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Client#: 1259431 305CORDOCOR ACORD,,, CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DDIYYYY) 1/17/2014 THIS CERTIFICATE IS ISSUED ASA 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($), 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 lieu of such endorsement(s). PRODUCER BB&T1nsurance Services of Orange County 680 Langsdorf Drive Suite 100 Fullerton, CA 92831 — — --- N MEA T Christy Mata _.....__....__.— P NE 714 k78-7371__ FAX 'La Exe— ............ ADDRESs:_C Mata@b ba ndt.com INSURER(S) AFFORDING COVERAGE NAIC0 —_._— _ INSURER A: Travelers Property Casualty Co 25674 -- INSURED Cordoba Corporation 1401 N. Broadway Los Angeles, CA 90012 r7 /� > (i'ZV1��I� rtil �l"LOit `l'l7�'OJ —.. . ....—----- INSURER 9; INSURER _�� INSURER 0 : INSURER E: INSURER F: 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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. _.�'.._.._'_.'_._.— MSR LT0. TYPE OFINBURANCE AODLj eR —"�'�_-'--�__-- POLICYNUMBER POLICY EFF MMIDDNYYY POL CY E%P�--� MM�DIYYYY LIMITS A GENERAL LIABILITY 6306CB2815114 01/20/201401/201201 EEAACCIHHOECCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY CLAIM&MADE OCCUR PREMISES eovcurece $300000 MEOEXP(Any wapersan) $5,000 PERSONAL &ADV INJURY _ $1000000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE X POLICY LIMIT APPLIES PER: J fi� LOC PRODUCTS -COMPIOP AGO 32,000,000 $ A AUTOMOBILE LIABILITY 810SC82815114 01120/2014 01120/201EOMBINE�DISINGLELIMIT 11000,000 INJURY (Per person) S X ANY AUTO X ALL OWNEO SCHEDULED AUTOS AUTOS NON -OWNED HIRES AUTOS X AUTOS j INJURY (Per accident) [PRUE S rY DAMAGE Ler accitlent)_,__.. $ —_---_ S A X UMBRELLA LIAR X OCCUR CUP6C82815114 01120/2014 01/201201 EACHOCCURRENCE $10,J 00 EXGE&8LAB CLAIMSMADE _ t AGGREGATE __..______1 O0000 OLO O .. 5 DE-O_— RETENTION$ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORMARTNEUEXECUTIVE �YIN OFFICERIMEMBER EXCLUDED? LN] (Mandataryln NH) it yes, describe antler DESCRIPTION OF OPERATIONS below NIA UB6C67O99214 APPROVED 01/201201401120/201 �a'7 AS �'" ' ""a'L _ X WC STATU- OTH ES E.L. EACH ACCIDENT $1 OOO OOO j E.L. DISEASE -EA EMPLOYEE $1,000,000 !E.L. DISEASE -POLICY LIMIT S1,nnn nno LISA LL STORCK v DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (Attach ACORD 101, Additional Ramer s Schedule, if mora space Is required) Certificate Holder is named as Additional Insured, as respects General Liability, as required by written contract per the attached form COD4140408 pg 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. City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702.1988 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 REPRESENTATIVE C 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S11695431/M11693570 LXMCN