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5� z ACORD CERTIFICAI E OF LIABILITY INSURANCc OP ID ZH DATE(MM/DD/YYYY) WISEPLI 02/10/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE (WC) Heffernan Insurance Brkrs HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1350 Carlback Ave, Suite 200 ALTER THE COVERAGE AFFORDED BY,THE POLICIES BELOW. Walnut Creek CA 94596 ,,,,in err L � hA Phone:925-934-8500 Fax:925-934-8278 INSURERS AF'FORDI'MG'C ER L7 NAIC# INSURED INSURER A: Ph'lgjelphia. Indemnity - INSURER B: Ulf i Wiseplace, a Ca Corp INSURER C: _i s �� Kathi Bowman 1411 N. Broadway INSURER D: Santa Ana CA 92706 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY -EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDlYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X MMERCIAL GENERAL LIABILITY CLAIMS MADE I] OCCUR 1Xr PHPK514173 01 / 01/ 10 01/01/11 PREMISES (Ea occurence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 of. Liability GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO- JECT LOC A AUTOMOBILE X LIABILITY ANY AUTO PHPK514173 01/01/10 01/01/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS �y �p Y *""' D $ S TO ra �9'��' �," �,L'u•+ ---- X X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ TO�C PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO Assistant City Atto 3 ney AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS/UMBRELLA LIABILITY X I OCCUR CLAIMSMADE PHUB294940 01/01/10 01/01/11 EACH OCCURRENCE $ 1, 0 0 0, 0 0 0 AGGREGATE $ 1,000,000 DEDUCTIBLE X RETENTION $ 10 , 0 0 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TO CY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER A Property Section PHPK514173 01/01/10 01/01/11 Contents 250000 A Crime PHPK514173 01/01/10 01/01/11 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project: As on file with the insured. The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured on General Liability policy per attached endorsement. *Except 10 days notice for non-payment of premium. VGn 11r IN111 G nULL/CR CANCELLATION SANTAN4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Civic Center Plaza REPRESENTATIVES. Santa Ana, CA 92701 AUTHOR F,S�NTATNE� NI Wmu Lu k&UU UUB) © ACORD CORPORATION 1988