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OP ID: KG <br />'4k� -R° CERTIFICATE OF LIABILITY INSURANCE <br />DAT07 /151/YYYY) <br />07!15/11 <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 INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy()es) 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 endomemen s . <br />PRODUCER 909- 886 -9861 <br />Alliant Insurance Services,inc 909 - 686 -2013 <br />(Lie- OC36861) <br />735 Carnegie Drive, Ste 200 <br />San Bernardino, CA 92408 <br />Scott Lihme, CPCU,AFSB <br />NAME: <br />PHONE FAX <br />E C0. Lo Exit: (,VC, No l: <br />ADDRESS: <br />PRODUCER pLANN -1 <br />CUSTOMER ID #: <br />INSURERS AFFORDING COVERAGE <br />NAIC 0 <br />INSURED Planning Center Inc <br />INSURER A: Travelers Property Casualty <br />25674 <br />Design Community & <br />Environment Inc <br />1580 Metro Drive <br />INSURER a: Travelers Casualty & Surety <br />19038 <br />INSURER C: Crum & Forster Specialty AMN <br />EPK100141 <br />INSURER D: <br />07/01/12 <br />Costa Mesa, CA 92626 <br />INSURER E: <br />MED EXP (Any one person) <br />$ 5,000 <br />INSURER F: <br />$ 5,000,000 <br />COVFRAGFS CFRTIFICATF 111 IMRGR- ocvicmnu ►n "am--o. <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 />INSR <br />TR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 5,000,00 <br />C <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ? X OCCUR <br />X <br />EPK100141 <br />07/15/11 <br />07/01/12 <br />PREMISES Ea occurrence <br />$ 50,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />$ 5,000,000 <br />GENERAL AGGREGATE <br />$ 6,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY 7 PRO- LOC <br />PRODUCTS - COMP /OP AGG <br />S 6,000,00 <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />,�p <br />BA6884N32tt11,s O <br />07/01111 /11 <br />M07/01/12 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,00 <br />X <br />BODILY INJURY (Per person) <br />S <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />J / <br />1 <br />I% <br />I' <br />BODILY INJURY (Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />X <br />AtV•(/ <br />OM <br />$ <br />NON - OWNEDAUTOS <br />R . <br />$ <br />AUWW <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ 4,000,00 <br />AGGREGATE <br />$ 4,000,00 <br />A <br />EXCESS LIAR <br />CLAIMS -MADE <br />PFSEX6806N611 lL11 <br />07/01111 <br />07101/12 <br />DEDUCTIBLE <br />OVER AUTO <br />$ <br />X <br />& EL ONLY <br />$ <br />RETENTION $ Nil <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />PJUB6804N41A11 <br />07/01/11 <br />07/01/12 <br />X WC STATU- OTH- <br />(M)j' <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,00 <br />A <br />Property <br />P6606806N611TIL11 <br />07/01111 <br />07/01/12 <br />Pollution 5,000,00 <br />C <br />Pollution/Prof <br />EPK100141 <br />07/15/11 <br />07/01112 <br />Prof 5,000,00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />Operations pertaining to named insured for certholder; Professional Liab <br />includes E &O Coverage. Certholder its officers, agents, employees and <br />volunteers are add'I insd/ prim wrd / waiver as respect gen I liab per <br />EN"" a11, EN0118 02111 & EN0109 02/11 <br />las <br />CITYSAO <br />City of Santa Ana <br />Attn: Judy <br />20 Civic Center Plaza, M -20 <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />01988 -2009 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2009/09) The ACORD name and logo are registered marks of ACORD <br />