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Q® DATE (NaVDDmryY) <br />CERTIFICATE OF LIABILITY INSURANCE 9/27/2011 <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: K the certificate holder Is an ADDITIONAL INSURED, the pollwAles) mutt be endorsed. If SUBROGATION IS WAIVED, subled to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate doer not confer rights to the <br />certificate holder In lieu of such endorsement a . <br />PRODUCER <br />GLMMA= INSURANCE AGO=, INC. <br />601 E GLENOAKS BLVD, SUITE 100 <br />P. 0. BOX 831 <br />QLZNDALa CA 91209 -0831 <br />Julie Tssughber <br />PHONE (818)244 -1144 not, Iele)2N,o -sou <br />jalielglandaleins.con <br />INSUREMI AFFORDING COVERAGE <br />NAIC0 <br />eau A:Qenerai Insurance Ccavany <br />4732 <br />INSURED <br />Phoenix Group Information Systems <br />2677 N. Main Street, Suite 400 <br />Santa Ana CA 92705 <br />aeuREn States Ins. Co. <br />9704 <br />19445 <br />INSUREFIC:C41pital SZNSCi&ltY Ins. Co <br />0315 <br />msuRsRoAational Union Fire Ins. Co. <br />INSURER E: <br />EACH OCCURRENCE <br />YNeuRER P: <br />COVERAnFE r_P0T1FIe'ATS: M11URr -R- 5.1122702586 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 PER10D <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 />TYPE OF INSURANCE <br />JOL <br />20111. <br />POLICY N Ma611 <br />P <br />UNITS <br />OSNQRAL LIABILITY <br />EACH OCCURRENCE <br />i 1,000,000 <br />S 11000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />A <br />CLAIMS -MADE ❑X OCCUR <br />X <br />X <br />24CC29137810 <br />0/1/2011 <br />D 11/2012 <br />LEDEXP one ) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />S 11000,000 <br />GENERAL AGGREGATE <br />S 2,000,000 <br />PRODUCTS • COMP/OP AGG <br />$ 2,000,000 <br />DEWL AGGREGATE LIMIT APPLIES PER: <br />S <br />X POLICY PRO- LOC <br />AUTOMOBILE <br />LIABILITY <br />WddKdl <br />2 1,000,000 <br />BODILY ONJURY (Per Person) <br />S <br />A <br />ANY AUTO <br />ALLOYNNED SCHEDULED <br />AUTOS AUTOS <br />X <br />X <br />24CC29837810 <br />101111011 <br />0/1/2011 <br />BODILY INJURY (Per saident) <br />$ <br />P6RTY <br />P <br />S <br />X <br />HIRED AUTOS X NON•OWN50 <br />AUTOS <br />S <br />UMBRELLA LIAS <br />OCCUR <br />EACH OCCURRENCE <br />III <br />AGGREGATE <br />S <br />EXCESS LIAB <br />CLAVMS -MADE <br />D RETENTION <br />B <br />WORKERS COMPENSATION <br />AIND EMPLOYSRS' LIAe1LTTY <br />ANY PROPRIETOPARTNERIEXECLMVE YIN <br />W <br />OFRCERIVEMBER EXCLUDED? <br />(may In NH1 <br />Un, describe under <br />SCFHPr0N OF OPERATIONS <br />NIA <br />X <br />0INC10616060 <br />0/1/2011 <br />0 /f. /2012 <br />/ <br />X A - <br />E.L EACH ACCIDENT <br />S L. 000 000 <br />E.L. DISEASE - EA EMPLOYEE <br />S 1 000 000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />C <br />Errors i Oeismione Liab. <br />SOCOL74702 <br />011/7011 <br />0/1/2012 <br />$2,500deduoy le 1,000,000 <br />D <br />Cosolercial Crime Coverage <br />11783686 <br />0/1/2011 <br />9/1/2012 <br />325,00deducM 110000000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEI*CLEe (AMech ACORD 101, AddMWM RMnwVA Seh6000, N Rims pme Is npJ,so <br />It is agreed that the City of Santa Ana, its officers, employees, agents, volunteers and representatives <br />are named Additional Insureds per fore CO2026 (07/04) attached. It is also agreed that this insurance in <br />primary and non- contributory. <br />APPROVED AS TO FORM <br />c--,Q - / �. nn <br />SHOULD ANY OF THE ABOVE DE>P6l14�LED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE LIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attention: Yolanda Bautista <br />60 Civic Center Plaza AUTHORED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />Clovis Traughber /0134 LAG <br />ACORD 25 (2010/05) O 1988 -2010 ACORD CORPORATION. All rights reserved. <br />INS025 (2oioos).w The ACORD name and logo are registered marks of ACORD <br />