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f�_ _1Q� JYP /1k__ CERTIFICATE OF LIABILITY INSURANCE R045 DATA(MM/DD /YYYY) 1I /zo /zo13 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER SUPERIOR ACCESS INS SRVC INC /PHS 181840 P: (866) 467 -8730 F: (888) 443 -6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: UVCNEo,Eap. (866) 467 -8730 (AAIO,Na): (888) 443 -6112 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL# INSURERA: Sentinel ins Co LTD POLICYEXP INSURED /{.J� 1'T //�� } y1 ///� ' / Aov/ - } 195 r/ (/ THE PETERSON GROUP INC. 18851 BARDEEN AVE * 225 IRVINE CA 92612 INSURER B: GENERAL INSURERC: INSURER D: INSURER E: INSURER F: $2, 0001 000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE ADDL INSM SUER MEMO POLICYNUMBER OLIO EFF POLICYEXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $2, 0001 000 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR pREM SES En occurrence $1, 000/ 000 MED ESP (Any are person) $10, 000 X X PERSONAL &ARM INJURY $2, 000, 000 A General Liab 72 SBA AA1945 01/29/2013 01/29/2014 GENERALAGGREGATE $4, 000, 000 AGGREGATE LIMIT AP PLIES PER: GEN'L PRODUCTS- COMPIOP AGO $4, 000, 000 $ POLICY PRO- X LOC JECT AUTOMORILELIABILI]'Y COMBINED SINGLE LIMIT (Es accident) 52 000 000 / r BODILY INJURY (Per person) $ ANY AUTO A Au OWNED SCHEDULED Auras AUTOS 72 SBA AA1995 01/29/2013 01/29/2019 BODILY INJURY (Par scalaem) $ PROPERTY DAMAGE (Par eooldanl) $ HIREDAUTOS X NON -OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE A PROVED AS TO ,� � AGGREGATE $ DOD RETENTION$ $ IYOFN£RYCOANTEPSdTION ANDPMYLOI'ERS'LIABILITY / WC STATU- OTH TORY LIMITS ERS E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE YIN _ OFFICER /MEMBER EXCLUDED? Mandatory in NH) ❑ NA .�._. ,aU a Stltt Sheedy _ E.L. DISEASE -EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below Assistant City AttOSA..y' E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (MAX Lfne Len9fh Is 79; Affach ACORD 101, ACtllflonal Remarks Sch.R.In, I(mare spat. is ra, iro f) Those usual to the Insured's Operations. Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. CERTIFICATE HOLDER CANCELLATION ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE City of Santa Ana 20 CIVIC CENTER PLZ SANTA ANA, CA 92701 ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD