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Client#- 1259d31 snsrnranncnlz ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/00 TYPE OF INSURANCE POLICY NUMBER 1/19/2012mYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BB&T Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE of Orange County HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 680 Langsdorf Drive Suite 100 01/20/2013 Fullerton, CA 92831 INSURERS AFFORDING COVERAGE NAIC # MED EXP (Any one person) $10,000 A: Sentinel Insurance Company, Ltd 11000 Cordoba Corporation 1401 N. Broadway 17INSURER Los Angeles, CA 90012 INSURER B: Everest National .Insurance Co 10120 INsuRER C: Property & Casualty Ins Co of H 34690 INSURER D:7: INSURER E C COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YYYY POLICY EXPIRATION DATE MM/DD Y LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR 72SBACP3130 01/20/2012 01/20/2013 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $1,000,000 ISES MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X I POLICY JER6 LOC PRODUCTS - COMP/OP AGG s2,000,000 C AUTOMOBILELIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 72UECUS9769 . �. _ i fl 7 / 01/20/2012 / / 01/20/2013 ` COMBINED SINGLE LIMIT $1,000,000 (Ee —id—) X (Par BODILY ) $ X BODILY INJURY (Per "Cid—) $ X PROPERTY DAMAGE (Pide ) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA AGC $ AUTO ONLY: AGO $ A EXCESS / UMBRELLA LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $ 10000 725BACP3130 01/20/2012 01/20/2013 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 $ $ $ B WORKERS COMPENSATION AND EMPLOYERS- LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE RQ15'ER/MEMBEf3 EXCLUDED? N ( a story n NIMi )) If SPECIAL PROVISIONS below CA20011117121 01/20/2012 0.1/20/20.13 X WC STATU- oTH- E.L. EACH ACCIDENT S11,000 000 E.L. DISEASE - EA EMPLOYEE S11,000,000 E.L. DISEASE - POLICY LIMIT I S1.000.000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Per form SS0008 04/05 pages 11-13 of 24 attached, the following are named as Additional Insureds, as respects to General Liability, as required by written contract_ Additional Insureds: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702; its officers, employees, agents and volunteers are named as additional insureds with regard to liability and (See Attached Descriptions) L1GKI IY IL.IAIC FIVLdJCK GAIVGCLLA i IVH lU "avs Tor man-ita ment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _' D_ DAYS WRITTEN Transportation & Traffic Engineer Public NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Works Agency M-93 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Attn: David Biondolillo; 20 Civic Center Plaza REPRESENTATIVES. Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) 1 of 3 #S8070501/M8064223 O 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LXMCN