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Client#: 1259431 305CORDOCOR ACORD,. CERTIFICATE O F LIABILITY INSURANCE DATE (MM/DD/YYYY) F CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 9/16/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Christy Mata BB&T Insurance Services PHONE 714 578-7370 FAX of Orange County AIC No Ext : A/C, No : E-MAIL 680 Langsdorf Drive Suite 100 ADDRESS: R u E. Fullerton, CA 92831 CUSTOMER ID M INSURERS) AFFORDING COVERAGE NAIC # INSURED INSURER A: Lloyds of London FOREIGN Cordoba Corporation COMMERCIAL GENERAL LIABILITY 1401 N. Broadway INSURER B: Los Angeles, CA 90012 INSURER C: DAMAGE T RENTED PREMISES Ea occurrence $ INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: RFVISH)N MLIMRER• THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSIR LTR TYPE OF INSURANCE D L N R UBR D POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED PREMISES Ea occurrence $ CLAIMS -MADE F7 OCCUR MED EXP (Any one person) $ & ADV INJURY $ FORMPERSONAL FORM GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JECT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO -- ��y4 ;;C (Ea accident) $ iii -t'•Z e. r^C� BODILY INJURY (Per person) $ ALL OWNED AUTOS � � �- ;� � i t F � BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON -OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION WC STATU- OTH- ITORY AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Professional Liab ISEA0000525 9/27/2010 09/27/2011 $3,000,000 Per Claim/Ag "Claims Made" Ded: $25,Mer C DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 4 "] Verification of Insurance City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702-1988 ACORD 25 (2009/09) 1 of 1 #S5606136/M5606007 SHOULD ANY OF THE ABOVE DESCRIBED POLItjl=$,$E CA ELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILLELIV IN ACCORDANCE WITH THE POLICY PROVISIONS." i • � O , AUTHORIZED REPRESENTATIVE 46/Z @1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LXMCN