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n t'U—**- 19GGA21 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDWYYYY) 1/18/2013 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON' THE CERTIFICATE HOLDER: THIS CERTIFICATE DOES NOT AFFiRMAVVELY.OR NEGATIVELY AMEND, EXTEND OR ALTER THE. COVERAGE AFFORDED BY THE:POLICIES BELOW. THIS CERTIFICATE OF SURANCIE-DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED NV REPRESENTATIVE OR PRODUCER, AND TW&AtAdMEROLDEft. IMPORTANT; if the certificate: holder is an ADDITIONAL INSURED, the poileyoss) must be endorsed. it SUBROGATION IS WAIVED, subject to the terms and conditions of the policy; ee0ain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endoreernenE(s}. PRODUCER BB&T Insurance Services of Orange CountyE-MAIL - - 680 Langsdorf Drive Suite. 100 Fullerton, CA 92831 . - NAME: Christy iu{ata PNN . 714 578-7370 M'No ; - ADDRESS: INSUREAFFORDWGCOVERAGE NAIC TlP: Casual•T . Co ' 25674 INSURER A :. Travelers roM Pet'h� - ' INSURED Cordoba Corporation 1401 N. Broadway Los Angeles, CA 90012 WSIIRER B WSURER C INSURER 0': INSURER E. , INSURER F; GENERAL AGGREGATE 52,000 000 COVERAGES GERTIFiCATE NUMBER: REVISION: NUMBER: THIS IS TO CERTIFY THAT THE POLICIES: OF, 11 SURANCE LISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE :POLICY PERIOD INDICATED. NOTWITHSTANDING :ANY 'REOUIRENIENT, 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 POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY RAID CLAIMS. INSR LTR _ TYPE OF INSURANCE =96tuvalm AUTHORIZED REPRESENTATIVE - - POLICY NUMBER . POLICY EFF- - POL PO--CEXP M ICY YE . - LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE I OCCUR 6306C828155113 - - 1/2012013 1[11/20/26114 - - EACH . $1,000,000 ApGG�Eary'IOCCUR��RENCCE IS PREMrtDence 000 ,000 MED EXP (Any one rson) $5 OW PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE 52,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC JEW F� -PRODUCTS - COMP/OP AGG .. $ 2,000,000 $ A AUTOMOBILE X X LIABILITY - ANY AUTO ALL OWNED SCHEDULED..- AUTOSAUTOS - HIRED AUTOS X AUTOS ED 8106682815113 - - 1/20/2013 - 01/20/201 _, -. Eae m� L LIMIT1,000,000 BODILY INJURY (Per person) $ - - BODILY INJURY (per accident) $ _ PeoPEaaRDAMAGE $ A X UMBRELLA UAB EXCESS LIAR X OCCUR CLAIMS -MADE CUP6C82815113 1/2012013 011=2014EACH OCCURRENCE $10000000 AGGREGATE $10,000,000 OED RETENnON $ $ A WORKERS COMPENSATION AND EMPLOYERS LOABILITY ANY PROPRIETORIPARTNEWEXECUTIVE Y 1 N OFFICEWMEMBER EXCLUDED? a (Mandatory 1n NH) It yes, describe under DESCRIPTION OF OPERATIONS below N I A UB6C87099213 - 1/20/2013 01/20/201 . X wosTATU- OVI E.L. EACH ACCIDENT - $1 '000,000 E.L. DISEASE- EA EMPLOYEE $1,000,000 E.L. DISEASE- POUCY UNIT $1,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS t VEHICLES -(Attach ACORD.101, Add Fiona ROMWM Schedule, N rnore space Is required) - - - Certificate Bolder is named as Additional insured,. as respects General Liability, 'as required by written contract per the attached form CGD41404:08 pg 1 and 2.of 2. Additional Insured amended to include the following: 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 aiising from the.operations and uses preformed by or on behalf of the named insured. rcoTtmPA-rc un1 ncc . Ilk) ^Aklr=l r Arrn&r City of Santa Ana 20 Civic Center Pfaza/aUT2 Stitt Shelc�� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEIREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92702-1988 , r-,nt City Attorne,v AUTHORIZED REPRESENTATIVE - - 0 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S9833961/M9833860 LXMCN �y 4