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/a CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDD/YWY) <br />9/9/2010 <br />PRODUCER (415)788 -9810 FAX: (415)249 -3534 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ISU /San Francisco <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER_ THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />201 Ca1i£ornia St. Suite 200 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />License # 0779092 <br />San Francisco CA 94111 -5098 <br />INSURERS AFFORDING COVERAGE <br />NAIC 7f <br />INSURED - <br />INSURER A: Valle FOr a Ins - CO <br />2DSD$ <br />TFIERMOTEST, INC. N_ZO1pA95 <br />INSURER B�Continental Ins Co <br />20943 <br />3070 KERNER BLVD STE A <br />INSURER C�National Fire Ins Co. <br />20479 <br />INSURER D: <br />INSURERS <br />SAN RAFAEL CA 94901 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOC VMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGRE GAT LIMITS SH Y UC BY PAI CLAIMS. <br />INSR <br />ADD'L <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM /DO/YY <br />POLICY EXPIRATION <br />DATE MM/DD /YY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ D <br />' <br />PREMISES Ea EONCCTU rD nce <br />$ 10I) � DDD <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE �OGGUR <br />9017666232 <br />12/10/2009 <br />12/10/2010 <br />MED EXP An a <br />S 5,000 <br />PERSONAL 8 ADV INJURY <br />5 2 , 000 , 000 <br />GENERAL AGGREGATE <br />S 4 , 000 , 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PR P/ P AGG <br />$ 4 , 000 , 000 <br />POLICY X PROT LOC <br />AUTOMOBILE <br />LIABILITY <br />ANV AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1 , 000 000 <br />A <br />ALL OWI�IED AUTOS <br />SCHEDULED AUTOS <br />4017886232 <br />12/10/2009 <br />12/10/2010 <br />BODILY INJURY <br />(Per person) <br />$ <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />X <br />1�T� c T <br />Ar r �O v � <br />C' T <br />�`� 1 O <br />l' <br />��`M <br />PROPERTY DAMAGE <br />(Per accitlentJ <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />L3UT <br />� , <br />AUTO ONLY - EA ACCIDENT <br />$ <br />AUTO ONLYN EA ACC <br />AGG <br />$ <br />CICC Sheedy <br />S <br />EXCESS /UMBRELLA LIABILITY <br />1 y Lioi <br />CY <br />g 4 000 , 000 <br />X OCCUR � CLAIMS MADE <br />AGGREGATE <br />$ 4 , OOO , 000 <br />$ <br />B <br />oEDUCTIBLE <br />4017887557 <br />12/10/2009 <br />12/10/2010 <br />RETENTION <br />WORKERS COMPENSATION AND <br />X VVC STATU- OTH- <br />EMPLOVERS' LIABILITY <br />ANY PROPRIETOR /PARTNER/EXECUTIVE <br />E. L. EACH ACCIDENT <br />$ 1,000, ODD <br />E.L. DISEASE - EA EMPLOYE <br />S 1 , 000 , 000 <br />C <br />OFFICER /MEMBER EXCLUDED? <br />If yes, desrliba untler <br />SPECIAL PROVISIONS below <br />4017886327 <br />12/10/2009 <br />12/10/2010 <br />E.L. DISEASE - POLICY LIMIT <br />S 1 , 000 , 000 <br />A <br />OTHER Contractors Equipmt <br />4017 BB 6232 <br />12 /1D /2DD9 <br />12 /1D /201D <br />65,000 <br />Risks of Direct Loss <br />DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/E %CLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />TI]C C'i ty Oi SaRta Alta, itS Of£iCCr9, agents, OIRplOy0e9, consultants, special COUR9C1, and representatives arC RaS[ICd <br />additional insureds i£ required by written contract. Coverage is prisary. <br />CERTIFICATE MOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Clerk O£ the C1ty COUn C11 E %PIRATION GATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />Ci t]I O£ Santa Ana 3D pAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />20 C.'1V'1C Center Plaza (M -30) FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />P.O. Box 1996 <br />Santa Ana, CA 92702 -1988 INSURER ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Richard Alesna /RICHA �- G <br />ACORD 26 (2001/08) ®ACORD CORPORATION '1868 <br />INS026 (ot oa).oaa Page 1 oft <br />