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!`IlnnHf• 47 ,OA11 snsr-nRnnr-nR ACORD,CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDlYYYY' 1 9/25/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER BB&T Insurance Services of Orange County CONTACT NAME: ChristyMata _ PHONEFAX— A/C, No Ext): 714 578-7370 AIC, No): E-MAIL ADDRESS: CMata@bbandt.com 680 Langsdorf Drive Suite 100 Fullerton, CA 92831 INSURER(S) AFFORDING COVERAGE NAIL R INSURER A: Lloyds of London FOREGN INSURED Cordoba Corporation 1401 N. Broadway Los Angeles, CA 90012 INSURER B: INSURER C INSURER D INSURER E INSURER F: COMMERCIAL GENERAL LIABILITY COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CONTRACTOR 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EX MM/DD LIMITS GENERAL LIABILITY EEAA(Cy�HH OCCURRENCE S COMMERCIAL GENERAL LIABILITY PREMISES EaEo NTE enceE CLAIMS -MADE 71 OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S POLICY PR7 LOC JE S AUTOMOBILE LIABILITY ,��, i' /.' -_ ,'. i '; i : �.-! �) F t. t. .'�1 COMBINED SINGLE LIMIT a accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS �__ - BODILY INJURY (Pet accident) $ � NON -OWNED HIRED AUTOS AUTOS~� _ _ _ _ I -----� PROPERTY DAMAGE ! Per accident) $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S _ AGGREGATE S EXCESS LIAO CLAIMS -MADE DED_ RETENTION E $ WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS• LIABILITY YIN ANY PROPRIETORrPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A _ ER E.L. EACH ACCIDENT E E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) Hs, describe under DESCRIPTION OF OPERATIONS helaw E.L. DISEASE - POLICY LIMIT $ A Professional Liab B0621PCOR03212 9/27/2012109/27/2013 $1,000,000 Per Claim/Ag "Claims Made" Ded: $25,000 Per Claim DESCRIPTION Of OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) Verification of Insurance City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702-1988 ACORD 25 (2010105) 1 of 1 #S9271302/M9267635 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ZA ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LXMCN