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A+�QRL7" <br />PHASIIS -01 HBCT06 <br />CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DD'YYYY) <br />6/5/2012 <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 INSURERS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />INIPUft IAN 1: It 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 License # 0564249 <br />(OC) Heffernan Insurance Brokers <br />88 Hutton Centre Drive, Suite 500 <br />Santa Ana, CA 92707 <br />714 <br />1 <br />ac, No Ext ; ( ) 361-7700 (A/c, No); 1 (714) 361 -7701 <br />INSURER(S) AFFORDING C( <br />1. INSURER A: Sentinel Insurance Corn <br />INSURED <br />INSURER B: <br />Phase II Systems dba PARS <br />JNSURIER C <br />4350 Von Karman Ave, Ste. 100 <br />INSURER D <br />Newport Beach, CA 92660 <br />INSURER E <br />of London <br />Limited <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 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 />_ - — - - -�ADDL -SUBRr - - -T— - -- <br />ILT R TYPE OF INSURANCE 1 POLICY EFF POLICY EXP <br />LTR INSR WVD POLICY NUMBER <br />-- - - -- - - -- IMM /DD/YYYY MMIDD/YYYYI LIMITS <br />' GENERAL LIABILITY - - -- -- -- -- - -� <br />A X COMMERCIAL GENERAL LIABILITY X 72SBAAC2429 5/8/2012 5/8/2013 <br />�_ CLAIMS -MADE [ X OCCUR '. <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />EACH OCCURRENCE _ $ 2,000,000 <br />_ <br />DAMAGE TO RENTED 1,000 OOO <br />PREMISES Ea occurrence) I $ _ _ --� <br />MED EXP (Any one person) $ 10,0001 <br />PERSONAL & ADV INJURY $ 2,000,000 <br />GENERAL AGGREGATE $ 4,000,000. <br />PRODUCTS - COMP /OP AGG $ 4,000,0001 <br />_POLICY Fj PRO- <br />LOC <br />1 AUTOMOBILE LIABILITY <br />I COMBINED SINGLE LIMIT <br />-� <br />(Ea accident) $ <br />2,000,00 <br />A <br />ANY AUTO 72SBAAC2429 <br />5/8/2012 <br />5/8/2013 <br />BODILY INJURY (Per person) $ <br />., ALL OWNED SCHEDULED <br />f <br />1 AUTOS AUTOS <br />NON -OWNED <br />1� AUTOS X <br />BODILY INJURY (Peraccident) <br />PE DAMAGE-—- TY <br />- <br />j $ <br />-= <br />,HIRED AUTOS <br />'—y <br />UMBRELLA LIAB - - -� <br />' Per aca ent <br />I'L - <br />^�. <br />_ <br />1$ <br />I.. <br />- ~. OCCUR <br />S 1 <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAB <br />�_ CLAIMS -MADE <br />DED RETENTION $ <br />j}' l�{Iy, <br />AGGREGATE $ <br />I'- <br />�} <br />- <br />-T <br />. <br />WORKERS COMPENSATION T <br />AND EMPLOYERS' LIABILITY V U$ehh Oti' <br />ANY PROPRIETORIPARTNER/EXECUTIVE Y / N C U <br />j'a jfa <br />WC STATU- 0TH- <br />TORY_LIMITS� <br />$ <br />F_ <br />- <br />OFFICER/MEMBEREXCLUDED? N /A' <br />/� <br />A`4slS r�,af Ci <br />E.L. EACH ACCIDENT <br />$ <br />11 <br />(Mandatory in NH) <br />If <br />Dyes, describe under <br />DESCRIPTION OF OPERATIONS below <br />l., <br />AttO E.L. DISEASE - EA EMPLOYEE $ <br />m%71-30/2012 —_ _ <br />E.L. DISEASE - POLICY LIMIT $ <br />B PROFESSIONAL <br />�I <br />WR000013M <br />7/30/2011 /PER <br />_ <br />CLAIM <br />2,000,000 <br />B <br />LIABILITY WR000013M <br />7/30/2011 7/30/2012 <br />AGGREGATE <br />2,000,000 <br />DESCRIPTION OF OPERATIONS ! LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, <br />if more space is required) <br />!PROJECTS AS ON FILE WITH THE INSURED INCLUDING BUT NOT LIMITED TO THOSE USUAL TO THE INSURED'S OPERATIONS /PARS SUPPLEMENTARY <br />RETIREMENT PLAN. THE CITY OF SANTA ANA, ITS OFFICIALS, EMPLOYEES AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSUREDS ON GENERAL <br />LIABILITY POLICY -SEE ATTACHED ENDORSEMENT. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />T <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />CITY OF SANTA ANA ATTN: EXECUTIVE DIRECTOR OF THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />PERSONNEL SERVICES ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 CIVIC CENTER PLAZA r _ <br />SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE <br />1 , <br />©1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />