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��® <br />�� CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMlDD/YYYY) <br />9/z7/2o11 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT`S UPON THE CERTFICATE 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 CERTFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the polley(lea) must be endorsed. If SUBROGATION IS WAIVED, subJect to <br />the terms and condltlona of the policy, certeln pollcles mey raqulre en endorsement. A statement on this certificate doss not confer rlghta to the <br />eeRlficate holder In lieu of such andoraanlent a . <br />PRODUCER <br />GLENDALE 2NSVRANCE AGI4NCY� 2DIC. <br />601 E GLENOAK3 BLVD, SV =T8 100 <br />P. O. BOX H31 <br />GT��*^sLE CA 91]09 -0831 <br />Julia TrauQhl�ar <br />PIIOI'IE (618)344 -1144 (ele)2a2 -32ea <br />- juliaeplaadalalns_com <br />INSURERS AFFORDING COVERAGE <br />NAICe <br />IrlsuwER A:Gaaaral Sasuraaaa C as <br />INSURED <br />Phoenix Group is £ormazion 3ysza:RS <br />2677 N. Main Straaz, Suiza 400 <br />Saaia Asa CA 92705 <br />INguwERB:Amarican States Sas. Co. <br />19704 <br />INSVRERC:C ital S ec ialt: Sns. Co <br />10328 <br />INSURERD:Natioaal Vaioa Fira 2ns. Co. <br />19445 <br />INS V RER E ' <br />E lr DUD r 000 <br />tNBURER F: <br />$ 1.000,000 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEfl100 <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 MAV 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 />p TR <br />TYPE OF INSURANCE <br />POLI Y NUYBER <br />M LJ Y <br />POU Y E %P <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />E lr DUD r 000 <br />1 <br />$ 1.000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />MED EXP An one argon) <br />s s. 000 <br />A <br />CLAIMS -MADE OX OCCUR <br />X <br />X <br />aCC29S37S10 <br />0/1/2011 <br />0/1/2012 <br />PERSONAL 6 AOV INJURY <br />$ 1 r 000. 000 <br />GENERAL AGGREGATE <br />S a• OOOr 000 <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ Z. 000 r OOD <br />$ <br />X POIJCY <br />PRO- LOC <br />AUTOMOBILE LIABILITY <br />n <br />BODILY IWURY (Per parson) <br />f <br />A <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AVTOS AUTOS <br />X HIRED AUTOS X NON -OWNED <br />AVTOS <br />X <br />X <br />4CC29837a10 <br />O/1 /]011 <br />0/1/2012 <br />BODILY IWURV (Per accident) <br />S <br />PPROPERTY DAM <br />$ <br />s <br />UMBRELLA LIAR <br />OGGUR <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />$ <br />E %LESS LIAB <br />CLAIMS -MADE <br />DED RETENTION <br />$ <br />$ <br />WORKERS COMPENSATON <br />X <br />1SVC10616060 <br />0/1/2011 <br />0/1/201] <br />X W STATU- TH- <br />AND EY PLOVERS' LJAet LITY <br />ANY PROPRIETOR/PARTNEII/EXECUTIVE Y/ N <br />OFFICER/MEMBER EXCLUDED? � <br />(Mantletory In NH) <br />N/A <br />E.L. EACH ACCIDENT <br />5 1 000 000 <br />E.L. DISEASE - EA EMPLOYE <br />E 1 000 000 <br />E.L. DISEASE - POLICY LIMIT $ S 000 000 <br />If es, tlescribe under <br />DESCRIPTION OF OPERATIONS below <br />C <br />Errors Ei Gmisaloae Liab. <br />GCO 17 a7 o2 <br />0/1/2011 <br />0 /1/2012 <br />$2,500 detlucl ;Ga 1, 000, 000 <br />D <br />C�ttrcial Crime CovaraQa <br />11783686 <br />0/1/2011 <br />0/1/2012 <br />$25.000 tletluctibla 1, 000. 000 <br />DESCRIPTON OF OPERATONS / LOCATONS / V EMCEES (Attach ACORD 101, Atldltlonal Ramsrlts BcMtlula, B mere epees le ragWred) <br />It is aQraod that the City o= Santa Ana, its o£=icera, employees, apanta, volunteers sad raDresanzazive B. <br />are seamed )►ddizionai Saeurada par form CCi20�6 (07/04) attached. St is also aQraed that this is auraace is <br />primary and eon- coazribuzory_ APPROVED AS TO FORM <br />SHOULD ANY OF THE ABOVE pE�IJJjpf�gf�IAR�lOe�Q�LLED BEFORE <br />THE I.XPIRATON DATE THEREOF, NOTCE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROMS {DNS. <br />City o£ Seats Ana <br />Attention: Yolanda Bautista <br />60 Civic Center Plaza AUTMORl2ED REPRESENTATVE <br />Santa ]Lea. CA 92702 /)����� <br />C1ave TrauQhber /0134 � �"���� �1 <br />ACORD 25 (2010/05) ®1988 -2010 ACORD CORPORATION. All rlghta reserved <br />INS025 (zoioos).o, The ACORD name and logo are regletered marks of ACORD <br />