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mw <br />7 V <br />A? o CERTIFICATE OF LIABILITY INSURANCE R054 DATE (MMIDDIYYW) <br />09-08-2010 <br />THIS CERTIFICATEIS 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 D P JCAI?TIk,NT Er: "TRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICAT HOLDE <br />IMPORTANT: If the certificate holder is an ADDjZ44lyALINSURED,the,-policy i s must be endorsed. If SUBROGATIONIS WAIVED, subject to <br />the terms and conditions of the policy, certain p 'nay require aniorA?orA . A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). : I "-'- <br />PRODUCER NAME: <br />USAA INSURANCE AGENCY INC/PHS PHONE (888)242-1430 (877) 905-045 <br />812846 P:(888)242-1430 F:(877)905-0457 ML <br />ADDRESS: <br />PO BOX 33015 <br />SAN ANTONIO TX 78265 Qp T to"' <br /> INSURER(S) AFFORDING COVERAGE NAIC 4 <br />INSURED INSURERA: Hartford Casualty Ins CO <br />KNOWLEDGE & INTELLIGENCE PROGRAM INSURER B: Hartford Accident & Indemnit C <br />PROFESSIONALS, INC <br />INSURER C <br />4401 ATLANTIC AVE STE 200 <br />ONG BEACH CA 9 0 8 0 7 <br />INSURER D <br />L INSURER E : <br /> INSURER F : <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 POUCIES 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 />kvsft <br /> <br />LTR <br /> <br />TYPE OF DYSUPo3fVGE <br /> <br />POLICY NUMBER <br />POLICY EFF <br />1MM1OaYYYW <br />POLICY Exp <br />1AVIA& D/YYYY) <br /> <br />tm?rrs <br /> GENERAL UABKITY EACH OCCURRENCE 9 1 O O O 0 00 <br /> COMMERCIAL GENERAL UABIUTY PREMISESce (a 300, 000 <br /> CLAIMS-MAD£ a OCCUR M ED EXP (Any on* person) 1. 10, 000 <br />A X General Liab x 65 SBM PWIS30 10/22/2010 10/22/203.1 PERSONAL aADVINJURY IS 1 000,000 <br /> GENERAL AGGREGATE 5 2, 0 0 0, 0 0 0 <br /> 'L AGGR LIMIT A S PER: PRODUCTS - COMP/OP AGG I S 2,000,000 <br /> POLICY PRO- X LOC I S <br /> AUT OMOBILE L.O&VrY COMBINED SINGLE LIMIT I <br />(Ea accident) i s 1, 0 0 0, 0 0 0 <br /> ANYAUTO BODILY INJURY (Par person) I S <br /> ALL OWNED AUTOS <br />BODILY INJURY (Poraxitlanp <br />S <br /> <br />A <br />X SCHEDULED AUTOS <br />HIRED AUTOS <br />65 SBM PW18 3 0 <br />10/22/2010 <br />10/22/2011 PROPERTY DAMAGE <br />(Per accident) <br /> X NON-OWNED AUTOS <br /> <br /> UMBRELW LIAR OCCUR EACH OCCURRENCE 5 <br /> EXCESS L/AB _ CLAIMS-MADE AGGREGATE <br /> DEDUCTIBLE S <br /> <br />RETENTION w <br />S <br /> WORKERS COMPENSATION <br />MP <br />0 YERS' UASILJTY <br />AN X W R STATU- OTH- <br />- <br /> D E <br />4 <br />ANY PROPRIETORIPARTNER/IXECUTIV YIN E.L. EACH ACCIDENT $ 1, 0 0 0 , 0 0 0 <br />B Wandstoq In NHJ EXCLUDED? N/A 65 WEC J02464 04/22/201C 04/22/2011 E.L. DISEASE - EA EMPLOYE $ 1, 0 0 0 , 0 0 0 <br /> If yes, describe under <br />DESCRIPTION OF OPERATIONS bafow <br />I <br />1 <br />E.L. DIS <br />1 000 000 <br /> <br /> <br />i A <br />rrn? AD <br />7/ <br />DESCMPT10N OF OPER4770NS / LOCATIONS / VEHICLES (Attach ACORO 101, AddhlenNRaMMdrs Schodrrb, //nr" Sporn h ,va.& O/ <br />Those usual zo the Insured's Operations. _ <br />A M. CRp HWAITE <br />City of Santa Ana <br />20 CIVIC CENTER PLZ <br />SANTA ANA, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORPPD REPRESEN7Ar1VE <br /> <br />r 1 yY3t$-ZUUa AC:UnU UUNrUrfA I.IUIN. All ngnis reservea. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD