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RBFCO -1 OP ID: KH i4C�°.,R °? CERTIFICATE OF LIABILITY INSURANCE DATE(M/YYYY) 03/0077D112 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 hold@#'_Is a A D4TIQNAL'IN9URE , the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may requir an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ., 714 -! 08 -4370 United Captive Ins. Brokers 17151 Newhope St., Ste 211 714 -708 -2300 Fountain Valley, CA 92708 Mark Barrie CONTACT NAME: Pp,/HONN Ext : jNC, No): E -MAIL — — ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: United States Fidelity & 125887 TO FOR f I INSURED RBF Consulting 14725 Alton Parkway Irvine, CA 92618 INSURER B: Guaranty Company $ - -- INSURER C $ INSURER D: $ PERSONAL 8, ADV INJURY INSURER E: _— INSURER F: $ GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO- LOC COVERAGES CERTIFICATE NUMBER: REVISION NLIMRFR- 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. INSR LTR TYPE OF INSURANCE DDL U POLICY NUMBER POLICY EFF MM/DD /YYYY POLICY EXP MWDD/YYYY -- LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR _ 777 A ( / TO FOR f I I EACH OCCURRENCE $ PREMISES (Ea occurrence $ MED EXP (Any one person) $ PERSONAL 8, ADV INJURY $ _— GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO- LOC PRODUCTS - COMP /OP AGG $ $ 1 AUTOMOBILE LIABILITY ANY AUTO OWNED ALL OW SCHEDULED AUTOS AUTOS fff — NON -OWNED HIRED AUTOS AUTOS ) . U A /� \ �j'ky �) i 11 rh COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ AJr ( Per accident BODILY INJURY ) $ 'PROPERTY DAMAGE Per accident $ 1 i UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA D123WO0213 07/01/11 07/01/12 WC STATU- OTH- X TORY LIMITS ER E.L. EACH ACCIDENT ! O $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Re: Mater Dei High School - parking structure; RBF JN 10- 108391 CITYSAN City of Santa Ana c/o Clerk of the Council 20 Civic Center Plaza P.O. Box 1988 Santa Ana, CA 92702 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 i�1�G�9�rl�rl�J% U 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD