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AC40 <br />CERTIFICATE OF LIABILITY INSURANCE OP ID PC rTE(MM/DD/111Y) <br />`,..•? ORANG-9 08/23/10 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Chapman ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License #0522024 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. 0. Box 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Pasadena CA 91117-0455 <br />Phone: 626-405-8031 Fax:626-405-0585 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: Great American Insurance Co 16691 <br /> INSURER B: Carolina Casualty Ins Co 10510 <br />Orange County Conservation Cor <br />Tai Tony Huynh INSURER C: <br />1853 N. Raymond Ave. INSURER D: <br />Anaheim CA 92801 <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR INSR TYPE OF INSURANCE POLICY NUMBER DATECMM/DD/YYYY) DATE (MM/DD/YYYOYN LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE <br />_ $ 1,000,000 <br /> <br />A <br />X <br />X <br />COMMERCIAL GENERAL LIABILITY <br />PAC5154680 <br />07/20/10 <br />07/20/11 DAVAGE TO RENTED <br />PREMISES (Ea occurence) <br />$100,000 <br /> CLAIMS MADE a OCCUR MED EXP (Any one person) _ <br />$ 5,000 <br /> PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE s3,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG s3,000,000 <br /> POLICY PRO LOG <br />JECT Em Benef 1400,000 <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br /> <br />E $ <br /> ANY AUTO VTO a accident) <br />( <br /> q? <br />I <br /> ALL OWNED AUTOS +. ? N BODILY INJURY <br /> <br />SCHEDULED AUTOS /? <br />?+?19' <br />/ / <br />1 <br />(Per person) $ <br /> ? <br /> HIRED AUTOS RY <br />D <br /> NON-OWNED AUTOS mto 'ne (Pe <br />ccident) $ <br /> C <br /> k t PROPERTY DAMAGE <br /> g $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION <br />UIH- <br /> AND EMPLOYERS' LIABILITY Y I N TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVq <br />OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ <br /> (Mandatory in NH) <br />If <br />describe under <br />es E.L. DISEASE - EA EMPLOYEE $ <br /> y <br />, <br />SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER <br />A Property coverage PAC5154680 07/20/10 07/20/11 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />City of Santa Ana, its officers, agents, employees and volunteers are named <br />additional insured with respect to the operations of the named insured per <br />the attached CG 2026 endorsement. 10 days notice of cancellation for <br />non-payment of premium. XX <br /> <br />CERTIFICATE HOLDER CANCELLATION <br />COMMDEI <br />Community Development Agency M-25 <br />City of Santa Ana <br />P.O. Box 1988 <br />Santa Ana, CA 92702-1988 <br />ACORD 25 (2009/01) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL-MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />ATIVE <br />©1988-2009 ACORD CORPORATION. All richts reserved <br />The ACORD name and logo are registered marks of ACORD