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GC _ <br /> ACORD~, CERTIFICATE OF LIABILITY INSURANCE io//i9"~"' 200 <br /> PRODUCER {'760)241-7900 FABs (760)241-1467 THIS CERTIFICATE 1S ESSUED AS A MATTER OF INFORMATION <br /> ISU Insurance Services - ARbdAC A enc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> g y HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> .1717 7 Yuma Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Viatorville CA 92395 ENSURERS AFFORDING COVERAGE NAIC ~ <br /> INSURED ~C ~ f{~ wsuRERa:American Casual Co of 20427 <br /> ~ venture Capital Frontiers Inc INSURERB:Continental Casual 20443 <br /> 1968 W Adams Blvd Ste 311 INSURER C: <br /> INSURER D: <br /> LOS A11GSL$S CA 90018 INSURERS <br /> C I <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY ( <br /> REQUIREMENT, TERM OR COND{T10N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. <br /> THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES j <br /> RE AT i OWN MAY HA C D BY PAID <br /> INSR ADD'L TYPE OF INSURANCE POLICY NUMBER OP <br /> ~Y EFMFECT7VE POtI~ E <br /> ~RATtON u~ <br /> I <br /> GENERAL LUlBIL1TY URRENCE S 1 , 0170, 000 i <br /> X COMMERCIAL GENERAL LWBiUTY DAMAGE TO R 5 3 0 0, 000 <br /> A X CLfJMSMAOE QX OCCUR 3013149644 5/31/2009 5/31/2010 MEOExP one ~ S 10,000 ' <br /> RY S 1,000,000 <br /> GENERAL AGGREGATE S 2 r 000, 000 <br /> GENL AGGREGATE LIMTT APPLIES PER: <br /> /OPAGG S 2,000,000 i <br /> X POLI EC~T LOC <br /> AUTOMOBILE LLABIL}TY COMBINED SINGLE LIMff <br /> ANY AUTO (Eas«idenp E 1,000,000 <br /> A ALL OWNED AUTOS 3013149644 5/31/2009 5/31/2010 HODILYINJURY <br /> SCHEDULED AUTOS (Per person) S <br /> X HIRED AUTOS t30DILY INJURY S <br /> X NON-0WNFDAUTOS (PerazUdeM) <br /> PROPERTY DAMAGE S <br /> (Per accident) <br /> GARAGE UA&I.ITY AUTO ONLY - FJ1 ACCIDENT S <br /> ` <br /> ANY AUTO " `~c"- <br /> OTHER THAN EA ACC S <br /> AUTO ONLY: AGG S <br /> ExcESSJUmBRELLALwBILm Laura Stitt heedy s 4,000,000 <br /> OCCUR ~ CLAIMS MADE ASS1StaII City Attor y AGGREGATE S 4, 000, 000 <br /> S <br /> 8 X DEDUCTIBLE 3013151958 5/31/x009 5/31/2010 S <br /> X RETENTION l0 , 000 S <br /> $ WORKEl2SCOMPENSATK)NAND WCYTAT~ O <br /> R <br /> EMPLOYERS' LIABILITY ~ <br /> ANY PROPRIETORlPARTNER~CUTIVE EL EACH ACCIDENT S 1,000,000 <br /> OFFICER/MEMBEREXCLUDED7 3013149689 5/31/2009 5/31/x010 E.LOISEasE-EatanPLOYEES 1,000,000 <br /> II yes, descnbe under <br /> SPEC PROVISIONSbelav EL DISEASE-POLICY LIMIT E 1,000,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONSIWCATIONSNEHICLESIEXCLUS[ONS ADDED BY ENDORSEMENTI5PECULLPRoVISIONS <br /> Certificate holder is hereby named as additional insured.. •10 Day notice of cancellation for non-payment of premium.. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> Tile City Of Santa Aaa EXPIRAnoN DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> Tile Depot Of Santa AIIa 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HotDER NAMED 70 THE LEFT BUT <br /> 10 0 0 E88t Santa And Blvd #108 FAILURE 70 DO SO SHALL IMPOSE NO OBLIGATION OR LWBILI7Y of ANY KIND UPON T}IE <br /> Santa Ana, CA 92701 <br /> INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORQED REPRESENTATIVE _ <br /> G~L.~C_G~~. . <br /> Kelly Saiia/KELSAI <br /> ACORD 25 (2001!08) ®ACORD CORPORATION 1988 <br /> <br /> INS025 (oloe} olsa Page I ot2 <br /> <br />