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09/25/2012 11:39 3103469525 <br />PAGE 02 <br />AG471/2 r 4 CERTIFICATE OF LIABILITY INSURANCE 9/23/201?YYY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE 0055 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 cortlRpRto holder Is an ADDITIONAL INSURED, (no pollcy(los) most bo endorsed. If SUBROGATION IS WAIVED, oubjont to <br />the torahs end oondlllons of UT* polloy, certain policies may raqulre An eodorsomant. A sletemanl on this certificate doen not confer tights to Ih0 <br />certlNaste holder In lieu of much andoraemont a , <br />PRODUCER E. STEPHANIE ROCKWELL-MERCHANT <br />CAIQVO INSURANCE AGENCY ( 6 310 348-9525 <br />0 ' s Es c NP:( ) <br />8939 3 Sopulvada Blvd $to 410 tFL no RESS:roc weal@nationwide.oom <br />Los Angeles, CA 90045 <br />- <br />c s_r„lq ep 04 0029790 <br />Lioenge# 1040029790 NEVRERir) AEFORCem COMAOE NAIOP <br />INSURED ARC MID CITIES INSURERA:PHILADELPHIA INDE ITY INS, CO 180 TO <br /> INSURER D _ <br />14208 Towne Avenue INSURER C; <br />Loa Angeles, CA 90061-2653 NSURER D: <br /> NSURER E <br /> INSURCR P: <br />INDICATED. NOTWITHSTANDING ANY REOUIREMENT, 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 />EXOLUVONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />[NO TYPE OF INSURANCE m. <br />Ns avex <br />pVe <br />POLICY UMDE lu vv <br />U WNW <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> 1t COMMERCIAL OFNERAL LIABILITY PREMISES (Ea •aGCUYenae) 8 100, 000 <br /> CLAIMS-MADE ©OCCUR _ <br />MEO EXh(Any OM Perron) $ 1 0 <br />A PHPK896661 /1912012 7/1.9/2013 PER80NAL4,ADVINJVRY $ + + <br /> GENERAL AGGREGATE $ 1 1 <br /> GENL AGGREGATE LIMIT APPLIES PER; PRODUCTS. COMP/OP AGO $ / I <br /> POLICY F 0 LOC $ <br /> AUT OMOBILE LIABILITY DOMSINED SINGLE LIMIT <br />(He 6001dnn) $ <br /> ANYAUTO <br />BODILY INJURY (Per Pnrean) <br />$ 1,-0'U-0'0 <br /> <br />p ALL OMCO AUTOS <br />PHPK924273 <br />9/23/2012 <br />9/23/2013 BODILY INJURY (Per soddnm) $ 2,000,000 <br />' <br /> <br />R SCHEDUIR.O AUTOS <br /> <br />HIRED AUTOS <br />PROPERTY DAMAGE <br />(PM AroHMO , <br />$ <br /> NON.OWNED AUTOS S <br /> <br />` 5 <br /> $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 <br /> <br />A <br />W(CEBS LIAR <br />CLAIMS•MAOE PHUB390722 OT/%9/2012 OY/39/2619 <br />AGGREGATE <br />$ + + <br /> DEDUC08LE APPROVED AS O 1'041 " 8 <br /> <br />E%a4unap1 <br />Y?IN/A I I ' Yr <br />1.1 rlWl•AItlbA4F1HIA NAIwtut1 y'IyYA0y0001 /.?+/'"`° V?/VVV/4VV <br />A. 2,)SEXUA MISCONDUCT PHPK696661 T/i9/201z7/19/2013 $1,000,000/$2,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Allsoh ACORO 101, Addllional Remedtn SCIMUir, If more 6PRC913 regOkmd) <br />,xim CITY OF SANTA ANA, ITS OFFICERS, Elr]PSAYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES <br />ARENAMDAS ADDITIONAL INSURLID(S), 47AIVER OF SU9ROGATION IS IN FAVOR OF THE CITY OF SANTA ANA, <br />ITS OFFICERS, EMPLOYEES, AGENTS, AND THEIR RESPECTIVE INSURERS, <br />CERTIFICATE HOLDER CANCELLATION <br />CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLIOIES BE CANCELLED BEFORE <br />220 S. DAISY AVENUE ,TN E1FPI TUN DATE THEREOF, NOTICE WALL BE DELIVERED IN <br />SANTA ANA, CA 9270 ACCO ANOE TH THE POLICY PROVISIONS. <br />DANELL 14ERCA00 <br />ACORD26(2009/09) The ACORD nnmo and logo are registered marks of ACORD