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"-`"`"? CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />`? 8/4/2011 <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 />"GLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />PRESENTATIVE 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 endOrsemwnrra\ <br />PRODUCER NAME: T Dona Delight <br />Hayward Tilton S Rolapp =nsuran ce Associates, PNONE _ (714) 905-1923 FAX (-/14)905-1910 <br />CA Dept, o£ Ins. Lic. #0614365 E-MAIL .donad@htrinaure. oom <br />888 S. Disneyland Dr. , $tEi 4DQ INSURERS AFFORDING COVERAGE NAIC# <br />Anaheim CA 92802-1846 INSURERA:Travelers 2ndemnit Co o£ CT 5682 <br />INSURED INSURER B :Preferred Em 10 ers Ins CO <br />Mullen 6 Associates, Snc. INSURERC:U S S ecialt 2ns Co 9599 <br />1200 N. Jefferson Street INSURER D: <br />Suite D <br />INSURER E : <br />Anaheim CA 92807 INSURER F <br />r_r]VF RAr'?FS rte ear,r,.+??r <br />----- -- -- - r«???IVr??a?mtacrto <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOV <br />E FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH R <br />ESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN <br />IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />. <br />INSR <br /> <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP LIMITS <br /> O EN ERAL LIABILITY <br /> EACH OCCURRENCE $ 1 , 000 , OOO <br /> X COMMERCIAL GENERAL LIABILITY <br /> PR MI Ea urrence $ 300 , OOO <br />A CLAIMS-MADE ? OCCUR 6804413L74B /24/2011 /24/2012 <br /> MED EXP (An one arson) $ 5 , 000 <br /> PERSONAL 8 ADV I 1 <br />000 <br />OOO <br /> NJURY $ <br />, <br />, <br /> GENERAL AGGREG <br />T 2 <br />OOO <br />OOO <br /> A <br />E , <br />$ <br />, <br /> GEN'L AGGREGATE LIMIT APPLIES PER' <br />PRO PRODUCTS -COMP/OP AGG $ 2 , OOO , OOO <br /> X POLICY <br />LOC $ <br /> vUT OMOBILE LIABILITY MBINE IN LE LIMI <br /> Ea ccident 1 000 000 <br /> <br />A <br />ANY AUTO <br />ALL OWNED <br /> <br />SCHEDULED 6804413L748 <br />/24/2011 <br />/24/2012 BODILY INJURY (Par person) $ <br /> <br />AUTOS <br />AUTOS <br />NON-OWNED olicy covers Non-Otvnad/ /24/2011 /24/2012 <br />BODILY INJURY (Par accident) <br />$ <br /> X HIRED AUTOS X <br />AUTOS irad Liability Only- PROPERTY DAMAGE <br /> <br />$ <br /> Par accident <br /> o Company Otm®d Vatai else <br /> $ <br /> UMBRELLA LIAB OCCUR <br /> EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGAT <br /> E $ <br /> DED RETENTION $ <br />$ WORKERS COMPENSA710N <br />WC STATU- OTH- $ <br /> AND EMPLOYERS' LIABILITY Y / N X <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ? <br />N/A <br />E.L. EACH ACCIDENT <br />$ 1 OOO OOO <br /> (Mandatory in NH) 133245 5 /4/2011 /4/2012 <br /> <br />If es, describe untlar E_L. DISEASE - EA EMPLOYE $ 1 000 000 <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1 000 OOO <br />C Professional Liability 331121276 /4/2011 /4/2012 Eech Claim Limit 1 , 000 , 000 <br /> Retro Data: 12/2H/1979 ad: $10 <br />000 <br /> , Aggregate Limit 1,000,000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD '101, Additional Ramarlra Seha,tula, M Mora apao• la raqulta4) <br />" <br />Proof of Coverage " <br />?CANCELLATION:10-days Notice-Non-Payment o£ Pramiyayq..?!-Non-Reporting o£ Payroll /30 Days Notice for A11 <br />11?1Vt <br />Oth <br />'? <br />' <br />- <br />rQ t <br />er Reasons. z?p??R?v ? ?S <br />St:L?c`??y <br />ura <br />rcortrtr wrc u?, .-.re _ rte. r., <br />City o£ Santa Ana <br />Public Works Agency M-21 <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 25 (20'1 <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 />Delight/DLD ? ,o-?- <br />©'1988-2070 ACORD CORPORATION Au ?:.. t.?a reee?.,e,? <br />....?.,?? t??, uua).u, The ACORD name and logo are registered marks of ACORD