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Client#: 1259431 305CORDOCOR ACORD,. CERTIFICATE OF LIABILITY INSURANCE OAODIYYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 9/125/22512013 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 CONTACT Christy Mata BB&T Insurance Services PHONE 714 578.7370 E ANo,Ext: AIC, No: of Orange County ADDRESS: CMata@bbandt.com 680 Langsdorf Drive Suite 100IL EACH OCCURRENCE $ INSURERS) AFFORDING COVERAGE NAIC# Fullerton, CA 92831 INSURER A: Lloyds of London FOREGN INSURED INSURER B: Cordoba Corporation -aoOy_0��. INSURER C: CLAIMS -MADE F—I OCCUR 1401 N'Broadway Los Angeles, CA 90012'/-aGe�l3?� INSURER D: INSURER E: /.dam $ PERSONAL &ADV INJURY $ I INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY TRA1"THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMEDABOVE FORTHE 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. ITR TYPE OF INS11pANCE NSRADDLSUSR MID POLICY NUMBER MMIDIOIYYYV MMI�I�IYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES Eaoccurrence $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F—I OCCUR MED EXP (Any one person) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LI MIT APPLIES PER: PRODUCTS - COMP/OP AGS $ POLICY PRO JECT - LOC $ AUTOMOBILE LIABILITYaA.Aa`4A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS OS NON -OWNED q -9,'V` y s0 1"' Vv '�� NJRO(paPEbenl ONMINEDSINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ D AMAGE $ � ~J ` UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE -'C „ YU GOtt1 1�1�p( `yi`aU (malty $s1st" EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA WC STATUS OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in kin If yes, describe under DESCRIPTION OF OPERA MS below E.L. DISEASE -POLICY LIMIT $ A Professional Liab B0621PCOR03213 09/27/2013 09/271201A $1,000,000 Per Claim/Ag "Claims Made" Ded: $25,000 Per Claim DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Verification of Insurance City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702-1988 ACORD 25 (2010/05) 1 of 1 #S11122359/M11122300 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 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LXMCN