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,4coR0° CERTIFICATE OF LIABILITY INSURANCE ?? 9/ I /201 1 DATE (MM/DD/WYV) 2/8/201 1 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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, sub]ect 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 Ileu of such endorsement(s). PRODUCER Lockton Companies, LLC Denver 8110 E. Union Avenue S 00 ,,,/ Ne Exe : ac No Ulte 7 Denver 80237 E-MAIL AD (303) 414-6000 F R IN N INSURER A : Federal 1n$Dran CC COm an 202$ 1 INSURED TIIJUfOn, nC. INSURER B Great NOrtherD 1nsBranDe COm an 20303 1 3 17249 6200 Stoneridge Mall Pl CA 94588 t INSURER c : Pacific ]ndemnit Com an 20346 easan on National Union Fire Ins Co Pittsbur h PA 19445 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 TypE OF INSURANCE ADDL I R $UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS q GENERAL LIABILITY TJ 3591-10-23 9/1/2010 9/1/2011 EACH O CCURRENCE ] OOO OOO X COMMERCIAL GENERAL LIABILITY C ? PREMISET Ea occurrence ] OOO OOO CLAIMS-MADE X? OCCUR MED EXP An one arson ] O OOO PERSONAL 8 ADV INJURY $ ] OOO OOO GENERAL AGGREGATE $ 2 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODU GTS -COMP/OP AGG $ 2 OOO OOO P LI Y X jE OT LOC $ B AUTOMOBILE LIABILITY N 7355-87-29 9/I /2010 9/1/2011 COMBINED SINGLE LIMIT Ea a cldent $ 1 OOO OOO X ANY AUTO BODILY INJURY (Per person) $ XX}?}??{XX AUTOS NED gUT05 ULED BODILY INJURY (Per accident $ }??{}?}?}??{X ?{ HIRED AUTOS X NON-OWNED AUTOS PR PERTY DAMAGE Per accident $ XXXXXXX $ XXXXXXX D X UMBRELLA LIAR X OCCUR N BE23573273 9/1/2010 9/1/2011 EACH OCCURRENCE $ ]O OOO OOO EXCESS LIAR CLAIMS-MADE AGGREGATE $ ] O OOO OOO OED X RETENTION $ 10,000 $ XXXXXXX C E A O N 7173 97 17 9/1/2010 9/1/2011 T OTH- X W L M AN D EMPLOYERS LI BII ITY Y/N - - RY I I ANY PROP IETOR/PAR/EXECUTIVE ? OFFICE MBER EXC D7 N N / A E.L. EACH ACCIDENT $ ] 000 000 rnNH) -tMentle -^" E.L DISEASE - EA EMPLOYEE ] OOO OOO p DESCRIPi10N OF OPEF/JIY.IfJNS below E.L. DISEASE -POLICY LIMIT ] OOO OOO A InstallauYi,i-Floater ^^ 3591-10-23 9/1/2010 9/1/201 1 Limir $5M, Ded. $IOk A ContrabterpEgwpmfy? 3591-10-23 9/1/2010 9/1/2011 Limit $25Uk, Ded- $lOk = Lit Q D DESCRIPTIO ! ?IPERATI?NS /LOCATIONS /VEHICLES /(Attach ACORD '10'1, Addikional Remarks Schedule, 11 more space is required) m At!lOVB? AS 1? FiO1iM o L.? ?- - } v o MBLI?A M. C OB7'ElWAI'?'B SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%PIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Attn: Lori Smith 20 Civic Center Plaza Santa Ana, CA 92701 ACORD 25 (2D10/OS) The ACORD name and logo are registered marks of ACORD