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ADVPROPERT JOHSH1 <br />CERTIFICATE OF LIABILITY INSURANCE <br />1 DAT 5 /12912014 2912014 <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 CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsements . <br />PRODUCER License # 0564249 <br />Heffernan Insurance Brokers <br />6 Hutton Centre Drive, Suite 600 <br />Santa Ana, CA 92707 <br />NAMTACT <br />1 714 36 <br />LA .e: ( ) 1 -7700 17727 ac No: 1 714 3617701 <br />E -MAI <br />ADDRESS: <br />— INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />A <br />INSURER A: Philadelphia Indemnity Insurance Company <br />18058 <br />INSURED <br />INSURERS: Federal Insurance Company <br />20287 <br />INSURER C: <br />$ 1,000,00 <br />940 Minnie LP <br />14211 Yorba St.,Ste.200 <br />Tustin, CA 92780 <br />INSURER D: <br />$ 6,00 <br />INSURER E <br />$ 1,000,000 <br />NBURERF: <br />COVERAGES CERTiFIGAlt NuNltstm: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECTTO <br />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 />ILTR <br />TYPE OF INSURANCE <br />POUCY NUMBER <br />MMIDD F <br />MMIDD XP <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE 7X <br />X <br />PHPK1068529 <br />91112013 <br />911/2014 <br />EACH OCCURRENCE <br />-DAMAGE <br />$ 1,000,00 <br />10 NI, <br />PREMISEB Ed o ur.nool <br />$ 100,000 <br />MED EXPAny one person <br />$ 6,00 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE <br />POLICY <br />LIMIT APPLIES PER: <br />7 PRO- LOC <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />ABUSE MOLESTATI <br />$ 1,000,000 <br />AUTOMOBILE <br />LIABILITY <br />COMBI SINGLE L <br />(Ed acci ant <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Par accident) <br />$ <br />HI RED AUTOS NON -OWNED <br />AUTOS <br />PROPERT A 1AGE <br />Peracclda t <br />$ <br />B <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />7988.87.81 <br />91112013 <br />9/112014 <br />EACH OCCURRENCE <br />$ 10,000,000 <br />AGGREGATE <br />$ 10,000,000 <br />DED I I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOWPARTNEWEXECUTIVE <br />OFFICER /MEMBER EXCLUDED? ❑ <br />(Mandatary in NH) <br />If yes, describe under <br />N/A <br />WCSTATU- OTH- <br />IQBY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORDIOI,Additloeal Remar kssahedule ,Ifmorespacelarequiredl <br />Re: 940 Minnie St., Santa Ana, CA 92701 ArJ �4 <br />Certificate holder is named as additional Insured as required by written contract. �®vSp <br />STORK <br />115 City Attor0 7 <br />Assistant 1 <br />City of Santa Ana <br />20 Civic Caner Plaza M -26 <br />Santa Ana, CA 92701 <br />AOVKU ZO (ZUIUIUb) <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 />Pin <br />©1988.2010 ACORD <br />fhe ACORD name and logo are registered marks of ACORD <br />riahts <br />