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AL� �® CERTIFICATE OF LIABILITY INSURANCE eiaai2013' 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 Ileu of such endorsements , PRODUCER Millennium Corporate Solutions License N OC13480 5530 Trabuco Road Irvine CA 92620 a Diem Jurkosky PxoNE (949) 679-6604 P , (949) 336-5003 '^'AI .jbunce0mcsins. com INSURER AFFORDING COVERAGE NAIC0 INSURERA:Citisens Insurance Company of WBURED Aaire, Ina 211 Simplicity Irvine Car 92620 INSURER 6' INSURER C: INeURER D: I ERE' INSURER COVERAGES CERTIFICATE NUMBER: CLI362421425 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. INSL R TYPE OP INSURANC! OIJC EIMMIERIPYWY, LIMNS GENERALLAWLITY EACH OCCURRENCE $ 1,000,000 n S 300,000 GENERAL LIABILITY ACLAIMS4AADE TXCMUMERQU� OCCUR 063 A034591 00 /6/2013 /6/2014 LIED EXP cM on $ 5,000 PERSONALBADVINJURV $ 1,000,000 GENERAL AGGREGATE 4 2,000,000 GENLAGGREGATE LMR APPLES PER: PRODUCTS - COMP,CIP AGO $ 2,000,000 5 X POLICY PRO- LOC MOBILEWIBRITY MR1 000 00AµyA�OBODILY INJURY(Per person) S LLOWNED SCHEDULED UT0.SNO OWNED AUTOS H AUTOS gi s3 A034591 DO VED AS /6/2013 O FD 1' /6/2014 M BODILY INJURY(PerecddeAO 3 PROPER DAMAGEIRED 4 $ UMBRELLALIAB EXCESS LIAB OCCUR CLAIMS -LADE f f _ EACHOCCURRENCE 5 AGGREGATE 5 DIED I I RETENTION $ C OTH- WG8TATU- fN WORKERS COMPENSATION Laura AND EMPLOYERS' LIABILItt ANY PROPRIETORIPARTNER,FJKECUTVE 0 A$aL$raDt C11y 110LDC} EL. EACH ACCIDENT $ EA. DISEASE - EA EMPLOYE 3 OFFICERIMWO 0. EXCLUDEOT tuaMMl In NH) NIA EL. DISEASE -POLICY LIMIT 13 Nyyea devAI,s VMler OEBCRPTION OF OPERATIONS W. A PROFESSIONAL LIABILITY 3 A034591 00 /6/2013 /6/2014 EACHCWMLIMIT $1,000,000 CLAIMS -MADE POLICY [rS AGGREGATE LIMIT $2,000,000 DESCRIPTION OF OPERATIONS I LOCAVONS!VEHICLES (ABach ACORD 101, MdUlwal Remarks ScMdue, N mars spate Is req*,d) The City of Santa Ana is included as additional insured with primary S non-contributory wording for general liability per attached form 391-1006 0609 when required by written contract as respects to the insureds operations. *10 days notice of cancellation for non-payment of premium. 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 20 CIVIC CENTER PLAZA, M-36 SANTA ANA, CA 92701 AUTHORIZED REPRESENTATNE Ngo/DIEM l/ ACORD 25 INS025 (201006)01 The ACORD name and logo are registered marks of AGORD rights reserved.