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^j olZ (37 ROSCnRMX:oR ACORD CERTIFICATE OF LIABILITY INSURANCE °"1H 82013 18=13 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 INSURERIS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT:. H the certl6eate holder It an ADDITIONAL INSURED, the poBcy0es) must be endorsed. N SUBROGATION IS WAIVED, subject to Me terms and conditions of the policy,. certain policies may require an endorsementA statement on this Certificate does not confer rights to the certificate holder In Boor of such endorsement(s).. - PRODUCER - ... CRAB Mata _. BB&T insurance Services of Orange County 680 L.angsdorf Drive Suite 100 Fullerton, CA 92831 AA ;E .714578.7370 tAeNe: A INwn -- AProaDwocoveruos - NAIC£ elsuaERA,Travelers Property Casualty Cc 25674 INSURED Cordoba Corporation 1401 N. Broadway Los Angeles; CA 90012 INSURER B:. . W46URER C: 145UMRD: - - - Munni E: INSURER F: GENLAGGREGATSUMITAPPUES PER: X PODcYPND'Loc COVERAGES - .CERTIFICATE NUMBER:. - '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 REOUIREMENT, 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 POLICIESDESCRIBEDHEREIN is SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY RAVE BEEN REDUCED. BY PAID CLAWS. TR LTR TYPEOFINSURANCE A00 POLICY NUMBER - NLC PO EXP LIMT A SENERALUA®un' X COASIERM&GENERALUAlWTy CLNM84AADE C OCCUR 6306082815113- .. - - D112012D13 01/2012014 EACH OCCLTAENcE :.. $1000000 Ea NrED s300000 MED EXP 'w 1 $5,000 PERSOIUL AAOVEIJIIRY 31,000,000 DENEAALAGGREGAIE £2000000 GENLAGGREGATSUMITAPPUES PER: X PODcYPND'Loc .. p AurorwalLsuaaurr X MY AUTO ALL OWNED SCHEDULED AUTOS HIRED AUTOS X AAUUTN�ED 8106C82815113 - 1202013 0120201 (E.�NE O u K�000 BOOLYINNRY�,P,ean) BODILY WURY(Per ecdden$AUTUS PROPBNiY. E A JUMBRZULAUAB - EXCESSLIAB X OCCUR CLAIMS MADE CUPOCS2815113 12020130120201 . EACROCCURRENCE. £10000000 AGGREQkTE $10000000 DED I I RETENTION $ A INDRNERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETONPARTNEIVEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? � (M.n "M NH) a yyeqa aualae=O DESCFOPl10N =OPERATIONS Deigw NIA 'UB6C87099213 - 7202013 0120201 X WCSTA.'j. - 9"' EL EACH ACCIDENT $1,900,04)(1 .. E.LDISEASE-EAEMPLOYEE $1-.000000 EL. DISEASE- POLICY LBArt $1,000,000 T - DESCRIPTON of OPERAnon(LOCATIONS I VEHcLEs(Aeach Abonm ioi, Athol Rem BehWu1%B OM,ee 9 i requ d) Certificate Holder is named as Additional Insured, as respects General Liability, as, required by written contract per the attached form CGD4140408pg 1 and 2 of 2. - - Additional Insured amended to include the following: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702; Its officers, employees, agents and volunteers are named as additional Insureds with regard to liability and defense of suits arising from the operations and uses preformed by or on behalf of the named Insured. M - CERTIFICATE HOLDER P KV v ISS-/ "" CANCELLATION City of Santa Ana / YT �1 , 20 Civic Center Plaza/aura SantaAna,CA 927024988,1ant City Attorne' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPREREN)TATIVE ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD BS9833961IM9833860 LXMCN