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ACC>R" CERTIFICATE OF LIABILITY INSURANCE 16 ? DATE (MM/DD/YYYY) . 11/22/2012 4/26/2012 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 Lockton Insurance Brokers, LLC CONTACT NAME: 725 S. Figueroa Street, 35th Fl. PHONE FAX ac No CA License #OF 15767 E-MAIL Los An eles CA 90017 ADDRESS: g (213) 689-0065 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Vi ilant Insurance Company 20397 INSURED Best Best & Krieger LLP INSURER B : 20281 1312669 3750 University Ave., 3rd Floor INSURER C : Hartford Accident and Indemnity Company 22357 Riverside CA 92502 INSURER D : INSURER E : INSURER F : GUVI'KALitJ KI-,NKl-111 W) CFRTIFICOTF NI IMRFR• I I /h/ I 11 0C111CIAAI 4111I1ADC0. YYYVYYY 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD INSR SUBR WV POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY Y N 35894252 11/22/2011 11/22/2412 EACH OCC RREN X MMERCIAL GENERA -LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,0 0 CLAIMS-MADE OCCUR MED EXP An one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s Included POLICY PRO LOC JECT $ B AU TOMOBILE LIABILITY N N 73555244 11/22/2011 11/22/2012 CUME31NED SINGLE LIMIT (Ea accident) $ 1 000 , ,000 ANY AUTO BODILY INJURY (Per person) $ XXXXXXX I ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY Per accident $ XXXXXXX x HIRED AUTOS X AO TON-OWNED PROPERTY DAMAGE (Per accidpratl $ XXXXXXX $ XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB HCLAIMS-MADE AGGREGATE $ XXXXXXX DED RETENTION $ $ XXXXXXX C WORKERS COMPENSATION N _ UIH AND EMPLOYERS' LIABILITY Y/N 72 WE DQ2237 4/1/2012 4/1/2013 X TORY LIMT 1 ER ANY PROPRIETOR/PARTNER/EXECUTIVE - E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E Y 1 N I A . . 1.000,000 (Mandatory in NH) E L DISEASE - EA EMPLOYEE $ 1 000 000 If yes, describe under . . , , DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Santa Ana, its officers, employees and agents are Additional Insured to the extent provided by the policy language or endorsement iSs&6 or approved b y the insurance carrier. Coverage provided is primary and non-contributory. Waiver of Subrogation applies per attached endorsement(s). LERTiFIGAI t HOLDER CANCELLATION See Attachments l.rt SHOULD ANY OF THE ABOVE DESCRIBED POLICIES'BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BC)DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. j.. W 1176717 AUTHORIZED REPRESENTATIVE City of Santa Ana Attention: City Manager 20 Civic Center Plaza Santa Ana CA 92701 ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD c 1 ggg_ 0 ORD CORPORATION. All rights reserved