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6*. ACOR& CERTIFICATE OF LIABILITY INSURANCE PATE (MMIDDIYVYY) 4/3/2D13 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 pollcy(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 NA MrACT Stacy Marshall Alandale Insurance Agency 562) 493-3521__ LAIC No1.(562)430-5300 PHMNEp__L 9:. 11022 Winners Circle, Ste. 100 _ 't^L stac @alandale. eom INSURER(SAPPORDING COVERAGE NAIC# Los Alamitos CA 90720 INSURER A:ProCentu Insurance Company INSURE INSURER B: _ Jeff Cullen INSURER C Crossroads Software, Inc. INSURERD: 210 West Birch Street #207 INSURER E: Brea CA 92821 INSURER F: COVERAGES CERTIFICATE NUMBER:Master. 12-13 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. IL R TYPE OF INSURANCE DD INSR WIT POLICY NUMBER MMIDDIYY5FF YY MMIDIDYYEXP YY LIMITS GENERAL LIABILITY EACH OCCURRENCE _ ............. $ ..............................._..._.. COMMERCIAL UENERAl- LIABILITY A ACE"TJ5REN'TEL, PREIJ1$E${fie q_tsunan") ? Y CLAIMS-Ia1ADE 0 OCCUR MED EXP (Anv One person) T PERSONAL B ADA IN.URY $ GF-NER'AL AGGREGATE $ OEN'I- AGOPECATE LIMIT APPLIES PER ,y.O '' O Fop"" PRDUCTS- COMPA)P AOD f POLICY PRO- LOT '??y ?yy?}}yy ?? T 1 OV ED S A $ AUT OMOBILE LIABILITY 1 ' -OnBIJ DM I U LIMI Ea dldent ANYAI ITLI 2 IN L.% ?A Q. ? _ BODILY INJURY We, person) $ ALL GFMdEE AUTOS SCHEDULED AUTOS ' - '^ M--•----"^""" Stitt S11Ca y BODILY INJURY (Per awld2nt) Y _ HIPEDAUTOG NON-011VVED AUTOS a La t City '4110 n©V PR OPERTYDAMAGE 'Per accident '$ Assistan $ UMBRELLA LIAR OCCUR EACH OCCURRENCE % EXCESS LIAB CLAIMS-MADE AGGREGATE R DELI RETENTIONT $ A WORKERS COMPENSATION AND EMPLOYERS LIABILITY VsC STATU- OTH TORY IIM T¢ fC _ ANY FRIPP?IF.7)RIPAFtINERtF-XLCUTNE„ E L. EACH ACCIDENT $ 1,000,00 0 CH ERIMF_MBEP EAA LIDED4 (Mandatory In NHl NIA ftO6D84555 /13/2012 /13/2013 EL DISEASE EA EMPLO, BF T 1,000 000 It vas, d=sano, coder DECRIPI' ON OF OPERATIONS Calow E L DISEASE PO LILY LIMIT T 1 000 000 OE SCRI PTI ON OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACO RD 101, Additional Remarks Schedule, If more space is required) *30 days notice of cancellation unless for non payment of premium, then 10 day notice applies. rcrornclr ATE HOLDER C,ANCF1 I ATInN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Clerk of the City Council 20 Civic Center Plaza (M-30) AUTHORIZED REPRESENTATIVE Santa .Ana, CA 92702-1955 . < ._.. Stacy Marshall/STACY.M .. ACORD 25 (2010/05) IN51I25 ao unn n,l 9)19BB-2010A(LQRUCUKPUKAh0N. All rights reserved. The ACORD name and loan are reoistered marks of ACORD