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AcoRfl CERTIFICATE of <br />suDL:uRDpCOR <br />LIABILITY INSURANCE DATE(MWDD/YYYY) <br />PRODUCER <br />BB&T Insurance Services <br />07/07/2009 <br />TIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />THIS LY CONFERS NO RIGHTS UPON THE TIFICATE <br />of Orange County <br />HOLDH S CERTIF CATS DOES NOT AMEND, OR <br />680 Langsdorf Drive Suite 100 <br />:AND <br />ALTERE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Fullerton, CA 92831 <br />X <br />INSUREDINSUREFFORDING <br />COVERAGE NAIC # <br />Cordoba Corporation INSURERA Hartford Casualty Insurance Com E346690 <br />1401 N. Broadway INSURER B: Everest National Insurance Co <br />Los Angeles, CA 90012 INsumRc: Lloyds of London <br />INSURER D: Property & Casualty Ins Co of H <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 />R <br />T�n <br />TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />D T MlOD D M D LIMITS <br />GENERAL LIABILITY 72SBACP3130 01/20/09 01/20/10 EACH OCCURRENCEMERCIAL GENERAL LIABILITY $1000000 <br />DAMAGETOREN%D $300 000 <br />CLAIMS MADE a OCCUR <br />MED EXPlAMonacersonl son Ann <br />LIMIT APPLIES PER: <br />PECT F-1 LOC <br />D AUTOMOBILE LIABILITY <br />X <br />ANY AUTO <br />A tonne, <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X <br />HIRED AUTOS <br />X <br />NON -OWNED AUTOS <br />AGE LIABILITY <br />ANY AUTO <br />A EXCESS/UMBRELLALIABILITY 72SBACP3130 <br />XL.!Lj OCCUR l l CLAIMS MADE <br />DEDUCTIBLE <br />X RETENTION $10,000 <br />B WORXERSCOMPENSATIONAND CA20011117091 <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERR.IEMBEREXCLUDEO? yG¢ <br />b ADV INJURY <br />01/20/09 01/20/10 <br />0 <br />V 'D gj� <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />PODIILLY IINIIJ' RY <br />'(Per <br />�nt C11. <br />A tonne, <br />BODILY INJURY <br />(Per accident) <br />PROPERTY DAMAGE <br />(Per accident) <br />AUTOONLY-EAAOCIDENT <br />01/20/09 <br />01/20/10 1 <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />EACH OC(`HRRpw. <br />01/20/09 1 01/20/10 <br />51,000,000 <br />S <br />S <br />S <br />JVhLAAL PROVISIONS below -cr, cmrwTtt ,l1 <br />C OTHER ProfessionalA <br />.L. DISEASE <br />Liability -POLICY LIMIT S1 <br />PCOR02208 09/27/08 09/271093,000,000 Each Claim <br />"Claims Made" 3,000,000 Aggregate <br />DESCRIPTIONOF OPERATIONS ILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS ed: x25,000 Per Clain <br />Additional Insureds: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702, Its <br />officers, employees, agents, and volunteers are named as additional insureds with regard to liability and <br />defense of suits arising from the operations and uses preformed by or on behalf of the named insured. <br />(See Attached Descriptions) <br />City of Santa Ana <br />Transportation & Traffic <br />Engineering Public Works Agency <br />M-93, Attn: David Slondolillo <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />ACORD 25 (2001108) 1 of 3 #S38197861M3684396 <br />ICELLATION 10 Days for Non-Pavment <br />LO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />THEREOF, THE ISSUING INSURER WILL ROWHNMRitXf(MAIL _ .1n DAYS WRITTEN <br />E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,A)(JO��k <br />AUTHORIZED REPRESENTATIVE <br />it-ArLI -jZ012 <br />MILES 0 ACORD CORPORATION 1988 <br />