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K1 - zno-1- [)18-0+ <br />CERTIFICATE OF LIABILITY INSURANCE OP ID AP DATE (MM/DD/YYYY) <br />10/13/10 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate o er Is an ADDITIONAL I ED, the policy(les) must be endorsed- If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />BS <br />OYD & ASOCSATES <br />NAME: <br />A/C No Ext): (A/C, No): <br />=nsuranca SarvicE:s <br />ADDRESS: <br />P. O. BOX 485 <br />Tustin CA 92781-0485 <br />Phona:714/245-1350 Fax:714/245-1340 <br />CUSTOMER ID #: NAT=O -2 <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURED <br />INSURER A: Enduran Ce! Amer Spec ins Co 41718 <br />National Econ Corporation <br />1899 S. Santa Cruz Street <br />INSURER B: G4an@ra1 Sna Co o£ America <br />INSURERC: Endurance Amer S ec Ins Co 41718 <br />Anaheim CA 92805 <br />INSURER D : Peerless insurance Compariy 24198 <br />B <br />INSURER E: <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />INSURER F: <br />l.:V VCKALSCS GCK IIFIGATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED_ NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES- LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />TYPE OF INSURANCE <br />INSR <br />WVD <br />POLICY NUMBER <br />(MM/DD/1'YYY) <br />(MM/DDMYYY) <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE LX OCCUR <br />x <br />MCC101001586 02 <br />07/01/10 <br />07/01/11 <br />EACH OCCURRENCE $1,000,000. <br />PREMISES (Ea occurrence) $ 50 , 000 . <br />MED EXP (Any one person) $ 5,000. <br />PERSONAL & ADV INJURY $ 1,000,000. <br />GENERAL AGGREGATE $ 2 , 000 , 000 _ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X I POLICY PRO <br />JECT LOC <br />PRODUCTS - COMP/OP AGG s2,000,000. <br />$ <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />24Cc142016-5 <br />10/12/10 <br />10/12/11 <br />COMBINED SINGLE LIMIT <br />(Ea accident) $1,000,000 <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />X <br />PROPERTY DAMAGE $ <br />(Par accident) <br />X <br />X <br />$ <br />$ <br />C <br />UMBRELLA LIAR <br />EXCESS LIAR <br />]{ <br />OCCUR <br />CLAIMS -MADE <br />MXS101001587 02 <br />APPROVE. L7 <br />07/01/10 <br />S TO <br />07/01/11 <br />RM <br />EACH OCCURRENCE s4,000,000. <br />AGGREGATE $ <br />DEDUCTIBLE <br />RETENTION $ 10,000 <br />$ <br />X <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIV <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />I( yyes describe under <br />DESCRIPTION OF OPERATIONS below <br />/A <br />Laura Stl <br />ASSlstaut C <br />)lEECjy <br />A.ttorRC <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE - POLICY LIMIT $ <br />D <br />Crime <br />COP 8618775 <br />03/12/10 <br />03/12/11 <br />B1an)cat $100,000. <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is raqulrad) <br />*Exceppt Ten (10) Day Notice o£ Cancellation £or Non -Payment o£ Premium <br />RE: All Operations <br />Community Redavalopment Agency o£ the City o£ Santa Ana and its o££icers <br />emploxraas agents and volunteers are named as Additional 2 sureds par t- 49 <br />a ttac ad indorsement FEi-319-ECC-0708. insurance is Primary/Non-Contributory <br />CERTIFICATE HOLDER CANCELLATION <br />STAANAI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Community Redevelopment Agency ACCORDANCE WITH THE POLICY PROVISIONS. <br />o£ tha City o£ Santa Ana <br />20 Civic Canter Plaza AUTHORR R RESENTATIVE <br />P.O. Box 1988 M-11 <br />Santa Ana CA 92702 Kenn h <br />© 1988-2009 ACORD CORPORATION. All rIgJ9& resem <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />