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A D® CERTIFICATE OF LIABILITY INSURANCE <br />DAM (MM[DON <br />6/24/20113 <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 FOR NEGATMLY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CON$TRUTA CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and condittons of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In Ileu of such endorsements . <br />PRODUCER <br />Millennium Corporate Solutions <br />License S OC13480 <br />5530 Trabuoo Road <br />Irvine CA 92620 <br />RAWE. Diem SUrkOsky <br />PHONE (94" 679-6604 1FA% (9491 336-5003 <br />E'F1N .jbunce0mcsine.com <br />INSURER(Sl AFFORDING COv RAGE <br />INSURERA:Citizens Insurance Company of <br />HMO* <br />INSURED <br />Acire, Ina <br />211 Simplicity <br />Irvine CA 92620 <br />INSURER a: <br />INSURER C: <br />INSURER D: <br />INSURER E' <br />Ix <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />R <br />POLICY <br />POLICY FXP <br />UMITS <br />LT <br />TYPE OF INSURANCE <br />P <br />OENERALUMBILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAO <br />n; <br />S 300,000 <br />X COMMERCIAL GENERAL LM OXITY <br />MED EXP one on <br />$ 5,000 <br />A <br />CLAIMS -MODE ❑X OCCUR <br />DB3 A034591 00 <br />/6/2013 <br />/6/2014 <br />PERSONAL aADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />S 2, 000, 000 <br />GENLAGGREGATE LIMIT APPLIES PER: <br />PRODUCTS -COMP,OP AGO <br />$ 2,000,000 <br />$ <br />X POLICY PEB LOC <br />AUTOMOBILE LIABILITY <br />tINGLE ITS <br />11000,00 <br />BODILY INJURY (Per penw) <br />S <br />A <br />ANY AUTO <br />uLOWNED SCHEDULED <br />S3 A034591 00 <br />/6/2013 <br />/1/2019 <br />BODILY INJURY(P., acdd.t) <br />S <br />AUTOS OS <br />NON-0riRJEO <br />PROPER DAMAGE <br />$ <br />]C HIREDAUTOS x AUTOS <br />5 <br />UMBRELIAUA6 <br />OCCUR <br />EACH OCCURRENCE <br />5 <br />AGGREGATE <br />5 <br />EXCESS UAS <br />=.MADE <br />DIED I I RETENTION <br />KC eTATU- GTF4 <br />5 <br />WORMERS COMPENSATION <br />E.L. EACH ACCIDENT <br />$ <br />AND EMPLOYERS' UASILITY <br />ANY PROPRIETORMARTMERAMeJ(ECUTVE � <br />E.L DISEASE •EA ENIKOYEE <br />$ <br />OFFICEWIVEER EXCLUDED? <br />NIA <br />(MaMawryhNH) <br />EL DISEASE -POLICY LIMIT <br />$ <br />Ityea dosalba uMer <br />DESCRIPTIONOFOPERATIONS(Mow <br />A <br />PROFESSIONAL LIABILITY <br />DB3 A034591 00 <br />/6/2013 <br />/6/2014 <br />EACH CLAIM LIMIT $1,000,000 <br />CLAIMS —MADE POLICY <br />AGGREGATE LIMIT $2,000,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS 1WHICLES (Aft4h ACORD 101, AddWonal Remada Schedule, N more epac*b requhed) <br />insured with t non-contributory wording for <br />The City of Santa Ana is included as additional primary <br />general liability per attached form 391-1006 0609 when required by written contract as respects to the <br />insureds operations. <br />*10 days notice of cancellation for non-payment of premium. <br />3PPRO V ED AS TO FORM <br />--- W OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Laura'Stitt S)1CCC)y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />CITY OF SANTA ANA <br />assistant City Attorney ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 CIVIC CENTER PLAZA, M-36 AUTNOmrED REPRESENTATIVE <br />SANTA ANA, CA 92701 <br />Ngo/DIEM <br />019BB-2010 ACORD CORPORATION. All rights reserved. <br />INS025 (20JBc$).01 The ACORD name and logo are registerea mares or AL VMU <br />