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1?} - ?? 6D ?/? _- D ? <br />ACORQ <br />CERTIFICATE OF LIABILITY INSURANCE °"'¢`'''"'°°'Y"YY' <br />„ li/zs/2ox1 <br />PRODUCER 949. 348. 7400 FAX 949.346. 2373 THIS CERTIFICATE IS.iSSUED AS A MATTER OF INFORMATION <br />Insurance Solutions ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License #0746539 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIEB BELOW. <br />26522 La Alameda, Suite 190 <br />Mission Viejo, CA 92691 INSURERS AFFORDING COVERAGE ? NAIC >ti <br />INSVRCD CPC POIIIERTEC, S C- INSVRERA: San tine! Ilts Co. , LTD 11000 <br />31441 SANTA MARGARITA PKWY llusVlaERa Certain Underwriters at Lloyds <br />STE A390 <br />IJJSVRERG <br />RNCHO STA MARGA, CA 92688 uJSURERD: <br /> INSURER E <br />coveRAGEa <br />Jnc rvuclca air InavJCAOJCe usTED BELOW HAVE BEEN ISSUED TO THE INSURED?NAN.EOABOVE FOR THE POLICY PERIOb INDICATED, NOTWITHSTANO]NO <br />ANY REgU1REMENT TERM OR CONDIttON OF ANY CONTRACT OR OTHER DOCUMENT WRH RESPECT TO WHICH THIS GERTlFICATE MAY 8E 186U <br />E0 OR <br />MAY PERTAIN. THE INSURANCE AFFORDEb BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDlTIOt?1S OF SUCH <br />POLICIES- AGGREGATE LIAIITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />_ <br /> <br />I <br />TYPE OF INSURANCE <br />POLICY NUNOCR g <br />F y pp{'py <br />p <br />{jgTC !A O <br />LIJ.IITa <br /> o¢NERAL LIABeuTY 72SSMAK0672 11/1$/2011 11/18/2012 EaelloecuRRENCE s 2 000 00 <br /> _ COMI.IERCIAL GENERAL L{ARAIiY PR?h SE soceartenra S 1 OOO OQ <br /> CLAIMS h1ADE ? OCCUR h1 <br /> ED EJ(P (Any ena po?ow.) $ 1O OO <br />A X PERSONAL SAOV NJVRY 5 2 000 OO <br /> <br /> OENFJi AL AOORCOATE 5 4 ODO OO <br /> OEN'L AGOREQATE DytR APPLIES PERT PROWCTS-COIA PJOP AOG $ 4 000 OO <br /> POIJGY JECT LOC <br /> AVTON.OBILE LIABILITY 725BMAK0672 11/18/2011 11/1$/2012 <br /> COh1aIN6D SINGLE LNI? <br />E <br />$ <br /> ANY ALRO L <br />a au12on0 2 000 OO <br /> ALLOWNED AUTOS <br /> OILY WJ VRY $ <br /> <br />A SCHEOULEOAVTOS P•?nt <br /> X H'REO AUTOS <br /> <br />?X <br />NONgYINEDAVrQ9 BODILY CJJURY <br />(POJaCCNM1) $ <br /> <br /> PI(OPERTY DANAOE $ <br /> (Pa r socHMl) <br /> OARA06 LIABILITY AUTO OlJLY-FJ?ACpDEJfT 5 <br /> AIJYAUTO EA ACC <br />OTHER THAN $ <br /> AUTO OI/LY. A00 $ <br /> CXCC53/UMBREtU LU01LITV <br />? :.[- ? <br />? ,. 14:? FJ?CH OGC VRRENCE $ <br /> OCCUR Q CW MS MADE ? ? ? ? ? ? ? ? AGGREGATE $ <br /> 5 <br /> DECVCTBLE ?? <br />LLL , / 5 <br /> RETEITTIOJt $ . _ 1 _. _ _.,. _,.. s <br /> 1VORX BRB COMPENSATION <br /> ANO E MPLOYERS' LIABIL)iY v -,1 : <br />? ??? ? { i `/ : `; I i ? 1 ? <br />? N ITS LTi <br /> ANY PROPRIETOR/PAR'RI E(LEX£CllnVEQ <br />OFFICEWMEhiBER EXCLVOEOI EL. GCH ACCIOEl(T $ <br /> IMalldalOy lR Hllt <br />i1yoe dtlHCVbO VndOl EL. OSEASE-EA EMPLOYE $ <br /> SPEG?IAL PROVISIONS balorv E L. D'SEASE-POLICY LIh/R S <br /> Professional Liability SAE201100009 11/18/2011 11/18/2012 Limit: S1,OOD,000 <br />B Aggregate: SY, ODO,000 <br /> Deductible: 52,500 <br />DESCRP fON OP OPE 10 31 LOCATIOI{S/yCIIICLg? /EX4LV61pJ?SAODEO BY DORBE ENT/$PCGULPJ?OY O 3 <br />ert icate F?o?ctJer Hemet! as aclpitlorJal insuredE"on t?te General L?a?{iility per the attached form 550008 <br />otice Ivan in the event of cancellation for non-navmPnt of nrccm?.Im <br />cR Ur,a.icrc rcva-vcrc L:ANCELLATION <br />31<O V LO NtY OF THE ABOYC DBSCRIBCD POUOIES Be OA NOlLICD BCPORC THE CXYIRATION <br />OAT¢ THEREOF, 1HE135VIN0 IN9URER VALL ERDEAVOR TO MAIL 3Ox OAV6 WRITTEN <br />City of Santa Ana NOT[CC TO TIlB OERTIF[CATE HOLDER NAMCD TO TTIB LEFT, BUr FAILUR¢TO DO 6o sItALL <br />Attn' Clerk of the City Councii 1LIP09E NO OBLIOATIOH OR LIAe1LIn OF ANY KIND UPON THE INSURER. ITB AOCNTS OR <br />20 Civic Center Plaza (M-30? REPREECNTATNE3, <br />sans Ana, CA 9 2 702-19 8 8 AVTHOA2E0 R¢PRE6ENTA7IVE ? ?....aQ? <br />Ton Alessandra BRITTK <br />ACORD 26 (2008!01) FAX: 714. 647.6956 ®1988-2000 ACORD CORPORATION. All rltthta reserved. <br />The ACORD natlte and logo are regletered marks of ACORD