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MDX <br />1 0 <br />A? ° CERTIFICATE OF LIABILITY INSURANCE U022 DATE (MM/DD/YYYYI <br /> 08-23-2010 <br />THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT NAME: <br />BB&T INS SVCS OF CA INC / PHS / ORANGE <br />PHONE <br />FAX <br />866 <br />467 <br />8730 <br />(877 <br />905 <br />045 <br />180672 P <br />(866 <br />467 <br />8730 F <br />877 <br />905 <br />0457 ) <br />- <br />) <br />- <br />oEx: ( <br />IA/C,No): <br />: <br />) <br />- <br />: ( <br />) <br />- <br />PO BOX 33015 ADDRESS: <br />SAN ANTONIO TX 7 8 2 6 5 <br />PRODUC <br />U TOMER 10 N: <br />C <br /> INSURERIS) AFFORDING COVERAGE NAIC p <br />INSURED INSURER A: Hartford Casualty Ins CO <br />f?f? <br />W-2010-088 <br />DROSMAN & PERCIVAL LLP INSURER B <br /> <br />38 TECHNOLOGY DR STE 250A INSURER C <br />IRVINE CA 92618 INSURER D <br /> INSURER E ; <br /> INSURER F <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR TYPE Of INSURANCE BO R INVD POLICY NUMBER (MM/DD/YYYYI (MM/DD/YYVYI LIMITS <br /> GEN ERAL LIABILITY EACH OCCURRENCE S 1,0 0 0 0 0 0 <br /> COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrencel 8 300,000 <br /> CLAIMS-MADE D OCCUR MED EXP (Any one person) 5 10,000 <br />A X General Liab 72 SBA ND2251 03/08/2010 03/08/2011 PERSONAL & ADV INJURY 8 1,000,000 <br /> GENERAL AGGREGATE 5 2,000,000 <br /> 'L AGGRE GATE LIMIT S- PER: p <br />APPR <br />vl!? SO F'- PRODUCTS - COMP/OP AGG 8 2,000,000 <br /> POLICY PRO <br />- <br />ECT X LOC <br />I- 8 <br /> AUT OMOBILE LIABILITY _ COMBINED SINGLE LIMIT <br /> (Ee accident) 5 1 <br />000 <br />000 <br /> ANY AUTO ,A, ^ <br />u , <br />, <br /> vn <br />Q FL <br />CH BODILY INJURY (P <br />) 8 <br /> O er person <br /> ALL <br />WNED AUTOS CITY A h1 <br />NEY BODILY INJURY IP <br />id <br />) 8 <br /> er acc <br />ent <br />A SCHEDULED AUTOS <br />7 2 ND2 <br />1 PROPERTY DAMAGE <br />$ <br /> X HIRED AUTOS 03/08/20 <br />0 03/08/2011 (Per accidentl <br /> X NON-OWNED AUTOS $ <br /> 9 <br /> X UMBRELLA UAB X OCCUR EACH OCCURRENCE 8 <br /> <br />EXCESS UAB <br />CLAIMS-MADE <br />AGGREGATE _ <br />8 <br />A DEDUCTIBLE 72 SBA ND2251 03/08/2010 03/08/2011 <br />8 <br /> X RETENTION $10,000 8 <br /> WORKERS COMPENSATION WG STATU- OTH- <br /> AND EMPLOYERS' LIABILITY TORY OMITS ER <br /> YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE? <br />OFFICER/MEMBEREXCLUDED7 NIA E.L. EACH ACCIDENT 8 <br /> (Mandatory In NHI E.L. DISEASE - EA EMPLOYE 8 <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ <br /> <br />DESCRIPTION Of OPERATIONS I LOCATIONS/ VEHICLES (Attach ACORD 707, Add/Uonel Rematka Schedule, K mom apace le tepuhed) <br />Those usual to the Insured's Operations. THIS ENDORSEMENT MODIFIES SUCH <br />INSURANCE SUCH IS AFFORDED BY POLICY NUMBER RELATING TO THE FOLLOWING: THE <br />CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA CA 92701• ITS OFFICER <br />EMPLOYEES AGENTS VOLUNTEERS AND REPRESENTATIVES ARE NAMEb AS ADDITIONAL <br />I IUN <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLZ <br />SANTA ANA, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORUED REPRESENTATIVE <br /> <br />W 7 atsts-ZUU.9 ACUHD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD