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,4COR& CERTIFICATE OF LIABILITY INSURANCE °ATE'"11 /20Y3 1 0 11 112 01 3 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(ies) 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 certlFlCate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CS &S /AAA CLUB SERVICES LLC PO BOX 946560 CONTACT NAME: PHONE PHONE (AIC, Na. Exq: Fax IAIC, No): E -MAIL ADDRESS: MAITLAND, FL 32794 -6580 Phone - 877. 724.2669 GENERAL LIABILITY Fax - 877. 763-5122 INSURER(S) AFFORDING COVERAGE NAIC M INSURER A; Continental Casualty Company 20443 $1,006,000 INSURED BEST MEDICAL ENTERPRISE INSURER B Y N 4030636771 22962 CAVANAUGH RD INSURER C: DAMAGE TO RENTED PREMISES (Ea occurrence) $366,666 E (An one Person) LAKE FOREST, CA 92630 INSURER D: — 04125/2"4— PERSONAL &ADV INJURY $1,000,000 INSURER E GENERAL AGGREGATE 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 CONTRACT OR 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 IN SR LTR TYPE OF INSURANCE ADOL INSR SUER WVO POLICY NUMBER POLICY MWDDNYYY MMIUOIYYYY LIMITS GENERAL LIABILITY EACHOCCURRENCE $1,006,000 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR - -- Y N 4030636771 04/2512013 - DAMAGE TO RENTED PREMISES (Ea occurrence) $366,666 E (An one Person) $10,000 A -- — 04125/2"4— PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO LOG ECT PRODUCTS - COMPIOP AGO $2,000,000 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea attitlenn BODILY INJURY (Per person) ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Par accident) PROPERTY DAMAGE (Per aCtitlent) UMBRELLA UAB EXCESS CIAO HCLAIMS-MADE OCCUR O pq C '�'� y'SnT i"QRI — EACH OCCURRENCE GGREGATE DED1 RETENTIONS FIPPR WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEREXECUTIVE YIN OFFICEWMEMBER EXCLUDED? Mantlalo NH) ( "1 I " If yes, A5, --[0 1- (o'tant City 4 1W CK ttorney J/` ,J STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE- POLICY LIMIT DESCRIPTION OF DESCRIPTION OF OPERATIONSbdlow DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Almch ACORD 101. Ack itional Remarks Schedule. if more space is ra,Amd) City of Santa Ana it's officers, agent and employees are added as an additional insured as provided in the blanket additional insured endorsement Insurance Primary and Non Contributory, as per the blanket additional insured endorsement. Cancellation per policy provisions SB147082 This certificate supersedes all previously issued certificates. All previously issued certificates have been rescinded and considered null and void. rcoTlnr ATP unl nFR reNrP[ I CTinm City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: Purchasing Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE -. -- - - - -1988 -2010 ACORD CORPORATION.- All rights reserved. -- ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 0190050 Exhibit C