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Client#: 15043 <br />10LINEARS <br />ACOR& CERTIFICATE OF LIABILITY INSURANCE04/17/2009 <br />DATE(MMlD0/YYYY) <br />N9 <br />TYPE OF INSURANCE <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HUB Int'I of CA - IE CL <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />IUB Intl of CA Ins Serv, Inc. <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />4371 Latham St, Ste #101 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />04/25/09 <br />Riverside, CA 92501 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />Systems r- � i " `C <br />INSURER A: Federal Insurance Company 20281 <br />INSURERS: Beazley Insurance Company, Inc. 37540 <br />Chris <br />Chris Parsons <br />INSURER c: American States Insurance Compa 19704 <br />8403 Maple Placcee <br />INSURER D: <br />Rancho Cucamonga, CA 91730 <br />INSURER E: <br />rnve0er_cc <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 <br />N9 <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE fMMIDDrM <br />POLICYEXPIRATION <br />DATE D <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE 5XI OCCUR <br />35785104WUC <br />04/25/09 <br />04/25/10 <br />EACH OCCURRENCE $1,000.000 <br />DAMAGE TPREMISESO RENTED $1,000,000 <br />MED EXP (Any one Person) $10,000 <br />PERSONAL & ADV INJURY $1,000,000 <br />GENERAL AGGREGATE $2.000.000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICYjE O LOC <br />PRODUCTS - COMP/OP AGG $1000000 <br />C <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />74986182 <br />04/25/09 <br />04/25/10 <br />COMBINED SINGLE LIMIT <br />(Ea accident) $1,000,000 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY (Per person) $,,,,,� <br />X <br />X <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />APP VE S <br />O FORM <br />—..,, <br />BODILY INJURY <br />(Peracddent) w ,,,� <br />PROPERTY DAMAGE + <br />(Per accident) $ p"-�3 <br />-�. <br />GARAGE LIABILITY <br />ANYAUTO <br />Yen A <br />y } Cit <br />`J <br />ge <br />A torne Y <br />AUTO ONLY - EA ACCIDENT $ <br />EA ACC $ ' <br />OTHER THAN _ <br />AUTO ONLY: qGG $ <br />EXCESS/UMBRELLA LIABILITY <br />OCCUR FICLAIMS MADE <br />EACH OCCURRENCE.;" - $ '• <br />AGGREGATE $ ci <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WC STATU- OTH- <br />E.L. EACH ACCIDENT $ <br />ANY PROPRIETOWPARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />E.L. DISEASE - EA EMPLOYEE $ - <br />B <br />"M <br />f yes, describe under <br />1 ECIAL PROVISIONS below <br />OTHER Professional <br />Liability <br />V15Q4CO8PNPT <br />12/11/08 <br />12/11/09 <br />E.L. DISEASE - POLICY LIMIT $ <br />$1,000,000 Each Claim <br />$1,000,000 Aggregate <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />The certificate holder Is named as an additional Insured including primary <br />& non contributory wording per Company Forms. <br />I City of Santa Ana <br />20 Civic Center Plaza <br />1 Santa Ana, CA 92701 <br />ACORD 25 (2001/08) 1 of 2 #S137114/M137107 <br />LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL A0_ DAYS WRITTEN <br />IE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED <br />AAC 0 ACORD CORPORATION 1988 <br />