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Client#: 1259431 305CORDOCOR ACORD," CERTIFICATE OF LIABILITY INSURANCE D9/2512IDDIYYYYj 19!25/2012 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 endorsement(s). PRODUCERNANEA BB&T Insurance Services of Orange County Christy Mata _ PHONE714 578.7370 AIC, No HCl: AIC Na), E'UAIL CMaW bbandt.Gom ADDRESS: 680 Langsdorf Drive Suite 100 Fullerton, CA 92831 _ _ - INSURERS) AFFORDING COVERAGE NAIC 9 INSURER A. Lloyds of London FOREGN INSURED Cordoba Corporation 1401 N. Broadway Los Angeles, CA 90012 INSURER B: INSURER G INSURER D: INSURER E: INSURER F: COMMERCIAL GENER��AL LIIABILITY 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. LTR TYPE OF INSURANCE INSRADD SUBR POLICY NUMBER MMILDIDYEFF MMNDY-EXP LIMITS GENERAL LIABILITY EEpAAqIC�MHHp $ COMMERCIAL GENER��AL LIIABILITY �OEECCCTURRENCE PREMISES EnNT5A,%. E CLAIMS -MADE a OCCUR MED EXP(Myone person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE E GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOPAGG E POLICY PRP E LOC E AUTOMOBILE LIABILITY 1: u! LJ f I. ,' �_ .\: COMBINED SINGLE LIMIT a dant $ BODILY INJURY(Per person) E ANYAUTO _ ALL OWNED SCHEDULED BODILY INJURY $ AUTOS I AUTOS (Per aa,d ) NON -OWNED ,_, - --- PROPERTY DAMAGE HIRED AUTOS AUTOS - I C`I v Peraaident UMBRELLA LIAB OCCUR '�. EACH OCCURRENCE E_ AGGREGATE $ EXCESS LIAB CLAIMS -MADE_ DEO RETENTIONS Is WORKERS COMPENSATION 'WC STATU- OT TH- AND EMPLOYERS' LIABILITY YIN MY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT E OFFICERMEMBER EXCLUDED? n N/A (Mamuroryin NH) E.L. DISEASE -EA EMPLOYEE $ Kyee. f. u DESCRIPTION OF OPERATIONS Eebw E.L. DISEASE- POLICY LIMIT E A Professional Liab B0621PCOR03212 9/27/2012 09/271201$ $1,000,000 Per Claim/Ag "Claims Made" Ded: $25,000 Per Claim DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (Atlach�ACORD 1e1, A&!R .l R..&. Schedule, Nmore apace k requlre ) Verification of Insurance City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702.1988 ACORD 25 (2010105) 1 of 1 #S9271302/M9267635 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 ®1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LXMCN