co 25674
<br /> Pacific Hos~ita~ity Groug' Inc INSI..1i<ERB
<br /> Im~erial Ho el Grou~, LL INSIJrtERC
<br /> DB : DoubleTree San a Ana
<br /> 201 East MacArthur Blvd. INSI..T?ER D
<br /> Santa Ana, CA 92707
<br /> INSI.JKERE
<br />
<br />THE POLICIES Of INSURA.'lCE LISTED BELOW HAVE BEEN i"6<;;lJED TO THE IN'~URE~ NAMFDABOVE FOR THE paler PERIOD INDICATED. NOlVVlTHSTANDING
<br />ANY REOL'IREMENT. TERM OR CONDITION OF "NY CONTRACT OR OTHER COCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUE:UECT TO.I\l..L THE TERMS, EXCLUSIONS AND CONDITIONS OF SUa-l
<br />POLICIES AGGREGATE LIMITS SHOWN MAY HA.VE BEEN REDUCED 81' PAID CLAltIIS
<br />LTR NSR TYPE OF INsuRANCE POLICY NUMBER DATE I~r8DNv) D~TE' (MMlDDJYYf UMITS
<br /> ~NERAL LIABlLllY EACH QCCURf:iENCE '1,000,000
<br />A X COMMERCIAL GENERAL LIABILITY 6302928M836 05/01/08 05/01/09 PREMISES lE~<:;~CllrerKeJ $ 300,000
<br /> I CLAIMS MflDE o OCCUR MEO EXP (Any o.'le per'ion) .5,000
<br /> I-- PERSONAL & AD\I INJURY $ 1,0001000
<br /> e- GENERAl A(;GREG,A,TE .2,000,000
<br /> (,EN'L ACGREGATE LIMIT tlPPL'ES PER PRODUCTS. CQMP/OP A,GG $ 2,0001000
<br /> I P'JL\CY' n ~g;- r\ LOC Emp Ben. 1,000,000
<br /> AUTOMOBILE UABIUTY COMBINW SINGU:: LIMIT
<br /> .......-... $ 1 J 000 1 000
<br />A ~- ANY AUTO 8102928M836 05/01/08 05/01/09 lEa accident)
<br /> .---.---------.-.- --.-.-.-.--.---.-.---
<br /> ALL oWNeD AuTOS BODilY INJURy'
<br /> .-. $
<br /> SO"'EDUlEOP,uTOS IPerp~90n\
<br /> - -----...-....-... ......-,......-......-.........- .....----
<br /> ~ HIHED A.\J'OS BODILy INJUR'1'
<br /> $
<br /> I-~ N01'J..OWNED AUTCS (Peraccloent)
<br /> 1------------- -,--,-,-,---_._'--'-
<br /> - --""--" .- --",,,,,,,,-,,," - . PfWPERTY DAMAGE $
<br /> . .,,/ IF'ilrac,ejoent)
<br /> ~rE L~BIUTY AUTO ONe Y ,. FA ACCIDENT .!..-.........
<br /> );:;/ ^ dtll / / ") '--"'"'--''''''''-''' -""''''---''- .--."....,-.--.
<br /> ANY NJfO OTHER n-IAN EAN:.C ,
<br /> -. - AUro ONLY -'''''''' --,...-,---'''''---
<br /> - AGG .
<br /> EXCESS/UMBRELLA LIABILITY (/UV ! f:A.CH OCCURREJK.E .
<br /> ~OCCUF" e--] , .--..-...---.-..-..-....- ..-....--.--.
<br /> _.m CLAIMS tJADE" .::-~~~_...-,""-",-,,,- ~.._...._.__._--_..-
<br /> 1---...--....-..-...-.--.- ,
<br /> :=1 DEDUeTl.,.E .-..---..-.--.-.-
<br /> .
<br /> ----....-....-----"-'---"'-'-" --..-..---.---..-.-.-
<br /> RETENTION I .
<br /> WORKERS COMPENSATION AND ITORYL'~I'TS I I'ER
<br /> EMPLOYERS' LIABILITY
<br /> ANV PROPRIETORIPARTNERIEXECUTIVE EL EACH ACCIDENT .
<br /> OFFICER/MEMBER EXCLUOED""! E.L DISEASE... E.A EMPLOYEE ,
<br /> it..",s,descnbelJllder
<br /> SPECIAL PROVISIONS below E L DISEASE - PQLlCY Llt,1IT .
<br /> OTl-lER
<br />DESCRIPTION Of OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS
<br />Re: Event for the Santa Ana police Department - April 17th, 2009
<br />The city of santa Ana; its officers, empl.oyees, agents, vol.unteers and
<br />representatives are named as Additional Insured on the General Liability
<br />policy with regard to liability and defense of suits arising from the
<br />operations and uses performed by or on behalf of the named insured. . .cont.
<br />
<br />CITY004 SHOULD ANY OF THE ABOVE DESCRIBED POLlCIES BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER WILL ENOEAVOR TO MAIL 30 * DAYS WRITTEN
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
<br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
<br />
<br />COVERAGES
<br />
<br />The city of Santa Ana
<br />20 Civic Center Plaza
<br />santa Ana, CA 92701
<br />
<br />
<br />@ACORDCORPORATlON1988
<br />
<br />ACORD 25 (20011081
<br />
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