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ACQRhP <br />CERTIFICATE OF LIABILITY INSURANCE <br />123/1201201 TDM YV) <br />12/3 <br />•THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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 CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsements . <br />PRODUCER <br />Dealey, Renton & Associates <br />P. 0. Box 10550 <br />Santa Ana CA 92711-0550 //'� /ADDRESS; <br />QS� <br />CONTACT <br />NAME: <br />PHONE FAX <br />AIC. No), <br />EMAIL <br />_ <br />INSURERS AFFORDING COVERAGE NAIC M_ <br />INSURER A.TraVelerSProperty Casualty Cc of A 25674_ <br />EACH OCCURRENCE $1,000,000 <br />_ <br />INSURED <br />INSURER B -T elers Indemnity Co. of Connecti 25682 <br />INSURER c.Travelers me 31194 <br />Michael Brandman Associates <br />220 Commerce Center #200 <br />Irvine CA 92602 <br />INSURER D <br />_ <br />GENERAL AGGREGATE $2,000,000 <br />GEN'L AGGREGATE <br />POLICY <br />INSURER E <br />INSURER F <br />Deductible $None <br />COVERAGES CERTIFICATE NUMBER: 1092215039 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <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 MAY 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUER <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />B <br />GENERAL LIABILITY <br />x COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X Contractual <br />Y <br />68060831204 <br />1/1/2014 <br />/1/2015 <br />EACH OCCURRENCE $1,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ee occurrence $1,000,000 <br />MED EXP (Any one person) $10,000 <br />PERSONAL &ADV INJURY $1,000,000 <br />_ <br />Liability <br />_ <br />GENERAL AGGREGATE $2,000,000 <br />GEN'L AGGREGATE <br />POLICY <br />LIMIT APPLIES PER: <br />X PRO- LOC <br />JECT F7A <br />_ <br />PRODUCTS-COMPIOP AGG $2,000,000 <br />Deductible $None <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED®V <br />AUTOS AUTOS <br />X NON -OWNED <br />HIRED AUTOS AUTOS/:A <br />Deductible None <br />BA60781_716 <br />A <br />1/1/2014 <br />TO FOR <br />/1/2015MBINED <br />1i <br />SINGLE LIMIT <br />Ea accident 1,000,000 <br />X <br />X <br />_ <br />BODILY INJURY (Par person) $ <br />BODILY INJURY (Per accident)$ <br />PROPERTY DAMAGE $ <br />Peraccidi,m <br />$ <br />UMBRELLA UAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />®• <br />to <br />nn. <br />I O I <br />EACH OCCURRENCE $ <br />O <br />Attorney <br />AGGREGATE $ <br />DED RETENTION$ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOMPARTNERIEXECUTIVE❑ <br />OFFICER40 MISER EXCLUDED? <br />(Mandatory i a NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />UB1427T762 <br />1/1/2014 <br />/1/2015 <br />X WC STATU- OTH- <br />T RV LI IT ER <br />E.L. EACH ACCIDENT $1,000,000 <br />E.L. DISEASE - EA EMPLOYE $1,000,000 <br />E.L. DISEASE - POLICY LIMIT $1,000,000 <br />C <br />Professional Liability <br />Claims Made <br />_ <br />106035068 <br />- <br />1/1/2014 <br />/1/2015 <br />Per Claim $2,000,000 <br />Annual Aggr. $2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />General Liability policy excludes claims arising out of the performance of professional services. <br />The City of Santa Ana, its officers and employees are additional insureds as respects general liability as required by written contract. <br />City of Santa Ana <br />Attn: Larry Yenglin <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AU RIZED REPRESENTATIVE <br />©1988.2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />