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_ <br />'4 °R°® CERTIFICATE OF LIABILITY INSURANCE 76i D/26/2oVDDIY2 YYY) <br />12 <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 endorsement(s). <br />PRODUCER CONTACT <br />NAME: Rich Higgins <br />Bannister & Associates Insurance Agency Inc. PHONE (714) 536-6086 FAC o: (714) 536-4059 <br />CA License #0691071 E-MAIL ADDRESS. <br />305 17th Street INSURERS AFFORDING COVERAGE NAIC# <br />Huntington Beach CA 92648-4209 INSURERA:AXis Surplus Insurance Co. <br />INSURED INSURER B : <br />Townsend Public Affairs, Inc. INSURER C: <br />2699 White Road, Suite 251 INSURER D: <br />Irvine CA 92614 INSURER F <br />COVFRAC.FA rPDTICId ATC U11ue10nAA-+--, ..?....._.. _.....___ <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 />, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFF <br />MWDD/YYYY POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE S <br /> COMMERCIAL GENERAL LIABILITY A <br /> <br />- PR EMISES Ea occurrence S <br /> CLAIMS-MADE F <br />1 OCCUR MED EXP (Any one person) S <br /> PERSONAL & A <br /> DV INJURY S <br /> GENERAL AGGREGATE S <br /> <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG S <br /> <br />RO LOC <br />POLICY PJFCT <br />S <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident $ <br /> ANY AUTO BODILY INJURY (Per person) S <br /> ALL OWNED SCHEDULED <br /> AUTOS AUTOS BODILY INJURY (Per accident) S <br /> HIRED AUTOS <br />AVONOWNED <br />PROPERTY DAMAGE <br />S <br /> Per acddent <br /> 5 <br /> UMBRELLA LAB OCCUR EACH OCCURR <br />N <br /> E <br />CE $ <br /> EXCESS LAB CLAIMS-MADE AGGREGATE S <br /> <br /> DED RETENTION $ $ <br /> WORKERS COMPENSATION V v C STATU- OTH- <br /> AND EMPLOYERS' LIABILITY Y I N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? ? <br />NIA E.L. EACH ACCIDENT S <br /> (Mandatory in NH) <br /> <br />describe under E.L. DISEASE - EA EMPLOYE S <br /> D <br />SCRIPTION OF OPERAT!ONS b <br />l <br /> _ <br />ow <br />e El _ DISEASE- POLICY LIMIT S <br />A Professional Liability CN000036191201 /31/2012 /31/2013 Lirrt(each acthotallimit): $1,000,000 <br /> (Claims-made form) ? <br />etroactive date: 7/31/02 Deductible (each wrongful act). $5,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br /> <br /> <br />City of Santa Ana <br />Attention: Alma Flores <br />PO Box 1988 <br />Santa Ana, CA 92707 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Higgins/RICH - (ZA -&- 3 --td-r- C).-I <br />-_ 1-,,,,,,,/ (9 1988-2010 ACORD CORPORATION. All rights reserved. <br />INS025 poloo6) o1 The ACORD name and logo are registered marks of ACORD