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ACORD.. CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDD,Y13 VY <br />ADD' <br />RD <br />8/19/2013 <br />PRODUCER /1 /// <br />RFP CULVER CI INSURANCE , CA 9 N AVE., SUITE 25D A / <br />GULVER CITY, CA 80230 dY, 666 ���YYY ��1 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Ho <br />LTER OLDER. THIS AFFORDED BY THE MPOLLICIIES BELOW, <br />Phone <br />Phone (310) 642.1933 Fax (310) 645.3150 <br />LIMITS <br />19 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED' CIVIC COLLECTION CORPORATION <br />wsURERA: BURLINGTON INSURANCE COMPANY <br />EACH OCCURRENCE <br />INSURER B: State Com 3ensattlon Insurance Fund <br />A <br />33875 OLD TRAIL DRIVE <br />ATTN: DOUGLAS SHAW <br />INSURER C'. <br />8/2/2013 <br />YUCAIPA, CA 92399 <br />INSURER <br />Is 10 010- 0-0- <br />INSURER E: <br />_ <br />$ 5000 <br />PERSONAL B ADV INJ URY <br />CO <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR <br />LTR <br />ADD' <br />RD <br />E <br />POLICY NUMBER <br />POLICY EF OCTIVE <br />POLICY EXPIRATION <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />15OB012047 <br />8/2/2013 <br />8/2/2014 <br />PREMISES`(Eaoccuro npal <br />Is 10 010- 0-0- <br />MED EXP(Any one person) <br />_ <br />$ 5000 <br />PERSONAL B ADV INJ URY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 1,000,000 <br />GEN'L AGGREGATE <br />POLICY <br />LIMIT APPLIES PER: <br />F PR0- LOC <br />PRODUCTS - COMP /OP AGG <br />$INCLUDED <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />(BEE awldentt SINGLE LIMIT <br />$ <br />ALL OWNED AUTOS <br />SCHEOULEDAUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />HIRED AUTOS <br />_ <br />NON- OWNCOAUTOS <br />BODILY INJURY <br />(Peraccidenl) <br />$ <br />PROPERTY DAMAGE <br />(Peracddent) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY- EAACCIDENT <br />$ <br />ANY AUTO <br />OTHER THAN EA ACC <br />$ <br />S <br />AUTOONLY: AGG <br />EXCESS /UMBRELLA LIABILITY <br />OCCUR F1 CLAIMS MADE <br />EACH OCCURRENCE <br />$ <br />_ <br />AGGREGATE <br />$ <br />DEDUCTIBLE <br />RETENTION S <br />$ <br />WORKERS COMAPEEINSATION AND <br />906737313 <br />8/2/2013 <br />$/2/2014 <br />X WC SLIM U. OTH• <br />EL, EACH ACCIDENT <br />$1000000 <br />B <br />ANY PROPRIETORIPARTNER/EKECUTIVE <br />OFFICER/MEMBEREXCLUOEO9 YES <br />If yes, rleSndbe under <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1000000 <br />EA. DISEASE - POLICY LIMIT <br />$ 1000000 <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS A00E0 BY ENDORSEMENT) SPECIAL PROVI NS <br />-7cfs. lr A, <br />dae <br />CITY OF SANTA ANA <br />ATTN: SGT. KOZAKOWSKI <br />20 CIVIC CENTER PLAZA, RM 97 <br />P.O. BOX 1981 <br />SANTA ANA, CA 92702- <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KBD UPON THE INSURER, ITS AGENTS OR <br />1988 <br />