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A-2q)'11 - lqq .4CO1 CERTIFICATE OF LIABILITY INSURANCE GATE (MM /DDIYYYY) PRODUCER Edgewood Partners Insurance Center (EPIC) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 19000 MacArthur Blvd. PH Floor ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Irvine, CA 92612 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (949) 263 -0606 www.ed ewoodins.com 949 263 -0906 INSURERS AFFORDING COVERAGE NAIC # INSURED Planning Center, Inc INSURER A: Crum - &.Forster Specialty Insurance Company Design Community & Environment _INSURER B. Travelers Propel & Casualty Co of America dba: The Planning Center I DC &E - - - -- 3 MacArthur Place, Suite 1100 INSURER C: Santa Ana CA 92707 INSURER D: INSURER E COVFRAGFS 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 DD' _ -. - - -_- -- -- TR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE YY LIMITS A GENERAL LIABILITY EPK- 100667 7/1/2012 7/1/2013 EACH OCCURRENCE s_ 5,000,000 COMMERCIAL GENERAL LIABILITY j _ DAMAGE PREMISES cc ourrence _$ 50,000 1 CLAIMS MADE [�/- OCCUR J./ MED EXP (Any one person) $ 5,000 IlPD Ded: - $5,000 - PERSONAL & ADV INJURY S 5,000,000 GENERAL AGGREGATE $ 5,000,000 PRODUCTS - COMP /OP AGG j_$ 5,000,000 GEN'L AGGREGATE MIIT APPLIES PER: ''� PL POLICY LOC B AUTOMOBILE LIABILITY 810 - 96273151 - TIL -12 7/1/2012 711/2013 COMBINED SINGLE LIMIT $ j ANY AUTO.. (Ea accident) ' 1,000,000 ALL OWNED AUTOS ARPROVED AS TO FORM BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS , BODILY INJURY $ NON -OWNED AUTOS rj; t�j I /1 ! (Per accident). ' -- HODGE i PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO �,.. '�� EA ACC $ OTHER THAN T - -. -_ -- AUTO ONLY AGG li $ B fXCESS I UMBRELLA _LI ABILITY EX- 6806N5611 -TIL12 7/1!2012 7/1!2013 EACH OCCURRENCE $ 4,000,000 r occuR CLAIMS MADE AGGREGATE $ 4,000,000 $ i Excess Auto & EL Onl $ DEDUCTIBLE - - RETENTION $ $ B 1 WORKERS COMPENSATION AND 1 UB- 96273151 - TIL -12 7!1/2012 7!1/2013 WCSTATU- OTH- ✓._ TORY LIMIT! - — ER EMPLOYERS' LIABILITY Y/N E.L. EACH ACCIDENT - $ 1,000,000 ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? Y _ _ E.L. DISEASE - EA EMPLOYEE - $ 1,000,000 (Mandatory In NH) If yes, describe under -- - -- E.L. DISEASE - POLICY LIMIT - -- - -- - $ 1,000,000 ' SPECIAL PROVISIONS below OTHER A Pollution Liability EPK- 100667 7/1/2012 7/1/2013 5,000,000 A Errors & Omissions (Claims Made) EPK- 100667 7/1!2012 7/1/2013 5,000,000 B Property/Business Personal Property 1 660 - 98273151- TIL -12 7/1/2012 I 7/1/2013 $1 035 065 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Re: Operations performed by the Named Insured for the Certificate Holder Certificate Holder is named as Additional Insured for General Liability coverage including Waiver of Subrogation and Primary/Non- contributory Wording per attached EN0147 01/11 endorsement. Certificate Holder is Additional Insured for Auto Liability per attached CA T3 53 06 09 endorsement. Professinoal Liability includes Errors & Omissions Coverage Additional Insured includes: City of Santa Ana, its officers, agents, employees and volunteers City of Santa Ana Attn: Judy 20 Civic Center Plaza, M -20 Santa Ana CA 92701 At,VKU ZO (ZUUafUT) CERT NO.: 13527941 Jennifer I=1ey 7/3/2012 10:44:48 AM Page. 1 of 6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 39 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ' 10 Days for Non - Payment of Premium. AUTHORIZED REPRESENTATIVE`!• Scott Lihme ©1988 -2009 ACORD CORPORATION. All rights reserved.