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ACOROI <br />® CERTIFICATE OF PROPERTY INSURANCE °02ATE /13/2012 <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 BELOW. <br />THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />If this certificate is being prepared for a party who has an insurable interest in the property, do not use this form. Use ACORD 27 or ACORD 28. <br />PRODUCER CONTACT <br />NAME <br />AOn Risk Insurance Services West, Inc. PHONE FAX. No.): <br />Los An eles CA Office (A/C. No. Ext): (AlC(866) 283-7122 (847) 953-5390 <br />gg <br />707 wilshire Boulevard E-MAIL <br />A D <br />Suite 2600 PRODUCER 570000051058 <br />Los Angeles CA 90017-0460 USA CUSTOMERID#: <br />INSURED INSURER A: Federal Insurance Company ZUZ81 <br />Tiburon, Inc. INSURER B: <br />6200 Stoneridge mall INSURER C: <br />Pleasanton CA 94588 USA INSURER D: <br />INSURER E: <br />INSURER F: <br />_---- _---- .-..? _ C7nnAC7G940C --^--11aan?n. <br />LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if mom space is required) <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 POLICY NUMBER POLICY EFFECTIVE <br />DATE (MM/DD/YYYY) POLICY EXPIRATION <br />ATE (MM/DDIYYYY COVERED PROPERTY LIMITS <br /> PROPERTY BUILDING <br /> CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY <br /> <br />BASIC <br />BUILDING INC <br />Bw/ol Extra Expense <br /> BROAD EXTRA EXPENSE <br /> <br /> <br />SPECIAL CONTENTS <br />RENTAL VALUE <br /> BLANKET BUILDING <br /> EARTHQUAKE <br /> BLANKET PIERS PROP <br /> WIND <br /> <br /> FLOOD BLANKET BLDG & PP <br /> <br /> <br /> X INLAND MARINE TYPE OF POLICY X Any Job Site $5,000,000 <br /> <br />C <br />SES OF LOSS installtn Flotr <br /> A U POLICY NUMBER <br />A NAMED PERILS 35911023 09/01/2011 09/01/2012 <br /> X All Risk <br /> CRIME <br /> TYPE OF POLICY /I <br /> <br /> BOILER & MACHINERY/ <br />MEL . C <br />HW -ITE <br /> EQUIPMENT BREAKDOWN Deputy city jtOI71e <br /> <br /> <br />SPECIAL CONDITIONS / OTHER COVERAGES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) <br /> <br />C <br />'C <br />IH <br />t~ <br />'o <br />W <br />00 <br />00 <br />00 <br />O <br />rv <br />Lr' <br />c:) <br />O <br />t` <br />W <br />m <br />Z <br />W <br />Q <br />V <br />U. <br />N <br />W <br />V <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />City of Santa Ana <br />Attn: Lori Smith <br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 USA <br />,y//1Z l%%V ??$ ??d I%G[Aj Vw <br />© 1995-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 24 (2009/09) The ACORD name and logo are registered marks of ACORD