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ACORD® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDIYYYY)
<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 SullivanCurtisMonroe Insurance Services
<br />251 S. Lake Ave., Suite 150
<br />Pasadena, CA 91101
<br />CONTACT NAME: Isela Carrill
<br />PHONE (AIC, No Ext :626-683-6124 FAX A/C No : 626 - 792 -6111
<br />E
<br />GENERAL LIABILITY
<br />E -MAIL ADDRESS: I rrlll0 sullicurt.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />6/112012
<br />INSURER A: Depositors Insurance CQm n
<br />2 7
<br />www.SulIivanCurtisMonroe.com License # OE83670
<br />INSURED
<br />Parking Concepts, Inc.
<br />dba Transportation Concepts
<br />INSURER 8: American Casualty Company of Reading, PA
<br />20427
<br />INSURER C: Scottsdale Insurance Company
<br />41297
<br />INSURER D: Fire Insurance Company
<br />12 Mauchly, Building I
<br />92618
<br />INSURER E: Columbia Casualty Company
<br />3 1127
<br />Irvine CA
<br />INSURER F:
<br />$ 1,000,000
<br />COVERAGES CERTIFICATE NUMBER: 14502022 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 />ILTR
<br />TYPE OF INSURANCE
<br />INSR
<br />SUER
<br />POLICY NUMBER
<br />MMIDDY�
<br />MM /DDfYYYY
<br />LIMITS
<br />E
<br />GENERAL LIABILITY
<br />�/
<br />✓
<br />4034901943
<br />6/112012
<br />6/1/2013
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE a OCCUR
<br />DAMAGES(RENTED
<br />PREMISES R occurrence)
<br />$ 100,000
<br />MED EXP (Any one person)
<br />$ Excluded
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />✓ GL & GKLL
<br />GKLL per Loc$1,000,000
<br />GKLL Max p /auto $250,000
<br />✓
<br />Ded $5.000 p /occ/loss
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'LAGGREGATELIMITAPPLIESPER:
<br />PRODUCTS- COMPlOPAGG
<br />$ 2,000,000
<br />POLICY PRO / LOC
<br />GKLL - A re ate
<br />$ $10,000,000
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />✓
<br />BA7815084403 (Auto)
<br />611/2012
<br />6/1/2013
<br />COMBINED INGLE LIMIT
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS ✓ AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />V/
<br />NON -OWNED
<br />HIRED AUTOS ✓ AUTOS
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />$
<br />✓
<br />Comp Ded $1,000
<br />✓
<br />$
<br />Coll Ded $1,000
<br />C
<br />UMBRELLA LIAB
<br />✓
<br />OCCUR
<br />✓
<br />XLS0082523
<br />6/1/2012
<br />6/1/2013
<br />EACH OCCURRENCE
<br />$ 25,000,000
<br />AGGREGATE
<br />$ 25,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />$
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR /PARTNER /EXECUTIVE
<br />OFFICER /MEMBER EXCLUDED? �
<br />N /A
<br />✓
<br />4066808769
<br />6/1/2012
<br />6/1/2013
<br />WCSTATU- Oj7H-
<br />TORY LIMITS ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />B
<br />Automobile Liability Including
<br />Scheduled Autos
<br />Hired & Non -Owned Autos
<br />4022918108 (Bus)
<br />6/1/2012
<br />6/1/2013
<br />I
<br />Combined Single Limit $1,000,000
<br />Liab Ded $50,000 p /accd w /Physical Dmg
<br />Como Ded $10,000 / Coll Ded $10,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) S14
<br />Re: Location # 486 Santa Ana Lot 721 (3rd and Broadway) 201 W. Third St, # 487 Santa Ana Lot 722 (Fiesta Market) 300 E F th 0
<br /># 488 Santa Ana Lot 723 (Third and Birch) 310 N. Birch, #489 Santa Ana Lot 724 (Fifth and Main) 420 S. Main in S a1�n 9 7 d_
<br />#539 215 E. 3rd St. Santa Ana, CA 927010
<br />City of Santa Ana Community Development Agency is additional insured per the attached forms
<br />Cancellation is 30 days with exce tion of 10 da s due to Non -Pa ment r 1
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />City of Santa Ana
<br />r �}}VV
<br />SHOULD ANY OF THE OVE DESC�` OLI'CFES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEP,86�' TICE WILL BE DELIVERED IN
<br />Community Development Agency
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Administrative Services Division
<br />20 Civic Center Plaza, M25
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92701
<br />Isela Carrillo
<br />ACORD 25 (2010/05)
<br />©1988 -2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />CERT NO.: 14502022 CLIENT CODE: PARKC Isela Carrillo 10/23/2012 3:52:57 PM Page 1 of 8
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