ORANGE COUNTY PARTNERSHIP (2) - 2013

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272295 ' � CERTIFICATE ®F LIABILITY INSURANCE narE(MM1DD3 517!2013 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.?t IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAVED, 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 Commercial Lines - (949) 225 -6900 NAME: Debbie Karpuk PHONE g49- 224 -1688 FAX ' ' `'"949 -225 -6910 A!C No EMAIL debbie. kar uk wellsfar ADDRESS: o.com p @ g Wells Fargo Insurance Services USA, Inc. - CA Lic #: OD08408 INSURERS AFFORDING COVERAGE NAIL q 2030 Main Street, Suite 200 INSURER A; Philadelphia Insurance Company 23850 Irvine, CA 92614 -7253 INSURED INSURER B; Travelers Casualty Ins Co of America 31194 National University INSURER C 11355 N.Torrey Pines Road INSURER D: $ 2,000,000 INSURER E PRODUCTS . COMPIOP AGG S 2,000,000 INSURER F: $ La Jolla, CA 92037.1013 COVERAGES CERTIFICATE NUMBER: 6022681 REVISION NUMBER: Se¢ helow 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 LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDmYY MMID�fYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR PHPK927071 - 09/29/12 09/29/13 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ Ion,= MED EXP (Any one person) $ Included PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- X LOG PRODUCTS . COMPIOP AGG S 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS SWVEU HIREDAUTO AUTO q� PPR . r ' COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per parson) $ BODILY INJURY (per accident) $ Laura A. Rog 111 PROPERTY DAMAGE Pa cdent $ UMBRELLA LIAR EXCESS LIAO OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETORfPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NHI If yes, describe under DESCRIPTION OF OPERATIONS below N I A TC2JUB- 4242B530 -12 07/01/12 07/01/13 X WC STATU- OTH- E.L. EACH ACCIDENT $ 1,000,060 E.L. DISEASE - EA EMPLOYEE$ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Santa Ana, its officers, employees, volunteers and agents are included as Additional Insured per form # PI- GLD- VS(01108). CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD © 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) (This cenincale repl .... ..Ttlflcatop60226o2 I—ad nn IW M13)