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MBNSE-1 OP ID: DN <br />CERTIFICATE OF LIABILITY INSURANCE D <br />AT <br />DIYYYY) <br />eirld <br /> 0 <br />4 <br />104 <br />04!04!13 <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 916-773-3800 NAME: <br />ISU/Francis-Pinney Ins. 916 <br />773 <br />4484 PHONE <br />- <br />- <br />2266 Lava Ridge Court Ste 200 ac IN Eat : Ic Not <br />P.O. Box 619050 bWAIL <br /> ADDRESS: <br />Roseville, CA 95661-9050 <br />Bruce Winning INSURER(S) AFFORDING COVERAGE NAICr <br /> INSURERA: Hartford Insurance Group 22357 <br />INSURED MEN Services Inc. Philadelphia Insurance Corn pan <br />INSURER B <br /> : <br />dba: Bob Murray &Associates <br />1677 Eureka Rd Ste 202 NSURERC: <br /> <br />Roseville, CA 95661 INSURER D : _ <br /> NSURE <br />R <br />E <br /> INSURER <br />F <br />COVERAGES CERTIFICATE NUMBER: 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. <br />IL7R TYPE OF INSURANCE AUOIU <br />INSR BUSH <br />-Mi <br />POLICY NUMBER <br />POLICYE <br />Y% <br />PD p <br />MMI YY <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br />A X COMMERCIAL GENERAL LIABILITY X 57SBAUZ4977 07120/12 07120/13 PREMISES Ea occurrence $ 1,000,000 <br /> X CLAIMS-MADE 11 OCCUR MED EXP (AnV one person) $ 10,00 <br />B X Professional E&O PHSD821629 02/27113 02/27/14 PERSONAL &ADV INJURY $ 2,000,000 <br /> Retro date2/27101 GENERAL AGGREGATE $ 4,000,000 <br /> GEN'L AG GREGATE LIMIT APPLIES PER'. PRODUCTS -COM PLOP AGG $ 4,000,000 <br /> f <br />X POLL PRO- LOC <br />JECT E&O Liab $ 1,000,000 <br /> AUT OMOBILE LIABILITY COMBINED SI GLE LIMIT <br />Ea accident 1,000,000 <br />$ <br />A ANY AUTO 578BAUZ4977 07120M2 07/20113 BODILY INJURY (Per person) $ <br /> ALL OWNED <br />AUTOS SCHEDULED <br />AUTOS BODILY INJURY (Per acdcanq $ <br /> X HIRED AUTOS X NON-OWNED <br />AUTOS PROPERTY DAMAGE <br />Per accident $ 50,00 <br /> Hired Phys $ <br /> UMBRELLAI OCCUR EACH OCCURRENCE $ <br /> EXCESS LAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION $ <br />$ <br /> WO RKERS COMPENSATION X CSTATU- OTH- <br /> AND EMPLOYERS'LIABILITY TORY LIMITS ER <br />A ANY PROPRIETORAPARTNERIEXECUTIVE YIN <br />I <br />E <br />MB <br />LU <br />NIA 57WECFX9552 09/15(12 09/15/13 E, L. EACH ACCIDENT $ 1,000,000 <br /> OFF <br />C <br />RIME <br />ER EXC <br />DED? y <br />(Mandatory In NH) EL DI SEASE-EA EMPL OYEE $ 1,000,000 <br /> As, yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br /> <br />DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES(Attmh ACORD 101, Additional Remarks Schedule, Rmore space is required) A r f) <br />i 1'? ?LSI <br />RE: Recruitment of Cit <br />Mana <br />er/ The Cit <br />of Santa Ana <br />its officers <br />\ <br />y <br />g <br />y <br />, <br />, vo <br />V <br />agents, volunteers and employees are included as additional insured as ?p <br />requried by written contract. <br />aka <br />r11B9 <br />city Att° <br />, <br />tent <br />i9 <br />As? <br />CERTIFICATE HOLDER CANCELLATION <br />SANT-19 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> <br />The Cit <br />of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />y ACCORDANCE WITH THE POLICY PROVISIONS. <br />Personnel Director <br /> <br />Attn: Ed Raya AUTHORIZED R <br />P <br />ES <br /> <br />20 Civic Center Plaza, M-24 E <br />ENTATIVE <br />R <br />?a A - <br />-- <br />Santa Ana, CA 92701 7 <br /> <br />l,f <br />OO 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD