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RP® CERTIFICATE OF LIABILITY INSURANCE <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 cartificate holders an ADDITIONAL 15 RED, 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 />sl( services central, Inc. <br />o IL Office <br />St Randolph <br />0 IL 60601 USA <br />INSURER(S) AFFORDING COVERAGE <br />Holdings LLC and its subsidiaries INSURERS: American Casualty Co, of <br />e Subsidiary Information Below) <br />E. Randolph INSURER C: Transportation insurance <br />sago IL 60601 USA INSURER D: <br />INSURER P: <br />(800) 363-0105 <br />NAIC e <br />20443 <br />ng PA 20427 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCC lilt ED. 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 />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN <br />, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested <br />LT TYPE OF INSURANCE IMNEH46VWDR POLICY NUMBER DO y IMMIDDJYYYYI LIMITS <br />OENF.RALLIABILIY GL4 EACH OCCURRENCE $1,000,000 <br /> <br />$1,000,000 <br />X COMMERCIAL GENERAL LIABILITY PREMISES {Ea ocmuranc1 <br />CLAIMS-MADE 1 n IOCCUR MED EXP(Any one Person) $J.0,000 <br />L.._I PERSONALa ADV IN JURY $1,000,000 <br />-?- GENERAL AGGREGATE $2,000,000 <br /> <br />RODUCTS-GOMPIOP AOG $2,000,000 <br />GEN'L AGGREGATE LIMIT APPUCe PER <br />P <br />POLICY PRO X LOC <br />A AUTOMOBILE LIABILITY BUA 4 01 <br />41036 5 /01/2013 12011 COMBINED SINGLE LIMIT $1 <br />000 <br />000 <br /> <br />as 19A a,Qldcntt , <br />, <br /> X ANVAOTD ,, <br />p Y? BODILY I NJURY(Par person) <br /> ALL OWNED SCHEDULED 1 <br />' BODILY INJURY IF ereac!denq <br /> AUTOS AUTOS PROPERTY DAMAGE <br /> HIRED AUTOS OWNED <br />N <br />A ` ? ",? ek7 <br />1 Par eccitlenl <br /> _ UT <br />O t <br />set r? <br />, <br /> UMBRELLA LIAR OCCUR ? <br />?`, EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS-MADE A9S1gt? AGGREGATE <br /> <br /> DED RETENTION <br />C WORKERS COMPENSATION AND WC4 14100.- T5700770-13 D. 2014 WC 9"fATU- OTH <br />X <br /> EMPLOYERS' LIABILITY TORY L!MIT3 <br />B YIN WC403.AI0OD59 06/01/2013 06/01/2014 <br />B ANY PROPRIETOR I PARTNER I EXECUTIVE a <br /> <br />EX <br />LUDEW NIA wC4014100014 06/01/2013 06/01/2014 <br />E.L, EACH ACCIDENT <br />$1,000,000 <br /> C <br />DFFICEFIMEMB <br />(Mandatory In NH) E1. OISEASE?EA EMPLOYEE $1,000,000 <br /> c Yyes,doecdba ender <br />DE BCRIPTION OF OPERATIONS bri. <br />l <br />i <br />d <br />E. L. DISEASE-POLICY LIMIT <br />$1,000,000 <br /> If certificate is no <br />onger requ <br />re <br />, <br /> please fax to ACS at 800363.0105 to <br /> have removed from our list <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANach ACORD let, Additional Remarks Schedule, If more space Is required) <br />RE: AGO Risk consultants, 1901 MAIN STREET, IRVINE, CA 92614-0513. THE CITY OF SANTA ANA IS ADDITIONAL INSURED ON THE GENERAL <br />LIABILITY POLICY AS REQUIRED BY WRITTEN CONTRACT AND SUBJECT TO POLICY TERMS AND CONDITIONS. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE MOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />CITY OF SANTA ANA AUTHORIZED REPRESENTATIVE <br />Attn: Briza Morales, M-28 <br />20 CIVIC CENTER PLAZA e ?-sr _rU6???? <br />SANTA ANA CA 92701 USA u(/JJIJ/ <br />c <br />a <br />V <br />6 <br />0 <br />D <br />S <br />I <br />v <br />Gi <br />2 <br />I <br />Y <br />8 <br />@4988.2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD