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_10 CERTIFICATE OF LIABILITY INSURANCE OP ID AP DATE -/25f/3-3- <br />WSSEPLI 01/25 /11 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />(WC) Heffernan Snsurance Brlcrs <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1350 Carlbacic Ave, Suite 200 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_ <br />Walnut Creels CA 94596 <br />Phone: 925-934-8500 Pax:925-934-8278 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />INSURERA: pLiiadalphia Ivdamx,ity Ina. co <br />INSURER B: sxara CONPSN9ATxON SN8 . FVND <br />35076 <br />Wlseplace, a Ca Corp <br />dba: Wise Silver Center <br />INSURER C: <br />INSURER D: <br />1411 N. Broadwayy <br />Santa Ana CA 92706 <br />NSURER E: <br />/E" <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ' <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATECMM/DDC <br />DATE MM/DD O <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ l, 0 0 0, O O O <br />PREMISES Ea occurence <br />$ 1O0, OQ0 - <br />A <br />X <br />X COMMERCIAL GENERAL LIABILITY <br />PHPK653590 <br />01/01/3.1 <br />03-/03-/12 <br />MED EXP (Any one parson) <br />$ 5,000 <br />CLAIMS MADE Fx] OCCUR <br />PERSONAL 6 ADV INJURY <br />$ 1, 0 0 0, 0 0 0 <br />X <br />Pr-E. Liab111ty <br />GENERAL AGGREGATE <br />$ 2, 000, 000 <br />GEN-L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />POLICY PRO - <br />JECT <br />A <br />AUTOMOBILE <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />PHPK653590 <br />Ol/01/11 <br />O1./Ol/12 <br />COMBINED SINGLE LIMIT <br />(Ea accldant) <br />$ 1, 000, OOO <br />BODILY INJURY <br />(Perparso ) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />- <br />.v©� <br />BODILY INJURY <br />(Per acGdenQ <br />$ <br />X <br />X <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />�,a }L[� <br />_ <br />(P ,..Iden DAMAGE <br />$ <br />GARAGE LIABILITY <br />G` <br />ty <br />AUTO ONLY- EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />Ass start <br />$ <br />AUTO ONLY: AGG <br />EXCESS / UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ 1 , 0 0 0 , 0 0 O <br />AGGREGATE <br />$ 1, 000, 000 <br />A <br />X OCCUR CLAIMS MADE <br />PHUB327847 <br />01/01/11 <br />01/O1/12 <br />$ <br />DEDUCTIBLE <br />$ <br />X RETENTION $3.'0, 000 <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />OFFICERAN PROPRIETCRIPARTNR EXCLUE"JEECUTIVE[= <br />(Manda[ory in NH) l� <br />488000067909 <br />08/15/ZO <br />O8/15/11 <br />TORY LIMITS ER <br />E.L. EACH ACCIDENTIMEMBEDED <br />$ ZOO0000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1 O O O O 0 O <br />E.L. DISEASE -POLICY LIMIT <br />$ 10 0 0 0 0 0 <br />If yes. describe under <br />SPECIAL PROVISIONS below <br />OTHER <br />A <br />Crime <br />PHPK653590 <br />01/01/11 <br />03./01/3.2 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Project: As on £i1e with the insured_ <br />The City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are named as additional insured on General Liability policy <br />per attached endorsement_ <br />+'Except 10 days notice for non-payment of premium_ <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />3ANTAN4 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 * DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Cit of Santa Ana REPRESENTATIVES. <br />y AUTHORIZ SENTATNE <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACC]RD 26 I2nnwnil © 988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks Of ACORD <br />