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i �= CERTIFICATE OF LIABILITY INSURANCE DATE M 03/10/11(M/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(iss) must be endorsed. If SUBROGATION 13. WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement A statement on this Certificate does not confer rights to the certificate holder In lieu of such endorsement a . PRODUCER 310�73-6441 S UlThe Olson Duncan Agencyy 3'10-378�336 25560 Hawthorne BiVd., Ste 203 romance, CA 90505 ONTA T AM _ Tish Leon "NONE-714-541-'10'10 A/c No ME ., Tleon ubliclawcenter.or ER .PUBLI-1 CUSTOM INSURERIS) AFFORDING COVERAGE NAIC X INSURED Public Law Center (A Non -Profit Corp.) Tish Leon 601 Civic Center Drive West Santa Ana, CA 92701 INSURERA: INSURER B IN SURERC: INSURER D: INSURER E : Hartford Ins Co of Midwest 37478 INSURER F IiV VCKAC9tb- CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NT R TYPE OF INSURANCE POLICY NUMBER MMI D/YYOUCY YY MML D ICY YW LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE u OCCUR _ EACH OCCURRENCE S P R r A I S MED EXP (Ay one person S PERSONAL S ADV INJURY S GENERALAGGREGATE 5 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: PRO LOC PRODUCTS - COMP/OP AGO S i AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT —dent) (Ea —d S BODILY INJURY (Par person) S BODILY INJURY (Per aeeitlem) S PROPERTY (Pe—cidenl) DAMAGE S S s UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S DEDUCTIBLE RETENTION S S s E WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN (M F daR/MEMBER EXCLUDED? (Mandatory In NH) 1/ er y6e, da ibe und DESCRIPTION OF OPERATIONS b..E.L. N / A 72WECW4460 04/01/11 O4/01/'12 X WC STATU- H OT- E.L. EACH ACCIDENT S 7,000,00 E.L. DISEASE - EA EMPLOYEE S 1.000,00 DISEASE -POLICY LIMIT S 1,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, AddlHonal Reread- SetladWa, If more apaea la requlrsd) City of Santa Ana 20 Civic Cater Piz Santa Ana, CA 92701-4058 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (D 19.BB-2009 ACOR ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD ghts reserved.