SCOTT FAZEKAS AND ASSOCIATES INC. 1a

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07 DATE (MM/DD/YYYY) AGORD,. CERTIFICATE OF LIABILITY INSURANCE P144 dfCiZ 05/29/2009 )DUCER (619) 574-6220 FAX (619) 574-6288 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION isurance Office of America, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3A IOA Insurance Services ►75 Hancock Street, Ste. 180 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. in Diego, CA 92110 INSURERS AFFORDING COVERAGE NAIC # )RED Scott Fazekas & Associates, Inc. 9 Corporate Park Drive Irvine, CA 92606 INSURERA: Travelers P&C CO. of America 25674 INSURERS: One Beacon America Ins. Co. INSURERC: Beazley Ins Co 37S40 INSURER D: INSURER E: -� rvULAr-0 Ur 1140ur ANLA: LIS I kIJ t)tLUVV HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING NY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR LAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH OLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 06/OS/2009 POLICY EXPIRATION 06/0S/2010 LIMITS GENERAL LIABILITY 68022S21_18A EACH OCCURRENCE $ 1 000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300' 00 01 CLAIMS MADE OCCUR MED EXP (Any one person) $ 5 DO PERSONAL & ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2 , 000 , 00 GEN'L AGGREGATE LIMIT APPLIES PER: RO-ECT PRODUCTS - COMP/OP AGG $ 2 DUD 00 POLICY X LOC AUTOMOBILE LIABILITY 68022S21_18A 06/05/2009 06/OS/2010 ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ Include ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per (Par accident) X X No Co. Owned Autos PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO THAN EA ACC $ HOTHER AUTO ONLY: AGG S EXCESSfUMBRELLA LIABILITY X OCCUR CUP6S27Y301 06/05/2009 06/OS/2010 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 CLAIMS MADE S DEDUCTIBLE $ X RETENTION $ WORKERS COMPENSATION AND 406017/2010XWCSTATU- OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 1,000,000 SPECIAL PROVISIONS be!ovr E.L. DI EASE -POLICY LIMIT $ 1,000,000 �oessional V15THZ09PNPA Liability 06/05/2009 06/05/2010 $1,000,000 each claim laims Made $1,000,000 aggregate 320, 000 deductible CRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS All Operations of the Named Insured y of Santa Ana, its officers, employees, volunteers, representatives and agents are tificate holders and additional insured per the attached endorsment. day notice of cancellation applies for non payment of premium. DTICIr ATC U^1 - City of Santa Ana Tonia Zerba 20 Civic Center Plaza (M20)UPWVED AS P.O. Box 1988 / s Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL //��* �30� DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, F�Y[JA�ILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ORD 25 (2001/08) Assi ,t�.9f It Ci`y '' Uorney ©ACORD CORPORATION 1988