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OP ID: BJ <br />AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) <br /> 05/06111 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsements . <br />PRODUCER <br />925-934-8500 <br />1NC <br />H CONTACT <br />NAME: <br />( <br />) <br />effernan Insurance BrkrS <br />925 <br />934 <br />8278 p <br />N <br />- <br />- <br />1350 Carlback Ave, Suite 200 IC <br />No Ext : AIC No <br />Walnut Creek <br />CA 94596 E-MAIL <br />, <br />T <br />i U <br />rth ADDRESS: <br />am <br />nswo PRODUCER <br /> AARDV-2 <br />CUSTOMER ID #: <br /> INSURER 5 AFFORDING COVERAGE NAIC # <br />INSURED Aardvark Tactical Foundation INSURER A :Southern Insurance Compan <br />1935 Puddingstone Drive <br /> INSURER B <br />La Verne, CA 91750 <br /> INSURER C <br /> INSURER D <br /> INSURER E <br /> INSURER F <br />COVERAGES CERTIFICATE NUMBER: RFVISI(~N NIIMRFR• <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE ADDL UBR <br />POLICY NUMBER POLICY EFF <br />MMIDDIYYW POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ <br /> C <br />I <br />~ <br /> LA <br />MS-MADE <br />OCCUR MED EXP (Any one person) $ <br /> PERSONAL 8 ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ <br /> POLICY PRO LOC $ <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br /> ALL OWNED AUTOS BODILY INJURY (Per accident) $ <br /> SCHEDULED AUTOS PROPERTY DAMAGE $ <br /> HIRED AUTOS (Per accident) <br /> NON-OWNED AUTOS $ <br /> <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS L1AB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ 5 <br /> WORKERS COMPENSATION X WC STATU- OTH- <br /> AND EMPLOYERS' LIABILITY T RY L M T ER <br />A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN <br />^ <br />N / A WSI003377802 11/08/10 11/08/11 E.L. EACH ACCIDENT $ 1,000,00 <br /> OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1 ,~~0,00 <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,00 <br /> pppROVFD AS TO FORM <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additlonal Remarks Schedule, if more space Is required) <br />RE: As on file with insured. <br /> <br />AffY~ ~~ <br />City of Santa Ana <br />20 Civic Center Plaza (M-30) <br />P.O. Box 1988 <br />Santa Ana, CA 92702-1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED R~EPRESENTATNE <br />© 1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />