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CERTIFICATE OF LIABILITY INSURANCE OP ID DR DATE(MMfDDNYYY) <br />09/21/10 <br />THIS CERTIFICATE IS 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: the certificate holder Is an ADDITIONAL INSURED, the po Icy es must be endorsed. 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 NAME: <br /> <br />er Cook Insurance <br />Saw PHONE <br />(A/C, No, Ext): (A/C, No): <br />y <br />1200 California St., Ste 260 ADDRESS: <br />Redlands CA 92374 CUSTOMERID* Cobddu-5 <br />Phone:909-435-0230 Fax:909-798-7971 INSURER(S) AFFORDING COVERAGE NAICs <br />INSURED INSURERA: Hartford Insurance Company 22357 <br />Westbound communications, Inc. INSURER B : <br />Scott Smith <br />625 The City Dr., Ste 360 <br />INSURER C: <br />Orange CA 92868 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 CONTRACTOR 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 />IMSK <br /> <br />LTR <br /> <br />TYPE OF INSURANCE <br /> <br />INSR <br /> <br />WV <br /> <br />POLICY NUMBER <br />FULI <br />(MMlDDlYYYY) <br /> <br />(MM/DD/YY1N) <br /> <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br />A X COMMERCIAL GENERAL LIABILITY 72SBAAE3737 05/06/10 05/06/11 PREMISES (Ea occurrence) $ 300 , 000 <br /> CLAIMS-MADE 1?1 OCCUR MED EXP (Any one person) $ 10 , 000 <br /> X yU <br />^ PR A S' '?` (I? <br />R AS ENT; PERSONAL B ADV INJURY s2,000,000 <br /> ? <br />7( <br />i GENERAL AGGREGATE s4,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $4,000,000 <br /> POLICY JECT LOC - $ <br /> AUT OMOBILE LIABILITY ASIC COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,DDD,000 <br />-"-- <br /> ANY AUTO t BODILY INJURY (Per person) $ <br /> ALL OWNED AUTOS <br />BODILY INJURY (Per accident) <br />$ <br /> <br /> <br />X SCHEDULED AUTOS <br /> <br />HIRED AUTOS <br /> <br />72SBAAE3737 <br /> <br />05/06/10 <br /> <br />05/06/11 <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br /> X NON-OWNED AUTOS 72SBAAE3737 05/06/10 05/06/11 $ <br /> <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br />A COMPENSATION <br />AND EMPLOYERS' LIABILITY WECL 09/29/10 09/28/11 <br />TORY LIMITS ER <br /> Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE 14 TA E. L. EACH ACCIDENT $ 1000000 <br /> ? <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />E L. DISEASE - EA EMPLOYEE <br />$ 1000000 <br /> If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1000000 <br />A Commercial Applica 72SBAAE3737 05/06/10 05/06/11 PROPERTY 10600 <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />City of Santa Ana is listed as additional insured. <br />CERTIFICATE HOLDER CANCELLATION <br /> <br />SANTANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> <br />City of Santa Ana AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza <br />Santa Ana CA 92701 la*old 411?? <br />©19$2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD