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ACoRff CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/30/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Spectrum Risk Management CONTACT NAME: 74 Discovery PHONE • 949-756-5730 EAX A/c No : 949-756-5740 Irvine, CA 92618 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC 9 wvvw.spectrumrisk.com OC77485 INSURERA: Mt. Hawley Insurance Co. INSURED TSCM Corp INSURER B: American Economy Ins Co 17791 Jamestown Lane Hunti t B h CA 92647 INSURER C : St. Paul Fire & Marine Ins Co ng on eac INSURER D : Everest National Insurance Co. INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: AISCI.137 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL IN R SUER POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY MGLO172984 1/1/2011 1/1/2012 EACH OCCURRENCE Is 2,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 CLAIMS-MADE a OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 1,000,000 POLICY F/ PRO LOC $ B AUT OMOBILE LIABILITY 02CE20555220 1/1/2011 1/1/2012 Ee aBINEDISINGLE LIMIT $ 1,000.00 0 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNED AUTOS PROPERDAMAGE per accident) $ $ C UMBRELLA LIAB y/ OCCUR QK04501017 1/1/2011 11112012 EACH OCCURRENCE $ 4,000,00 0 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4 000 000 DEO 1/ RETENTION $10 000 , , , $ D WORKERS COMPENSATION CA10000979101 7/1/2010 7/112011 C STATU- O7H- W AND EMPLOYERS' LIABILITY Y I N ORY LIMITS ER T ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA t 't2?? E.L. EACH ACCIDENT $ 1,000,000 (Mandator; If es describe under Ito a ? SC ®_bb?? EL. DISEASE - EA EMPLO?i Ec $ ,000 1,000 y , DESCRIP 1 TION OF OPERATIONS below EL. DISEASE - POLICY LIMIT $ 1,000,000 A& / U?l R K DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, Additional Re -dM If ore spacR { ®Fj Re: Parking lot sweeping services. %Ske The Cit its ff t l p y o icers, agen s, emp oyees are named additional insureds with rese ect to the general liability and auto liability per the attached blanket carrier forms. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Community Development Agency ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Carolyn Fullerton 20 Civic Center Plaza M-25 AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 Jim Waterhouse ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD CERT NO.; 9159337 CLIENT CODE: Ginnie Ginnie Clarke 12/30/2010 2:41:54 PM P:.ge 1 of 9