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AC" V CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM /DD Y Y)
<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 terms 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 Edgewood Partners Insurance Center (EPIC)
<br />19000 MacArthur Blvd. PH Floor
<br />Irvine, CA 92612
<br />www.edgewoodins.com
<br />CONTACT NAME:
<br />PHONE A AIC No:
<br />E -MAIL ADDRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAIC If
<br />INSURER A: Crum & Forster Specialty Insurance Company
<br />4452
<br />INSURED
<br />The Planning Center, Inc
<br />Design Community & Environment
<br />dba: The Planning Center I DC &E X0
<br />3 MacArthur Place, Suite 1100 0/3 �/
<br />Santa Ana CA 92707 2-ED Y
<br />INSURER B: Travelers PropeU Casualty Company of America
<br />2
<br />INSURER C:
<br />EPK- 101527
<br />INSURER D:
<br />7/1/2014
<br />INSURER E:
<br />$ 51000,000
<br />INSURER F
<br />COMMERCIAL GENERAL LIABILITY
<br />COVERAGES CERTIFICATE NUMBER: 16749884 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 />INSR
<br />LTR
<br />rypE OF INSU RANCE
<br />INSR
<br />SUER
<br />POLICYNUMBER
<br />MMIDIDYIYE�
<br />MMIDDYMYPY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />,/
<br />,/
<br />EPK- 101527
<br />7/1/2013
<br />7/1/2014
<br />EACH
<br />$ 51000,000
<br />COMMERCIAL GENERAL LIABILITY
<br />�OCTCURRENCE
<br />PREMISES Ea occurrence)
<br />$ 50,000
<br />CLAIMS -MADE F✓ OCCUR
<br />MED EXP (Any one person)
<br />$ 5,000
<br />PERSONAL &Any INJURY
<br />$ 5,000,000
<br />V BI /PD Ded: $5,000
<br />GENERAL AGGREGATE
<br />$ 5,000,000
<br />GEN'L AGGREGATE
<br />LIMIT APPLIES PER:
<br />PRODUCTS - COMNOP AGG
<br />$ 5,000,000
<br />,/ POLICY
<br />PRO-
<br />LOC
<br />$
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />810 - 98273151 - TIL -13
<br />7/1/2013
<br />7/1/2014
<br />E0aacideDtsINGLE LIMIT
<br />$ 1000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per eccldant)
<br />$
<br />ROPERTY DAMAGE
<br />P Ora ccIdent
<br />$
<br />NON -OWNED
<br />HIRED AUTOS ✓ AUTOS
<br />B
<br />UMBRELLA LIAB
<br />OCCUR
<br />EX- 9B273151- TIL -13
<br />7/1/2013
<br />7/1/2014
<br />EACH OCCURRENCE
<br />$ 4,000,000
<br />AGGREGATE
<br />$ 4,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION$0
<br />Excess Auto & EL On
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'LIABILITY YIN
<br />ANY PROPRIETORIPARTNER/EXECUTIVE
<br />OFFICERIMEMBER EXCLUDED? F
<br />NIA
<br />U3- 98273151 - TIL -13
<br />7/1/2013
<br />7/1/2014
<br />WC STATU- OETM-
<br />TORY LIMITS
<br />E.L. EACH ACCIDENT
<br />$ 1000,000
<br />E.L. DISEASE EA EMPLOYEE
<br />$ 1000000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />•
<br />Pollution Liability
<br />EPK - 101527
<br />7/1/2013
<br />7/1/2014
<br />5,000,000 Each Claim /5,000,000 Aggregate
<br />•
<br />Errors & Omissions (Claims Made)
<br />EPK- 101527
<br />7/1/2013
<br />7/1/2014
<br />5,000,000 Each Claim /5,000,000 Aggregate
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach AC ORD 101, Additional Remarks Schedule, If more space Is req ul red)
<br />Re: Operations performed by the Named Insured for the Certificate Holder Professional Liability includes Errors & Omissions Coverage
<br />Certificate Holder is named as Additional Insured as respects General Liability per endorsement EN0147 11/11, which includes Primary and
<br />Non - Contributory wording and Waiver of Subrogation, and Auto Liability Additional Insured per endorsement CAT353 03/10.
<br />Subject to all policy terms, conditions and exclusions.
<br />Additional Insureds are to be listed as City of Santa Ana its officers araents. em to ees and volunteers
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />�r ^
<br />Aa TO Y'QRN1
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana APPROVED
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Attn: JUdy
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 CIVIC Center Plaza, M -20
<br />- {/
<br />Santa Ana CA 92701 - - —`"
<br />t.
<br />Laura Stt 817
<br />AUTHORIZED REPRESENTATIVE
<br />ti
<br />Assistant City Attorney
<br />Scott Lihme
<br />© 1988.2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />CERT NO.; 16749884 Kim Pechax 6/24/2013 1;35:37 PM Page 1 of 6
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