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A 117 SUN CERTIFICATE OF LIABILITY INSURANCE 8046 _6ATF20D2013 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL] NSURED, the policy(ies) must be endorsed. If SUBROGATIONIS 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 HUB INTERNATIONAL INS SVCS INC/PHS 255611 P:(866)467-8730 F:(877)905-0457 CONTACT NAME: PHONE o, Ext!: (866)467-8730 AC, Nob (677)905-045 ADDRESS: PO BOX 33015 INSUREP(S) AFFORDING COVERAGE NAIC# SAN ANTONIO TX 78265 INSURERA: Sentinel Ing CO LTD INSURED INSURERS: Twin City Fire Ins CO INSURER C: EVANBROOKS ASSOCIATES INC INSURER D: 215 W 7TH ST APT 610 V LOS ANGELES CA 90014 � / 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 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. INSR LTR TYPE Of INSURANCE DDL INSR S W POLICYNUMBER POLIGV EF LMM/BO/VVYYI G EXP LMM/OB/VVVY/ LIMITS GENERAL LIABILITY EACH OCCURRENCE 5 1, 000, O D D PREMISES(E. occurrence) S1 Q00, 000 A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE N OCCUR General Liab 72 SSA 2$5496 12/20/2012 12/20/2013 MED EXP ]Any one person) S 10 000 X PERSONAL &ADV INJURY $ 1 000 QQQ GENERAL AGGREGATE s 2, 000, 000 'L AGGRFG,_ ATE LIMIT PRO_ X POLICY u JFC S PER: LOC PRODUCTS - COMP/OP AGO S 2 0 0 01 0 O Q GE S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT IEa eccidant) s1, GOO, 000 BODILY INJURY (Par person) S ANVAUTO A ALL OWNED ❑ SCHEDULED AUTOS AUTOSPROPERTY XHIRED AUTOS X NON -OWNED AUTOS 72 SHA Z85496 12/20/2012 12/20/2013 BODILY INJURY(Pet accident) $ DAMAGE ]Per eceident) $ S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESSLIAB CLAIMS -MADE D 11 AGGREGATE S DED RETENTION S S B WORKERS COMPENSA TION AND EMAO VERS' LIABILITY Y I N OFFICERIMEMBER EXCLUDED? XECUTIVE❑ (Mandatory by NHl If yes, describe under DESCRIPTION OF OPERATIONS below N/A ❑ 72 WEC DG3193 05/25/2013 05/25/2014 X T1101C STAT DER E.L. EACH ACCIDENT 4 1 QQQ QQQ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1 , 00 0 , 0 00 Ll DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, AEtldional Remarks ScheNWe, B more space Is Dequlops, Those usual to the Insured's Operations. The City of Santa Ana, its Officers, Employees, Agents, Volunteers and Representatives are Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. Coverage is primary & non-contributory per the Business Liability Coverage Form SS0008, attached to this policy. - a o,, trinum CERTIFICATE HOLDER n n9ov ()Vj?li.) A };'° " --CANCELLATION m 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED RE THE EXPIRATION DATE THEREOF, NOTICE WILL BE _ City Of Santa. Aria, YL1 12.3 Stit h 0C Liy DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1 1�2_QLI 9,1n1'a 20 CIVIC CENTER PLZ Attorney SANTA ANA, CA 92702 Assistant C. y m 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD