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A41// A R I - • V V ACORoCERTIFICATE OF LIABILITY INSURANCE OP ID SN DATE(MWDDNYYY) CINDY -2 06/24/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO POLICY I TIO LIDATE DATE I MMIDDIYl ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE NHC Insurance Services Inc HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 796 W. 9th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW San Pedro CA 90731 Phone: 310-221-0917 Fax: 310-221-0966 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER HARTFORD CASUALTY INSURANCE CO 29424 INSURERB: Philadelphia Ins. Companies CINDY KREBS CONSULTING, INC. - INSURER C: Cindy Krebs 26 Calais Newport Coast CA 92657 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. --- ---- IR LTR NSR TYPE OF INSURANCE - --- POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYI POLICY I TIO LIDATE DATE I MMIDDIYl — LIMITS GENERAL LIABILITY EACH OCCURRENCE $11,000,000 A X X COMMERCIAL GENERAL LIABILITY 72SBAIA6077 06/05/09 06/05/10 DAMAG£TORE PREMISES (Eaoccurence) $300,000 EXP (Any one person) $10000 CLAIMS MADE a OCCUR,MED PERSONAL &ADV INJURY $ 1 000,000 __.__.___.,._._ --- GENERAL AGGREGATE s2,000,000 �OPRODUCTS-COMP/OPAGG GEN'L AGGREGATE LIMIT APPLIES PER: $2 000 OOO POLICY PRO- LOC JECT �,/ —__._-... .-- AUTOMOBILE LIABILITY �. COMBINED SINGLE LIMB ANYAUTOg (Ea accident) $ BODILYINJURY $ ALL OWNED AUTOS �cQy 'tO� to C CJ � I SCHEDULED AUTOS P �• A (Per person) G \ky BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNEDAUTOS �'\.d(\� Py3� PROPERTY DAMAGE $ (Per accident) GARAGELIABILITY AUTO ONLY - EA ACCIDENT $ ANYAUTO OTHER THAN EA ACC $ __..._... $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR u CLAIMSMADE AGGREGATE $ _ DEOUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND TOWG tiTATU- RY LIMITS TH ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT_ $ ANY PROPRIETOPJPARTNER/EXECUTiVE OFFICEMMEMBEREXCLUDED? E.L- DISEASE - EA EMPLOYE $ If yes, describe under E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER B Professional Liab. PHSD420296 06/06/09 06/06/10 EACH OCC. 1,000,000 PER CLAIM DEDUCT.: $5,000 AGGREGATE 1,000,000 DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES i EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS *10 DAY NOTICE OF CANCELLATION APPLIES FOR NON-PAYMENT OF PREMIUM. THOSE USUAL TO THE INSUREDS OPERATIONS. CERTIFICATE HOLDER NAMED AS ADDITIONAL INSURED CERTIFICATE HOLDER cANc:FI I A71nN CITY OF SANTA ANA ATTN:DAVID BIONDOLILLO 20 CIVIC CENTER PLAZA ROSS ANNEX SANTA ANA CA 92701 (2001108) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI( DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.