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16 CERTIFICATE OF LIABILITY INSURANCE DA/6/2DDIYYYY) 76/2011 PRODUCER (562) 439-9731 FAX: (562) 439-4453 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Hamman Miller Beauchamp Deeble, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3633 East Broadway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 1520/CA Lic# 0345445 Long Beach CA 90801-1520 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Hartford Insurance Company 911 Vehicle, Inc. INSURER B: The Travelers Prop. Cas . Ins. 25674 2130 E. Winston Rd. INSURER C: INSURER D. Anaheim CA 92806 1 INSURERE: rrnvFRnnFc 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR ADD'L NSRD TYPEOF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYYYY POLICY EXPIRATION DATE MMIDDlYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RE= PREMISES Ea occurrence $ 300,000 A X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE rx-1 OCCUR 72UUNSV7636 6/21/2011 6/21/2012 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1 000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 PRO El LOC X POLICY JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000, 000 BODILY INJURY (Per person) $ A X ALL OWNED AUTOS SCHEDULED AUTOS 72UUNSV7636 6/21/2011 6/21/2012 BODILY INJURY (Per accident) $ X X HIRED AUTOS NON -OWNED AUTOS X non -owned includes A"ROYiID AS TO ') PROPERTY DAMAGE (Per accident) $ customers vehicles GARAGE LIABILITY .1 AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG ; $ ANY AUTO - $ EXCESS 1 UMBRELLA LIABILITY OCCUR � CLAIMS MADE M L pepu City Atto y EACH OCCURRENCE Is AGGREGATE Is I$ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETOR/PARTNER/EXECUTNE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below IJUB3022N20811 3/28/2011 3/28/2012 VJC STATU- I OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 A OTHERBuS Pers Prop-BPP 72UUNSV7636 6/21/2011 6/21/2012 BPP excluding Stock: $250,000 (Intl. Phy Dmg of Stock: $2,080,800 customers autos) 1 000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Blanket Additional Insured coverage provided by policy form BIG 00 01 06 05 (attached) Physical damages coverage for vehicles provided by policy form PC 50 32 07 04 (Attached) Blanket Waiver coverage provided by endorsement WC 99 03 67 (00)-1 (attached). *Cancellation notice is 10 days in the event of non-payment of premium %,MIMt•CLLW I IVIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAJYJMMAIL 30 * DAYS WRITTEN City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, �(il 20 Civic Center Plaza Santa Ana, CA 92701-4010� D 25 (2009/01) AUTHORIZED REPRESENTATIVE McIntyre/GOWENS J I 01988-2009 ACORD CORPORATION. All riahts reserved. nmavw taa,au,l.u, I ne AcVKu name ana logo are registered marks of ACORD