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<br /> <br /> <br /> <br /> '4CO CERTIFICATE OF LIABILITY INSURANCE si~6i2oIY2Y) <br /> <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 CONTACT Julie Wright <br /> NAME: <br /> Arroyo Insurance Services (A <br /> PONE IC No xt: (818)881-3000 A1C No: (818)881-3005 <br /> 6345 Balboa Blvd. Suite 145 1=-MAIL ADDRESS, <br /> License # 0735912 INSURER(S) AFFORDING COVERAGE NAIC# <br /> Encino CA 91316 INSURER A:Hartf ord Casualty Ins Co 9424 <br /> INSURED INSURER B : <br /> PCR Services Corporation INSURERC: <br /> 1 Venture Ste 150 INSURERD: <br /> INSURER E <br /> Irvine CA 92618 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER:GL2012 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 TYPE OF INSURANCE DL SUB POLICY EFF POLICY EXP LIMITS <br /> LTR Jum 2U11 POLICY NUMBER MMIDDIYYYY MMIDDIYYYY <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTE7_ <br /> X COMMERCIAL GENERAL LIABILITY PR <br /> EM SES (Ea occurrence $ 300,000 <br /> A CLAIMS-MADE I-XI OCCUR X 2SBAAK9084 4/27/2012 4/27/20'13 MED EXP (Any one person! $ 10,000 <br /> X Contractual Liability PERSONAL &ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEM'_ AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2,000,000 <br /> POLICY FPO LOC $ <br /> 17 MEINED <br /> AUTOMOBILE LIABILITY Ea accdent)'INtiL LIMI 1 000 000 <br /> ANY AUTO BODILY INJURY (Per person) $ <br /> A ALL OWNED SCHEDULED 2SBAAK9084 /27/2012 /27/2013 BODILY" INJURY (Per accident) $ <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE <br /> X HIRED AUTOS X AUTOS Peracadenti $ <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000. <br /> A EXCESS LAB CLAIMS-MADE AGGREGATE $ 5,000,000 <br /> DED RETENTION 2SBAAK9084 /27/2012 /27/2013 $ <br /> WORKERS COMPENSATION ~~-ppp~~~~ T1L YTAMT' OTR- <br /> AND EMPLOYERS' LIABILITY YIN A" V S TO FORM <br /> ANY PROPRIETOPIF'ARTNERIEXECUTIVE ? / / I E.L. EACH ACCIDENT $ <br /> OFFICERMEMBER EXCLUDED? NIA <br /> (Mandatory in NH) , E.L. DISEASE - EA EMPLOYE $ <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below EL. DISEASE -POLICY LIMIT $ <br /> . c ty AUWw <br /> DESCRIPTION .OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD.101, Additional Remarks Schedule, if more space is required) <br /> Environmental Consultants *30 Days notice of cancellation, except 10 days notice of cancellation for <br /> nonpayment of premium. Waiver of Subrogation applies if req. by written contract. City of Santa Ana its <br /> officers, employees, agents volunteers and representatives are additional insureds as their interest may <br /> appear are additional insured & Contractual Liability applies per the Business Liability coverage Form <br /> SS0008 & IH1200 attached to the policy. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> City Clerk <br /> 20 Civic Enter Plaza AUTHORIZED REPRESENTATIVE <br /> Santa Ana, CA 92701 <br /> --L <br /> B Maxwell CPCU/JULWRI l <br /> ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. <br /> INS025 (201005) 01 The ACORD name and logo are registered marks of ACORD <br />