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1 WISEACA -01 KUTAMI 14`_°�R° CERTIFICATE OF LIABILITY INSURANCE DATE /2712012 s v( THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ELOW. 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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to I 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 License # 0564249 CONTACT NAME: Heffernan Insurance Brokers Malling= P.O. Box 5608 Remittances; P.O. Box 4006 Walnut Creek, CA 94596 PHONE FAX AIL No Eat:1 (925) 934 -8500 INC, No: 1 (925) 934 -8278 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC p INSURER A: Philadelphia Indemnity Insurance Company 18058 INSURED INSURER B: New York Marine & General Insurance 16608 INSURER C: _ Wiseplace, a Ca Corp INSURER D: 1411 N. Broadway Santa Ana, CA 92706 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. INSR LTR TYPE OF INSURANCE ADDLSUSIR INSR Me POLICY NUMBER POLICY EFF MM /DDIYYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X PHPK800111 1/1/2012 1/112013 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 100.000 MED EXP(Any one person) $ 5,000 PERSONAL S ADV INJURY $ 1,000,000 X Prof. Liability GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP /OP AGO $ 2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ A EXCESSLIAB CLAIMS -MADE PHUB366016 1/1/2012 1/1/2013 LED I X I RETENTION$ 10,000 $ 1,000,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE YIN OFFICER /MEMBER EXCLUDED? (Mandator, in NH) NIA WC201200002353 8/15/2012 811512013 X WC STATU- OTH- T RYLIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,0001 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project: As on file with the insured. The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured on General Liability policy per attached endorsement. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ' Community Development Agency ACCORDANCE WITH THE POLICY PROVISIONS. -- Administrative Services Division 20 Civic Center Plaza, M -25 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 j' o ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD