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J <br />AI`c,aOR°® CERTIFICATE OF LIABILITY INSURANCE 6DATE /6/2011rr) <br />PRODUCER (303) 534-7325 FAX: (303) 623-7325 <br />Peak 360, Inc. <br /> <br />1600 Emerson St. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Denver CO 80218 _ INSURERS AFFORDING COVERAGE NAIC # <br />INSURED - INSURER&Columbia Casualty (CNA) <br />WellDyne, Inc.; WellDyneRX INSURER B: Continental Insurance (CNA) <br />7472 S. Tucson Way INSURER C: The Hartford 00914 <br /> INSURER D: <br />Centennial CO 80112 SURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR DD' <br />INSR <br />-TYPE F INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE IMMIDD/YYYY) POLICY EXPIRATION <br />DATE MWDD <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE T RENTED <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 50,000 <br />A X CLAIMS MADE OCCUR HHA 4016059333 - 0 12/7/2010 12/7/2011 MED EXP (Any one person) $ 5,000 <br /> PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 3,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 3,000,000 <br /> X POLICY PRO LOC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> <br />ANY AUTO <br />(Ea accident) $ 1,000,000 <br />B ALL OWNED AUTOS 4026985883 12/7/2010 12/7/2011 BODILY INJURY <br /> X SCHEDULED AUTOS (Per person) $ <br /> X HIRED AUTOS BODILY INJURY <br /> <br />X <br />NON-OWNED AUTOS <br />(Per accident) $ <br /> PROPERTY DAMAGE <br /> $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC <br />OTHER THAN $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/ UMBRELLA LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> F7 <br /> OCCUR <br />CLAIMS MADE AGGREGATE $ 2,000,000 <br /> <br />A DEDUCTIBLE - 4016059333 - 0 12/7/2010 12/7/2011 $ <br /> X RETENTION $ 10,00 EXCESS OVER CNA ONLY $ <br />C WORKERS COMPENSATION W C STATU- OTH- <br /> AND EMPLOYERS' LIABILITY Y T <br /> Y I N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ? <br />OFFICER/MEMBER EX E.L. EACH ACCIDENT $ 1,000,000 <br /> CLUDED? <br />(Mandatory in NH) <br />34WEJ13046 <br />6/1/2011 <br />6/1/2012 <br />E.L. DISEASE - EA EMPLOYE <br />$ 1,000,000 <br /> If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br /> OTHERTHIRD PARTY ADMIN. EACH OCCURRENCE $ 1,000,000 <br />C ERRORS & OMISSIONS PG0257328 12/7/2010 12/7/2011 ANNUAL AGGREGATE $ 1,000,000 <br /> LIABILITY <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS - ' <br /> <br />_._ <br />-- <br />13 U Pl ?t l . i C S i"O (l y <br />`?.??:lStftill <br />ekindig@santa-ana.org <br />CITY OF SANTA ANA <br />CHRISTY KINDIG <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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 />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Gary Friedman/GARY <br />a'? <br />A%,VMU co (Lwy/lJT) <br />I NS025 (200901) <br />© 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD