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ACORO CERTIFICATE OF LIABILITY INSURANCE
<br />[ A-
<br />CZ-
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />07/2312013
<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 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 certificate holder is an ADDITIONAL INSURED, 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 endomement(s).
<br />PRODUCER
<br />CONTACT
<br />NAME: JOHNNY SEARCY
<br />-
<br />SEARCY INSURANCE CENTER, INC .
<br />PHONE -- - FRR "-
<br />A np 800736 04 (AIC NoI:1 -559- 334 -3442
<br />-- --
<br />K RANCH DRIVE
<br />- --
<br />E-MRL .IN
<br />ADDRESS: SEARCYSURANCE(a�GMAILCOM
<br />VISALIA, CA 93292 -9372
<br />INSURERIS) AFFORDING COVERAGE HAICN
<br />INSURER A - PHI LADELPHIA I N DEMN ITY INS. CO.
<br />_
<br />INSURED
<br />INSURER STATE COMPENSATION INS FUND
<br />- -' --
<br />.
<br />VILLA CENTER, INC -THE
<br />- -- - -- --
<br />INSURER C: _
<br />- - --
<br />910 NORTH FRENCH STREET
<br />INSURER D:
<br />MED EXP (Any one Person)
<br />$ 5,000
<br />_
<br />INSURER E:
<br />CLAIMS -MADE I—XI OCCUR
<br />SANTA ANA, CA 92701
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER
<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 />INSRT
<br />TR'
<br />TYPE OF INSURANCE
<br />A DL
<br />SUBR
<br />POLICY NUNBER
<br />PWDD/YYYY
<br />PIIID /r yP
<br />LIMITS
<br />A
<br />GENERALLIAINUTY
<br />X
<br />PHPK1051577
<br />07/28/201307/28
<br />/2014
<br />EACH OCCURRENCE
<br />$ 11 000
<br />X COMMERCIAL GENERAL LIABILITY
<br />PREMISES Ea oc rrw
<br />$ 100,000
<br />MED EXP (Any one Person)
<br />$ 5,000
<br />CLAIMS -MADE I—XI OCCUR
<br />PERSONAL S ADV INJURY
<br />$ 1,000,000
<br />GENERAL AGGREGATE _
<br />$ _3,_000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />PRODUCTS- COMP /OP AGG
<br />-_-
<br />$ 3,000,000
<br />POLICY PRO- LOC
<br />-
<br />-- _ - --
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />X
<br />PHPK1051577
<br />07/28/2L013.07/28
<br />/2014
<br />OM IiemtSINGLE LIMIT
<br />1,0_00,000
<br />ANY AUTO
<br />'`(� �,I-
<br />BODILY INJURY (Per person)
<br />B U on)
<br />$
<br />ALL OVNJED SCHEDULED
<br />`�
<br />H
<br />AUTOS AUTOS
<br />�{
<br />V��
<br />-
<br />BODILY INJURY (Per amdent)
<br />- -.-
<br />$
<br />X
<br />NON- OVvNED
<br />HIRED AUTOS X AUTOS
<br />AppgO /�
<br />L
<br />/
<br />_-
<br />PROPERTY DAMAGE
<br />$
<br />yl-
<br />Per Podd.rU _
<br />..
<br />,K
<br />-
<br />$
<br />UMBRELLA U B
<br />OCCUR
<br />S)SR t.
<br />{ {O!ne
<br />EACH OCCURRENCE
<br />-
<br />$
<br />EXCESS LIAS
<br />_ _
<br />L
<br />-AIMS-MADE
<br />ASSjStT n{ C I
<br />V
<br />AGGREGATE
<br />$
<br />DED RETENTION$
<br />_
<br />$
<br />B
<br />WORKERSCOMPENSATION
<br />AND EMPLOYERS'UABILITY
<br />17Q1O33
<br />07/28/201307/28
<br />/2014
<br />X T CSLATU- OTH-
<br />- EP
<br />_
<br />YIN
<br />ANY PROPRIETORIPARTNER,EXECUTIVE
<br />EMBER EXCLUDED? ❑
<br />N/A
<br />E.L. EACH ACCIDENT
<br />___
<br />$ 1,000_000
<br />(OFFICERRd
<br />(Mandatory In NH)
<br />If yea, describe under
<br />'E.
<br />L.DSEASE -EA EMPLOYEE$
<br />1,000,000
<br />E.L. DISEASE - POLICY LIMIT $ 1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />A
<br />PROFESSIONAL LIABILITY
<br />PHPK1051577
<br />07/28/2013
<br />07/28/2014
<br />AGGREGATE $ 3,000,000
<br />EA OCC $ 1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Aaaeh ACORD 1D1, Addklonal Rarearks SchMUla, N more apnea Is requlred)
<br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED AS RESPECTS
<br />THEIR INTEREST IN CONNECTION WITH THE NAMED INSURED.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />CITY OF SANTA ANA - CDBG M -25 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />COMMUNITY DEVELOPMENT AGENCY ACCORDANCE WITH THE POLICY PROVISIONS.
<br />P O BOX 1988 M -25
<br />AUTHORIZED REPRESENTATNE
<br />SANTA ANA, CA 92702 -1988
<br />ACORD CORPORATION- All dnhF. ...e.,..w
<br />AI'Unu zD 1zuTu/UOI The ACORD name and loco are registered marks of ACORD
<br />
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