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0 CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDIYYYYj �----' 12/30/2010 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. — !' 1' 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 endor$ement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Spectrum Risk Management -CONTACT NAME 74 Discovery Irvine, CA 92618 PHONE__(A/G4 N4, Ea1) 949 756 5730__ FAx tac No);949 75..(-5740 - E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Mt. Hawley Insurance Co. www.spectrumrisk.com OC77485 INSURED TSCM Corp INSURERB: AmerlCan ECOnOmy Ins CO 17791 Jamestown Lane _ Huntington Beach CA 92647 INSURERC : St. Paul Fire & Marine Ins Co INSURER D : Everest National Insurance Co. INSURER E : INSURER F : 92 COVERAGES CERTIFICATrE NUMBER: s1s9337 RFvlslnN nlllnnRFR- 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. INSR I TYPE OF INSURANCE LTR ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP MMIDDIYYYY''. MM/DDlYYYY LIMITS A GENERAL LIABILITY III MGLO172984 1/1/2011 1/1/2012 EACH OCCURRENCE $ 2,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000 CLAIMS -MADE �', OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY ! $ 1,000,000 GENERAL AGGREGATE '',$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG '. $ 1,000,000 - LOC POLICY '.,, �/ PROJr B AUTOMOBILE LIABILITY 02CE20555220 1/1/2011 ; 1/1/2012 Ea aBcideDtSINGLE LIMIT ! $ 1,000,000 ANY AUTO ALL OWNED SCHEDULED AUTOS i� AUTOS BODILY INJURY (Per person), $ BODILY INJURY (Per accident)' $ i`J NON -OWNED HIRED AUTOS AUTOS _ PROPERTY DAMAGE Per acci dent) $ $ C UMBRELLA LIAB !, OCCUR QK04501017 1 /1 /2011 1/1/2012 EACH OCCURRENCE '', $ 4 1000,000 EXCESS LIAB', CLAIMS-MADEI'' AGGREGATE $ 4,000,000 DED RETENTION$ 10,000 '.$ $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑Y N / A CA10000979101 7/1/2010 7/1/2011 WCSTATU- ! ER TORY LIMITS E.L. EACH ACCIDENT $ 1 000 000 E.L. DISEASE - EA EMPLOYEE! $ 1 (Mandatory in NH) If yes, describe under j E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below ! - 'Ni DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) I , i Re: Parking lot sweeping services. The City its officers, agents, employees are named additional insureds with resepect to the general liability and o liability per the attached blanket carrier forms. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Santa Ana THE. EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Community Development Agency Attn: Carolyn Fullerton ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza M-25 Santa Ana CA 92701 /j/� 9WW f (.Jim Waterhouse ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD CERT NO.: 9159337 CLIENT CODE: Ginnie Ginnie Clarke 12/30/2010 2:41:54 PM Page 1 of 9