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ACORD.M CERTIFICATE OF LIABILITY INSURANCE, <br />DATE(MM/DD/YYYY) <br />ADD'L <br />INSRE <br />08/12/09 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />CS&S/Brown & Brown Insurance <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />PO Box 946580 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Maitland, FL 32794-6580 <br />2076875527 <br />866 883-7159 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />A: Valley Forge Insurance ConWny <br />GeoINSURER <br />tial Technologies, Inc. <br />INSURER B: Continental Casualty Company <br />3130 S <br />3130 S Harbor #430 <br />INSURER C: <br />Santa Ana, CA 92704 <br />INSURER D: <br />MED EXP (Any one person) $10,000 <br />INSURER E: <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 <br />ADD'L <br />INSRE <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM/DD/YY <br />POLICY EXPIRATION <br />DATE (MM/DDIM <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />2076875527 <br />06/01/09 <br />06/01/10 <br />EACH OCCURRENCE $1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE 51OCCUR <br />DAMAGE TO RENTEDPREMI ES fEa occurrence) $300 ,000 <br />MED EXP (Any one person) $10,000 <br />PERSONAL &ADV INJURY $1,000,000 <br />GENERAL AGGREGATE s2,000.000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- <br />JECT X LOC <br />PRODUCTS - COMP/OP AGG s2,000,000 <br />A <br />X <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />2076875527 <br />06/01/09 <br />06/01/10 <br />COMBINED SINGLE LIMIT <br />(Ea accident) $1,000,000 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Per person) <br />X <br />HIRED AUTOS <br />X <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident) $ <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />ANY AUTO <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />B <br />X <br />EXCESS/UMBRELLA LIABILITY <br />X OCCUR F-1 CLAIMS MADE <br />2088129498 <br />06/01/09 <br />06/01/10 <br />EACH OCCURRENCE $1,000,000 <br />AGGREGATE $1.000.000 <br />DEDUCTIBLE RETENTION $ 10000 <br />Fx <br />$ <br />WORKERS COMPENSATION AND <br />WC STATU- 0TH - <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT $ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />E.L. DISEASE - EA EMPLOYEE $ <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT $ <br />SPECIAL PROVISIONS below <br />OTHER <br />PPRW,,i-_11 AS TO :f"ORM <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS�C%,-- <br />Certificate HolderCity of Santa Ana PoliceDepartment , its officers, agents, volunteers <br />and employees are Named as Additional Insured - Owners,Lessees or Contractors LdUiil ,;t t ,._., <br />Endorsement Form Number Sb300120A Assistaiv 'Cio Aitorney <br />(See Attached Descriptions) <br />$H qLD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana Police DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30._ DAYS WRITTEN <br />Department L NOF CE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />20 Civic Center Plaza v 'V �� Y U G Ji 1 Y ASE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Santa Ana, CA 92701 REPRESENTATIVES. <br />AU H RIZED R PRESENTATIVE <br />Arnon <br />--- ••--r I U, J ffAvzz 14 GJG © ACORD CORPORATION 1988 <br />