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1+1'_�4M. 4-2 QA99 305CORDOCOR lilSeri r. IGJ7-►JI -------- --' ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) 1/19/2012 PRODUCER BB81T Insurance Services of Orange County 680 Langsdorf Drive Suite 100 Fullerton, CA 92831 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Cordoba Corporation 1401 N. Broadway Los Angeles, CA 90012 INSURER A: Sentinel Insurance Company, Ltd 11000 INSURER B: Everest National Insurance Co 10120 INSURER C: Property & Casualty Ins Co of H 34690 INSURER D: INSURER E: rnveo A r -cc v 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I LTR N TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ATE (MMIDD LIMITS A GENERAL LIABILITY 72SBACP3130 01/20/2012 01/20/2013 EACH OCCURRENCE $1000000 DAMAGE TO RENTED $1,000,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $10,000 CLAIMS MADE a OCCUR PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO s2,000,000 X POLICY JEa LOC C AUTOMOBILE X LIABILITY ANY AUTO 72UECUS9769 01/20/2012 01/20/2013 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) BODILY INJURY $ (Per person) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ X X HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY 72SBACP3130 01/20/2012 01/20/2013 EACH OCCURRENCE $5000000 AGGREGATE $5,000,000 X OCCUR FICLAIMS MADE $ $ IDEDUCTIBLE $ X RETENTION $ 10000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE CA20011117121 01/20/2012 01/20/2013 wG STATU- OTH- X E.L. EACH ACCIDENT $1 OOO 000 E.L. DISEASE • EAEMPLOYEE1 $1,00 000 QFFICERfME1gER EXCLUDED? (Mandatory In NH) E.L. DISEASE -POLICY LIMIT 1 $1,000,000 If yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Per form SS0008 04105 pages 11-13 of 24 attached, the following are named as Additional Insureds, as respects General Liability, as required by written contract. Additional Insureds: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702; Its officers, employees, agents and volunteers are named as additional Insureds with regard to liability and defense of suits arising from the operations and uses preformed by or on behalf of the named Insured. City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702-1988 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN M TO THE CERTIFICATE HOLDER NAMED TO. THE LEFT, BUT FAILURE TO DO 50 SHALL :E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE 400-im/ &OZA ACORD 25 (2009/01) 1 Of 2 #S8070243/M8064223 ® 1988-2009 ACORD CORPORATION. All rlgnts reservea. The ACORD name and logo are registered marks of ACORD LXMCN