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<br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />12/19/2011 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CFRTIFICATF HOI r)FR 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 endorsement(s). <br />PRODUCER CONTACT <br />NAME <br />CompuPay Insurance Services, Inc. P <br />ONE FAX <br />800-807-0598x306 <br />30 <br /> A/C No <br />5-675-8141, <br />E?N°E>a: <br />1601 Belvedere Road, Suite 105S ADDRESS: WC@ compupay. com <br />West Palm Beach, FL 33406 <br /> INSURER(S) AFFORDING COVERAGE NAICa <br /> INSURER A : TRAVELERS <br />INSURED Townsend Public Affairs, Inc. INSURER B: <br /> INSURER C : <br />2699 White Rd. #251 INSURER D: <br />Irvine, CA 92614 INSURER E: <br />(949) 399-9050 <br /> INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL <br />INSR SUBR <br />ViVD <br />POLICY NUMBER POLICY EFF <br />MM/DD/YYYY POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br /> GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br /> ER <br />cOMMERCIAL GE <br /> 7 N <br />AL LIABILITY PREMISES Ea occurrence $ <br /> CLAIMS <br />MADE CI OCCUR <br /> ? - MED EXP (Any one person) $ <br /> PERSONAL & ADV INJURY $ <br /> I <br /> GENERAL AGGREGATE $ <br /> GENT AGGREGATE LIMIT APPLIES PER <br />- PRODUCTS - COMP/OP AGG $ <br /> <br />PRO- F <br />POLICY JE <br />? <br />C LOC <br /> <br />$ <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />Ea accident) <br />1 $ <br /> <br /> ANYAUTO BODILY INJURY (Per person) $ <br /> ALL OWNED <br />AUTOS SCHEDULED <br /> <br />I AUTOS BODILY INJURY (Per accident) <br /> <br />) $ <br /> HIRED AUTOS NON-OWNED <br />AUTOS PROPERTY DAMAGE <br />Per accident $ <br /> f <br />I <br /> UMBRELLA LiAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION $ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br />X <br /> AND EMPLOYERS' LIABILITY TORY LIMITS ER <br /> <br /> <br />A ANY PROPRIETORIPARTNER/EXECUTIVE YIN <br />I? <br />OFFICER/MEMBER EXCLUDED? I <br /> <br />N/A <br />UB113 6X53 9 <br />1/l/12 <br />1/l/13 <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br /> (Mandatory in NH) II-- <br />ib <br />If <br />d <br />d E.L. DISEASE - EA EMPLOYE $ 1,000,000 <br /> escr <br />yes, <br />e un <br />er <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1 , 00 0 , 0 0 <br /> i <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional A ul i ore 9t4re is required) <br />WAIVER OF SUBROGATION IS ATTACHED <br /> <br />I <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />PO BOX 1988 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Santa Ana, CA 92707 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> <br />I AUTHORIZED R SENTA <br />ACORD 25 (2010/05) <br />v ©1988-2010 ACOkP-160RPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD