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.aco CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />5/5 2010 <br />PRODUCER (866) 544-8273 FAX: (866) 544-3486 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Elizabeth Souther Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />29395 ours Rd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite #202 <br />Agoura Hills CA 91301 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED PBC Holding Corp Inc; Pacific Building INSURER A: First Mercury Insurance 10657 <br />Care Inc; PBC Solution One Inc; PSC A&D Inc; INSURER B: Philadelphia Indemnity Ins Co 18058 <br />PBC Commercial Cleaning Systems Inc INSURER C: American Alternative Ins Corp 19720 <br />3080 Airway Avenue, Ste 101 Pr2 0 0 9 - 112 INSURER D: Travelers Prop Cas Co of Amer 25674 <br />Costa Melsa CA 92626 1.... <br />CnVFRAGF3 <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 />ADD'L <br />�NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE IMM/DDIYYYY1 <br />POLICY EXPIRATIONLTR <br />DATE fMM/DDIYYYYI <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 11000,000 <br />A <br />X <br />X COMMERCIAL GENERAL LIABILITY <br />=1 CLAIMS MADE OCCUR <br />I016035-3 <br />3/17/2010 <br />3/17/2011 <br />DAMAGE PREMISES Ea occurrence $ 50,000 <br />MED EXP (Any one person) $ 5,000 <br />X Errors & Omissions <br />PERSONAL BADV INJURY $ 1,000,000 <br />X Vicarious Crim Acts <br />GENERAL AGGREGATE $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />X POLICY PRO LOC <br />JECT <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />(Ea accident) <br />B <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />PHPK544553 <br />3/25/2010 <br />3/25/2011 <br />BODILY INJURY <br />(Per person) $ <br />X <br />X <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident) $ <br />X <br />X <br />$1,000 Ded Comp <br />PROPERTY DAMAGE <br />(Per accident) $ <br />$1,000 Ded Coll <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGG $ <br />EXCESS UMBRELLA LIABILITY <br />X OCCUR F—I CLAIMS MADE <br />EACH OCCURRENCE $ 5,000,000 <br />AGGREGATE $ <br />$ <br />C <br />DEDUCTIBLE <br />82A2uB000082602 <br />10/1/2009 <br />10/1/2010 <br />X RETENTION $ 10,000 <br />$ <br />D <br />WORKERS COMPENSATIONX <br />AND EMPLOYERS' LIABILITY Y I N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑Y <br />WC STATU- I OTH- <br />I TORY LIMITS PR <br />E. L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />(Mandatory In NH) <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />UB312OT42210 <br />5/4/2010 <br />5/4/2011 <br />E.L. DISEASE - POLICY LIMIT $ 1 000 000 <br />B <br />OTHERBus Pers Prop <br />PHPK544558 <br />3/25/2010 <br />3/25/2011 <br />Limit $954,400 Ded $1,000 <br />Cont Equip Fltr <br />Limit $200,000 Ded $1,000 <br />Spec Form, Repl Cost <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Re: Cst 10088 Service location 1000 E. Santa Ana Blvd and various city locations - City of Santa Ana, its officers <br />and employees are named as Additional Insured, but only as respects General Liability arising out of the operations of <br />the Named Insured per form CG 20 10 07 04 attached. The General Liability policy is Primary and Non -Contributory with <br />any other General Liabity Policy showing City of Santa Ana, its officers and employees as Named Insured per form CVX <br />GL 0915(3/99) attached. <br />ww�r� VAIYtrCLLA I IUrl <br />TVu@santa-ana.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Santa Ana Regional Transportation Center DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />c/o Santa Ana Public Works Agency NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />1000 E Santa Ana Blvd #108 <br />Santa Ana, CA 92701 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED REPRESENTATIVE <br />Bruce Monteith/JD <br />ALrUKU 15 (lUUVIUT) ©1988-2009 ACORD CORPORATION. All rights reserved. <br />INS025 (200901) The ACORD name and logo are registered marks of ACORD <br />