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OP ID: CJ <br />'`?r?°?O CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br /> 09/1 O/1 1 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />GERTI FICATE 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 916-773-3800 CONTACT <br />NAME: <br />ISU/Francis-Finney Ins. <br />916 <br />773484 Py <br />A <br />C <br />°O? <br />- <br />2266 Lava Ridgge Court Ste 200 /c <br />/ <br />No <br />Est <br />P. O. Box 619060 EMAIL <br />R <br />ill <br />CA 95661 <br />9050 ADDRESS: <br />osev <br />e, <br />- PRODUCER <br />Bruce Winning MBNSE-1 <br />cusTOMERIOS _____.__. <br /> ___ __ <br /> INSURER(S) AFFORDING COVERAGE NAIC i <br />INSURED MBN Services Inc. INSURERA:Hartro rd Insurance Group 22367 <br />DBA: Bob Murray 8. Associates INSURER s: Philadel hie Insurance Com an <br />1677 Eureka Rd Ste 202 <br /> INSURERC: <br />Roseville, CA 95661 <br /> INSURER D <br /> 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. NOTW rrH STAN DING ANY REQUIREMENT, TERM OR CON DfTION OF ANY CONTRACT OR OTHER DOCUMENT WfTH 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. LIMfTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />? <br />ILTR TYPE <br />OF INSURANCE POLICY NUMBER MM?D/YYYY MMADNYYY LIM RS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00 <br />A X COMMERCIAL GENERAL LIABILITY X 57SBAUZ4977 07/20/11 07/20/12 PREMISES Ea occurrence $ 300,00 <br /> CLAIM SMADE O OCCUR MED EXP (Myone person) $ 10,00 <br /> A Tyr <br />?QRNS PERSONAL B ADV INJURY $ 2.000.00 <br /> D <br />?? Q T <br />R? V GENERAL AGGREGATE $ 4,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER n <br />gpP +_O __? PRODUCTS- COMP/OP AGG $ 4,000,DD <br /> POLICY PR? X LOC , $ <br /> AUT OMOBILE LIABILITY ? <br />?,SA <br />E. S Att <br />C?tY <br />they <br />COMBINED SINGLE LIMIT <br />(F_a accitl an[) <br />$ 1,DDD,DD <br /> ANY AUTO w` <br />,ry Slsta BODILY INJURY (Per person) $ <br /> ALL OWNED AUTOS ?? BODILY INJURY (Per accitlent) $ <br /> SCHEDULED AUTOS PROPERTY DAMAGE <br /> <br />A <br />X <br />HIR ED AUTOS <br />57SBAUZ4977 <br />07/20/11 <br />07/20/12 <br />(Per accident) $ <br />A X NON-OWNED AUTOS 57SBAUZ4977 07/20/11 07!20/12 $ <br /> <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMSJNADE AGGREGATE $ <br /> DEDUCTIBLE <br /> RETENTION $ $ <br /> WO RKERS COMPENSATION X WC STAT U- OTH- <br /> AND EMPLOYERS' LIABILITY TORY LIMITS ER <br />A ANY PROPRIETOR/PARTNER/EXECUTVE Y/N <br />O ? <br />FFI <br />N / A 57WECFX9562 09/15/10 09/15/11 E.L. EACH ACCIDENT $ 1,000,00 <br /> O <br />CER/MEMBER EXCLUDED <br />(Mantl story In NH) E L DISEASE - EA EMPLOYEE $ 1,000,00 <br /> If yes, tlesoribe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,00 <br />B Professional E8.0 PH SD596467 02/27/11 02/27/12 OGD/AGG 1,000,00 <br /> Rete ntlon 5,00 <br />DESCRIPTION OF OPERAT ONS / LOCATONS /VEHICLES (Attach ACORD tOt, Atltlltlonal RamarNa 3eM1etlule, Ir more apace le roqulre tl) <br />NOTE: 10 Days notice of caneellatlon applies for non-payment of premium. Re: <br />Services provided by the named Insured onlyy. The city of Santa Ana, k's <br />officers employees, agents, and representafives are Included as additional <br />Insured per attached endorsement Waiver of Subrogation Included. <br />CERTIFICATE HOLDER CANCELLATION <br />SANTAII <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />CI Of Santa Ana <br />tY THE EXPIRATION DATE THEREOF, NOTCE WILL BE DELIVERED IN <br />ACCORDANCE WITH TiE POLICY PROVISIONS. <br />20 Civic Center Plaza, 8th FI <br />Santa Ana, CA 92701 ALTFIORIZED RE PRESENTATIVE <br /> ?.T?. .,L .,.. P?.?7 <br />O 1969-2009 ACORD CORPORATION. All rights reserved. <br />AGORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD