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A`CbRe CERTIFICATE OF LIABILITY INSURANCE <br />DATE (M0 MIDONYYY) <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 terns 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 <br />Cornerstone Specialty Insurance Services, Inc. <br />14252 Culver Drive, A299 <br />Irvine CA 92604 <br />Aimee La Rue <br />PHONE (714)731 -7700 (714) 731-7760 <br />.Aimee@ corners tonespecialty. con <br />INSURE s AFFORDwc COVERAGE <br />NAIIC r <br />INSURERAk,valnston Insurance Company <br />5378 <br />INSURED <br />MURTAUGH MEYER NELSON & TREGLIA, LLP <br />2603 Main Street, 9th Floor <br />Irvine CA 92 614 <br />INSURER 8: <br />Santa Ana, CA 92701 <br />INSURER C : <br />EACH OCCURRENCE <br />INSURER O: <br />DAMAGE TO RENTED <br />INSURER E: <br />MED EXP An one person) <br />1 INSURER F: <br />PERSONAL dADVINJURY <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />MR <br />TYPE OF INSURANCE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />R <br />City of Santa Arta <br />Lain S <br />GENERAL LIABILITY <br />HCOM" E RCAL GENERAL LIABILITY <br />LAIMS -MADE F-1 OCCUR <br />Attn: Thao Vu <br />20 Civic Center Plaza, M16 <br />, 'y <br />i.., <br />Santa Ana, CA 92701 <br />-- <br />Aimee La Rue /AIMEEL <- c•�.._�_ ) - - <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />$ <br />MED EXP An one person) <br />$ <br />PERSONAL dADVINJURY <br />S <br />GENERAL AGGREGATE <br />S <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY 7 PRO- LOC <br />PRODUCTS - COMPIOP AGG <br />S <br />$ <br />AUTOMOa1LE LIABILITY <br />. <br />� AUTO <br />AALLOOWNED SCHEDULED <br />NON-OWNED <br />HIRED AUTOS <br />P xy <br />Y� <br />t .';S: �l �� <br />0 � <br />0 <br />OtQ <br />(Ea acc. ident) <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per auadent) <br />S <br />DAMAGE <br />s <br />$ <br />UMBRELLA UA13 <br />EXCESS LIAa <br />OCCUR <br />MSDE <br />CW�UI <br />P►flsi' <br />/ <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />S <br />WORKERS COMPENSATION <br />A EMPLOYERS* LIABILITY <br />ND <br />ANY PROPRIETORMARTNERIEXECUTIVE � <br />OFPICERIMEMBER EXCLUDED? <br />(Mandabry in NM <br />BDESCRIPTION OF OPERATIONS below <br />MIA <br />S A U - O H- <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE . EA EMPLOYE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />PROFESSIONAL LIABILITY <br />Claims Made <br />- 806183 <br />/14/2012 <br />/14/2013 <br />EACHCLAIM $1,000,000 <br />ANNUAL AGGREGATE $3,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddlUmal Ranks Schedule, If more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br />tvu@santa-ana.org <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 />City of Santa Arta <br />FMSA- Purchasing Div /Accts Payable <br />AUTHORIZED REPRESENTATIVE <br />Attn: Thao Vu <br />20 Civic Center Plaza, M16 <br />Santa Ana, CA 92701 <br />-- <br />Aimee La Rue /AIMEEL <- c•�.._�_ ) - - <br />(_� ?��°r� z <br />ACORD 25 (2010/05) ®1988 -2010 ACORD CORPORATION. All rights reserved. <br />INSA2S r;�mnnsl ni Tt.o aCr1Rr1 name and Innn am raniefara l mar4e of Ar-npn <br />