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Client #: 1514175 <br />306ALLCITYM <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM /DDIYYYY) <br />4/06/2011 <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 endorsement(s). <br />PRODUCER <br />BB &T- Knight Insurance Services <br />535 N. Brand Blvd <br />10th Floor 1 Z/ <br />Glendale, CA 91203 <br />NAME: Nysa Gallegos <br />PHONE 818 662 -4234 FAX 877 297 -9262 <br />AIC No Ext : A/C, No <br />E -MAIL <br />ADDRESS: g NGalle os bbandt.com <br />PRODUCER <br />CUSTOMER ID #: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURER A: James River Insurance Company <br />12203 <br />All City Management, Inc. <br />10440 Pioneer Blvd # 5 <br />INSURER 13: Interstate Fire & Casualty Comp <br />22829 <br />GENERAL AGGREGATE <br />$2,000,000 <br />Santa Fe Springs, CA 90670 <br />INSURER C: <br />$2,000,000 <br />INSURER D <br />$ <br />INSURER E: <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />INSURER F: <br />',. NOt Applicable <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />IN SR <br />LTR <br />TYPE OF INSURANCE <br />DDL UBR <br />NSR WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY <br />POLICY EXP LIMITS <br />MM /DD/YYYY <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />X X DGLLA1324971 <br />!, <br />4/01/2011 <br />04101/2012 <br />EACH OCCURRENCE <br />$1,000,000 <br />DAMAGES ( RENTED <br />PREMISES Ea occurrence ) <br />$50,000 <br />MED EXP (Any one person) <br />$EXCLUDED <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY F7 PRO- LOC <br />PRODUCTS - COMP /OP AGG <br />$2,000,000 <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />',. NOt Applicable <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />.PROPERTY DAMAGE <br />(Per accident) <br />$ <br />!i <br />$ <br />r <br />$ <br />B <br />UMBRELLA LAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />PFX24087389 <br />4/01/2011 <br />04/01/2012' <br />EACH OCCURRENCE <br />$8,000,000 <br />AGGREGATE <br />68,000,000 <br />X <br />DEDUCTIBLE'S <br />RETENTION $ 0'i <br />$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below. <br />!N /A <br />Not Applicable <br />WC STATU- OTH- <br />E.L. EACH ACCIDENT <br />E.L. DISEASE - EA EMPLOYEE <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />$ <br />$ <br />Not Applicable <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Certificate Holder Completed to Read; City of Santa Ana, it's officers, employees, agents, volunteers and <br />respresentatives. <br />Santa Ana Police Departme*PROVED AS TO <br />c/o Linda Flores <br />60 Civic Center Plaza n <br />Santa Ana, CA 92702, <br />TERESA <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 REPRESENTATIVE <br />(c11QRR -7nnQ ArnRn rnl?PnRATlnlu ell A.hf rover 4 <br />ACORD 25 (2009/09) 1 Of 1 The ACORD name and logo are registered marks of ACORD <br />#S66532711M6591494 NNGON <br />