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Client#: 565636
<br />EVANBROO
<br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE
<br />DTE
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />1117/2IDDIYYYY)
<br />1/17/2014
<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 CONrAj� BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFI t}L
<br />IMPORTANT: If the certificate holder is an ADDITIONAL U ED, 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 eoriem gltt. statement on this certificate does not confer rights to the
<br />`"_?
<br />certificate holder in lieu of such endorsement(s). fir
<br />PRODUCER
<br />ti#=
<br />A
<br />iit1
<br />Hub International i
<br />PHONE FAX
<br />HUB Int'I Insurance Serv. Inc.
<br />(AIC,Ext: AC, No:
<br />12120/2013
<br />40 East Alamar Avenue
<br />ADDRESS:
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE N OCCUR
<br />Santa Barbara, CA 93105
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />Sentinel Insurance Company Ltd
<br />11000
<br />DAMAGE $TORENTED
<br />PREMISE c.occurrence $1006000
<br />INSURERA:
<br />PERSONAL &ADV INJURY $1,000,000
<br />INSURED
<br />INSURER B: Twin City Fire Insurance Compan
<br />29459
<br />Evan Brooks Associates, Inc.
<br />INSURER C: Travelers Casualty and Surety o
<br />31194
<br />1030 S. Arroyo Pkwy #204
<br />GENERAL AGGREGATE $2,000,000
<br />Pasadena, CA 91105
<br />INSURER D:
<br />INSURER E:
<br />PRODUCTS-COMP/OP AGG $2,000,000
<br />1 INSURER F:
<br />%s_/4
<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 CONTRACTOR 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 />I�TRR
<br />TYPE OF INSURANCE
<br />NSR
<br />SUBR
<br />MD
<br />POLICY NUMBER
<br />MMIDDIVYYV
<br />POLICY EXP
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />72SBAZB5496
<br />12120/2013
<br />12120/2014
<br />EACH OCCURRENCE $1,000000
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE N OCCUR
<br />DAMAGE $TORENTED
<br />PREMISE c.occurrence $1006000
<br />MED EXP (Any one person) $10,000
<br />PERSONAL &ADV INJURY $1,000,000
<br />GENERAL AGGREGATE $2,000,000
<br />GENL AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS-COMP/OP AGG $2,000,000
<br />POLICY JECT LOC
<br />$
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />72SBAZB5496
<br />12/20/2013
<br />1212012014
<br />COMBINED SINGLE LIMIT
<br />t 1,000,000
<br />INJURY parson) $
<br />ANY AUTO
<br />ALLOWNED SCHEDULED
<br />AUTOS AUTOS
<br />URY(Per accident) $
<br />X
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />DAMAGE$
<br />tUMBRELLA
<br />VINJURY
<br />LIAB
<br />OCCUR
<br />URRENCE $
<br />E $
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION$
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y/N
<br />ANY PROPRIETOR/PARTNERIEXECUTIVEy
<br />OFFICER/MEMBER EXCLUDED?
<br />NIA
<br />72WECDG3193
<br />05/25/2013
<br />0512512014
<br />OTH-
<br />ER
<br />E.L. EACH ACCIDENT $1,000000
<br />E.L. DISEASE - EA EMPLOYEE $1,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />D ESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT $1,000,000
<br />C
<br />Prof. Liability
<br />105734155
<br />01/20/2014
<br />01120/2015
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
<br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as
<br />additional insured under the general liability policy. Primary and non-contributory wording applies.
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<br />ACORD 25 (2010/05) 1 Of 1
<br />#S2646073/M2646071
<br />GiC9
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />© 1988-2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />JJ44
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