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1 <br />ACORO® CERTIFICATE OF LIABILITY <br />INSURANCE <br />DATE(WMDD/Y YY) <br />PRODUCER Edgewood Partners Insurance Center (EPIC) <br />19000 MacArthur Blvd. PH Floor <br />Irvine, CA 92612 <br />(949) 2630606 <br />wvvw.ed evloodins.com 949 2630906 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED Planning Center, Inc <br />Design Community & Environment <br />dba: The Planning Center I DC &E <br />3 MacArthur Place, Suite 1100 <br />Santa Ana CA 92707 <br />INSURERA: Qnarn & Forster Specialty Insurance Company <br />LIMITS <br />NSURER B: T(aVBIef3 PTODBM_ Casualty Co of America <br />✓ <br />INSURER C: <br />7/1/2012 <br />INSURER D: <br />EACH OCCURRENCE <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IND(CATEO. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NSR <br />AD <br />MIR <br />TYPE OF IN—RANCIF POLICY NUMBER <br />POLICY EFFECTNE <br />POUCY EXPIRATION <br />LIMITS <br />A <br />✓ <br />GENERAL LIABILITY EPK- 100667 <br />7/1/2012 <br />7/1/2013 <br />EACH OCCURRENCE <br />S 5.000,000 <br />✓ COMMERCIAL GENERAL LIABILITY �', <br />CLAIMS MADE I—V] OCCUR <br />DAMAGE TO R <br />PREMISES (E,—' D e ) <br />MED EXP (Any one mm) <br />$ 50.000 <br />$ 5,000 <br />PERSONAL B ADV INJURY <br />$ 5,000,000 <br />✓ BUDD Oed: $5,000 <br />GENERAL AGGREGATE <br />S 5,000,000 <br />PRODUCTS - COMP /OP AGO <br />$ 5,000.000 <br />G_EN'L AGGREGATE LIMITAPPLIES PER: <br />POLICY PRO- LOC <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />610- 98273151 - TIL -12 <br />7/1/2012 <br />7/1/2013 <br />COMBINED SINGLE LIMIT <br />(E. ecadene <br />S 1,000,000 <br />��IPROR) <br />S <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />-vo <br />> AS V <br />*� <br />Oxyva <br />BODILY INJURY S <br />(Per w,6deni) <br />HIRED AUTOS <br />NON-OWNED AUTOS <br />Ap pRO\1 <br />PROPERTY DAMAGE <br />(P. R dd ,) <br />$ <br />— <br />tit, h e <br />- <br />GARAGE LIABILITY <br />gSSist <br />11, Cjty AtLO <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHERTHAN EA ACC <br />S <br />ANY AUTO <br />$ <br />AUTO ONLY AGG <br />B <br />EXCESSI UMBRELLA UABILRY <br />✓ OCCUR 7 CLAIMS MADE <br />E(- 6806N5611 -TIL12 <br />7/1/2012 <br />711/2013 <br />EACH OCCURRENCE <br />s 4,000,000 <br />AGGREGATE <br />S 4,000,DOO <br />Excess Auto & EL Only <br />S <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />B <br />WORKERSCOMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICEFUME 7 <br />EEXCLUDED? 7y <br />UB- 9B273151- TIL -12 <br />7/1/2012 <br />7/1/2013 <br />✓ WCSTATU- oTH- <br />E.L. EACH ACCIDENT <br />$ 1 OCO OOO <br />E.L. DISEASE- EA EMPLOYEE <br />$ 1000DOO <br />.n <br />(Md.w" 1. NIO <br />5I CIALP OVISICNS b.bw <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,D00 <br />OTHER <br />• <br />Pollution Liability <br />EPK- 100667 <br />7/1/2012 <br />7/12013 <br />5,000.000 <br />• <br />Errors & Omissions (Claims Made) <br />EPK - 100667 <br />7/12012 <br />7112013 <br />5,000,000 <br />B <br />Pro a /Business Personal Roe <br />660- 9B273151- TIL -12 <br />711/2012 <br />7112013 <br />$1,035,065 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Re: Operations performed by the Named Insured for the Certificate Holder <br />Certificate Holder is named as Additional Insured for General Liability Coverage including Waiver of Subrogation and Primary/NGn- contributory <br />Wording per attached EN0147 01111 endorsement. Certificate Holder is Additional Insured for Auto Liability per attached CA T3 53 06 09 endorsement. <br />Professinoal Liability includes Errors & Omissions Coverage <br />Additional Insured includes: City of Santa Ana, its officers, agents, employees and volunteers <br />City of Santa Ana <br />Attn: Judy <br />20 Civic Center Plaza, M -20 <br />Santa Ana CA 92701 <br />ACORD 25 (2909101) <br />- NO.: 1)5)1322 Jennifer 1.1ey 1/3/2012 1:15:0) PN P.ge 1 of 6 <br />SHOULDANYOF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED REPRESENTATIVE <br />Scott Llhme —� <br />®1988 -2009 ACORD CORPORATION. All rights reserved. <br />