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DATE (MM /DD/YYYY) ACORD ERTIFICATE OF LIABILITY INSURANCE 03/30/2011 PRODUCER g25 . 934. 0505 FAX 92 S .977.1591 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Insurance Associates of Northern CA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 Parkside Drive, Suite 120 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Walnut Creek, CA 94596 INSURERS AFFORDING COVERAGE NAIC # - - - - -- INSURED Downey Vendors , Inc . _INSURER A: Travelers Prop Cas Co of America 6814 Suva Street — - - -- _ _ wsuRERe: Great American Insurance Co ______ _ _ _ Bell Gardens , CA 90201 INSURER C' INSURER D_ I INSURER E: 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. -- IN R LTR DD' NSR TYPE OF INSURANCE �� - -- -- POLICY NUMBER POLICY EFFECTIVE DATE MM /DD/YYYY POLICY- EXPIRATON DATE MM /DD/1(Yl(Y �� LIMITS EN I6601430C752TIL11 02/09/2011 02/09/2012 EACH OCCURRENCE $ 1,000,00 _ ___ PREMISES Ea occurrenceZ - — _ $ lOO , OO �LLIABILITY X COMMERCIAL GENERAL LIABILITY � CLAIMS MADE � , JCCUR I F__ MEO EXP tAny one persu i) ._.. _._. ___ —_ $ S , OOO PERSONAL 8 ADV INJURY $ 1 , OOO , OO A _ _ _ _ GENERAL AGGREGATE $ 2 , OOO , OO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2 , OOO , OO X POLICY PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ee eccitlent) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per parson) $ i HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS i i (Per eccitlenq - - t I � _— _... _ _. t__ _ ' - - - - -- -. _- �- �_ - -� - -_- i PROPERTY DAMAGE $ (Par accitlen[) GARAGE LIABILITY I AUTO ONLY - EA ACCIDENT $ I ANY AUTO - -- OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS /UMBRELLA LIABILITY SBU01992 3 SOO 02/09/2011 02/09/2012 EACH OCCURRENCE $ S , 000 , 00 X_J OCCUR � CLAIMS MADE AGGREGATE $ S , OOO , OO B $ DEDUCTIBLE $ ' X RETENTION $ lO , OO $ WORKERS COMPENSATION I�JB12 ].SL86711� 04,'01/2011 04/01/2012 X AND EMPLOYERS' LIABILITY Y / N � TORY LIMITS I ER — -- _ - -- -' -- - - l - - ------ - - - - -- - -- - A ANY PROPRIETOR/PARTNER/EXECUTIVEO E.L. EACH ACCIDENT $ 1 , OOO , OO OFFICER/MEMBER EXCLUDED? (Mandatory In NH) -- -- - - -- E.L. DISEASE - EA EMPLOYEE - - - - - -- $ 1 , OOO, OO If yas tlescriba untlar - - -- - -- E.L. DISEASE - POLICY LIMIT - - -- - - - -- S 1 , OOO , OO SPECIAL PROVISIONS below OTHER �O� DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS anta Ana City Hall, Santa Ana Police Dept., Santa Ana City Yard and Santa Ana Li of S a Army 'ts officers, employees, agents, volunteers and representatives are included � � n Ji�su�l�lifi er attached form #CGD2480805 as respects work performed by the named insure o � �r�'mary s required by written contract. Q Srb� Gam'" 10 Da for a ment non- a ment of remium P `�� a� VCR I Ir II.A 1 C 1'IVLVCR L:AN{.7CLLA I IVN �� SHOULD ANY OF THE ABOVE DESCRI D POTLIC{�BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WIEC ENDEAVOR TO MAIL y 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Cl ty Of Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 CIVIC Center, 8th Floor REPRESENTATIVES. Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE Stace Smith SSMITH ACORD 25 (2009/01) ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and loa3o are registered marks of ACORD