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ACORN ERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YWV) 02/09/2011 PRODUCER g25 . 934. 0505 FAX 92 S .977.1591 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DATE MM /DD/YYYY Insurance Associates of Northern CA 1550 Parkside Drive Suite 120 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ALTER THE COVERAGE AFFORDED BY THE POLICIES OR BELOW. Wai�ut Creek, CA 94596 GENERAL LIABILITY I6601430C752TIL11 02/09/2011 INSURERS AFFORDING COVERAGE NAIC # INSUHtD Downey Vendors, Inc. INSURER A: Travelers Prop Cas Co of America 6814 Suva Street Bell Gardens , CA 90201 INSURER B: Great American Insurance Co INSURER C: PREMISES Ea occurrence INSURER D: MED EXP (Any one person) INSURER E: A V V EKACaES 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 DATE MM /DD/YYYY DATE MM /DD/YYYY LIMITS GENERAL LIABILITY I6601430C752TIL11 02/09/2011 02/09/2012 EACH OCCURRENCE $ 1 , 000 , 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR PREMISES Ea occurrence $ 1QQ ,QQQ MED EXP (Any one person) S S ,QQQ A PERSONAL 8 ADV INJURY $ 1 , OOO , OOO GENERAL AGGREGATE $ 2 , OOO , OOO GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO JECT LOC PRODUCTS - COMP /OP AGG $ 2 ,QQQ , OOO AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ee eccitlenl) $ BODILY INJURY (Par parson) $ ALL OWNED AUTOS SCHEDVLED AUTOS BODILY INJURY (Per eccitlenl) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per eccitlenl) $ - GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ EXCESS /UMBRELLA LIABILITY X OCCVR � CLAIMS MADE SBU019923 SOO 02/09/2011 02/09/2012 EACH OCCURRENCE $ S ,QQQ ,QQQ AGGREGATE $ S ,QQQ ,QQQ B $ $ DEDUCTIBLE X RETENTION $ 10,00 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N OFFICER/MEM ER EXCLUDED? ECUTIVE� (Mandatory In NH) If yea, tlescribe untler SPECIAL PROVISIONS below IJU61215 L86710 04/01/2010 04/01 /2011 X TORY LIMITS ER E.L. EACH ACCIDENT $ 1 , OOO , OOO E.L. DISEASE - EA EMPLOYEE $ 1 ,QQQ QQQ E.L. DISEASE - POLICY $ 1 ,QQQ QQQ OTHER �� DESCRIPTON OF OPERATIONS / LOCATONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS ^� �anta Ana City Hall, Santa Ana Police Dept., Santa Ana City Yard and Sap�zna L' ��~�IYIRa Ana, is officers, employees, agents, volunteers and representatives are in�}j�'dad a fLr1�� Insured per attached form #CGD2480805 as respects work performed by the named insur S I�+ge Ts primary s required by written contract. SSA`'' 10 Da for ment non- ment of r mium te' CERTIFICATE HOLDER CANCELLATION Sc''- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL °Y 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL �l ty Of Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 2Q CTVTC Center, 8th Floor REPRESENTATIVES. Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE Stace Smith SSMITH ACORD 26 (2009/0'1) ©'1988 -2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD