MULLEN & ASSOCIATES, INC. 6 - 2012

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ACC>RE>CERTIFICATE OF LIABILITY INSURANCE 2;6;202 " 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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms 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(s). PRODUCER Hayward Tilton S Rolapp Insurance Associates, CA Dept. of Ins. Lie. #0614365 888 S. Disneyland Dr., Ste 400 Anaheim CA 92802-1846 CONTA T Dona Delight NAME: g FA PNONEa. . (714)905-1923 AIC No: (714)905-1910 E-MAIL .donad@htrinsure.com INSURERS AFFORDING COVERAGE NAIL# INSURERA:Travelers Indemnity Cc of CT 25682 INSURED Mullen S Associates, Inc. 1200 N. Jefferson Street Suite D Anaheim CA 92807 INSURER B:Preferred Employers Ins CO INSURERC:U S Specialty IRS CO 29599 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER 201la gl-auto-E&O-WC 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. I LTR TRJUM TYPE OF INSURANCE ADDL VVVD UB POLICY NUMBER EFF MMIDDIYYYY MMDDLICY EXP YYYYY LIMITS GENERAL LIABILITY Dona Delight/DLD EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO REIN PREMISES Ea occurrence $ 300,000 A- CLAIMS -MACE OCCUR 6804413L748 7/24/2011 7/24/2012 M ED EXP (Any one person) S 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER' PRODUCTS - COM FIDE AGG $ 2,000,000 FX7 POI PRO LOC JECT $ AUTOMOBILE LIABIDTY EOa aBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 6804413L748 7/24/2011 7/24/2012 BODILY INJURY (Per accident) $ PeOra citlent AMAGE S X HIRED AUTOS X AOTOS�ED olicy covers non -owned $ fired auto only. UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAR CLAIMS -MADE DED I RETENTION S 8 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE X WC STATU- GTH- CRY LIMITS I I ER E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) NIA 133245 5 /4/2011 /4/2012 E . DISEASE - EA EMPLOYEE $ 1,000,000 If ye s. describe under DESCRIPTION OF OPERATIONS below 33245 6 /4/2012 /4/2013 F . DISEASE - POLICY LIMIT $ 1,000,000 C Professional Liability ISS1222541 /4/2012 1/4/2013 Each Claim Limit 1,000,000 Retro Date: 12/28/1979 tention: $10,000 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) "Proof of Coverage" Blanket Additional Insured as per CGD2520103 attached. *CANCELLATION:10-days 7p,tr}�,e 1>jCIn-Pa ent of Premium /Non -Reporting of Payroll /30 Days Notice for All Other Reasons. i i�;ti((.? CFRTIFICATF Hni nFR - %'"y CANCFI I ATIr1N ... ..`, i"i .. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Public Works Agency M-21 AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana, CA 92702 Dona Delight/DLD ACORD 25 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 (21 The ACORD name and logo are registered marks of ACORD