CATHY MOREHEAD AND ASSOCIATES 3C-2013

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. ls. R CERTIFICATE OF LIABILITY INSURANCE I ` --? DATE 2 7/23/2012 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(les) 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 CONTACT Kim Hutchinson JD Fulwiler & Co. Insurance, Inc. PHONE (503) 293-8325 FAX (503)293-5418 C.Naim 5727 SW Macadam Ave 'MAIL Appgrss.khutchinson@Jdf PO BOX 69508 INSURERS AFFORDING COVERAGE NAICX Portland OR 97239 INSURER A:Amer i can Casualty Cc INSURED INSURER B : Cathy Morehead + Associates INSURER C: 2409 N Valencia St N-2012-119 INSURER D: INSURER E : Santa Ana CA 92706 INSURER F, COVERAGES CERTIFICATE NUMBER-2012 to 2013 REVISION NUMBER: 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 TYPE OF INSURANCE ADOL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMA GE TO RENTED MIaE .c $ 3 00 , 0 00 A CLAIMS-MADE ? OCCUR X 4023017254 /1/2012 9/1/2013 MEDEXP An one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 4,000,000 X POLICY PRO- LOC $ AUTOMOBILE LIABILITY C, socId DSINGLE LIMIT 11000,000 A ANY AUTO BODILY INJURY (Per person) $ ALLOWNED AUTOS SCHEDULED AUTOS X 4023017254 9/1/2012 9/1/2013 BODILY INJURY (Per accident) $ X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per pol;1dent) S UMBRELLA UAS OCCUR 0 EACH OCCURRENCE EXCESS LIAB H CLAIMS-MADE f"y I AGGREGATE $ DED RETENTION (Jr? v 1/ $ WORKERS COMPENSATION ' - WC STATU- 10g- AND EMPLOYERS LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? ? (Mandatory In NH) NIA E.L. DISEASE - EA EMPLOYE $ It yes, describe under C, DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMB $ DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702; it officers, employees, agents and volunteers are named as Additional Insured's and defense of suits arising fom he operations and uses performed by or on behalf of the named insured per S9-146932- D attached. This insurance is considered primary and non contributing to any held by the Additional Insured if a wrtten contract stating this is in effect. CFRTIFICATF Hf71 nFR CANCFLLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE Rim Hutchinson/KIM3 ACORD 25 (2010105) INS025 (201005).01 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD