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Client#: 1259431 305CORDOCOR ACORDP, CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 9125/2013 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSUREp, the poley(les) 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 certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRoouceR i N11TAGT Christy Mata _ BB&T Insurance Services PHONE FAT 714 578-7370 (AIC No E4): LAIC No) of Orange County E-MAILCMata@bbandt.com ; Aonagss., 680 Langsdorf Drive Suite 100 Fullerton, CA92531 _ INSURER(S)AFFORDING COVERAGE I NAICft _ INSURER A, Lloyds of London FOREIGN 'INSURER B: _ Cordoba Corporation __......_.._._._._.._ ............. .__ _ INSURER C 1401 N. Broadway "--��_-- �PREMIGES Los Angeles, CA 90012 IINSURERD: CLAIM&MADE C OCCUR i INSURER E i MED EXP (Anyone person) _ S 1' INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED NO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 JADDLSUBR TYPE OFINBUMNCE INSR WVO POLICY NUMBER POLICY EFF (MMIDD,YYYY _._.. POLICY EXP LIMITS MMIDDM'Ly GENERAL LIABILITY EACH OCCURRENCE 8 COMMERCIAL GENERAL LIABILITY 'DAMAGET ER1 ED eowurre ce $ _ �PREMIGES ... CLAIM&MADE C OCCUR i MED EXP (Anyone person) _ S PERSONAL &ADV INJURY S S GENERAL AGGREGATE S GENAL AGGREGATE LIMIT APPLIEjS PER: PRODUCTS COMPIOP AGG RO POLICY PTEST AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I- -'_-- ANY AUTO 90pILY INJURY (Per pem'on) IS _ ALL OWNED SCHEDULED P*'-` OG -` —9(;D—)—LY INJURY(Pera do 111$ �— AUTAUTOS NO&OWNEDt S PROPERTY DAMAGE HIRED AUTOS AIJTOS {-,-3 UMBRELLA I,M,D OCCUR 1 / N4 th1, ' EACH OCCURRENCE ... S 6XCESSLIAR ` _.... .... .. GLAIMSMADC I i;}inL i t` .AGGREGATE S iy/ OED RETENTIONS COMPS A WC STATU- OTH AND EIdPLOYERS' LIABILITYER AND EMPS LI ILII YIN " ANY PROPRIETORIPARTNERIEXECUTIVE ' E L SAGA ACCIDENT S OFFICERIMEMBER EXCLUDED? n NIA ^— ........... T (Maidatory,nNH)EL DISEASE - EA EMPLOYEE 5 IIya6. o'..L. J rdet DESCRIPTION OF OPERATIONS below_LEL. DISEASE - POLI(,YUfIIT LS A f __.._ . .._ Professional Liab 80621_ PCOR03213 .T 0912712013109127/2014 $1,000,000 Per Claim/Ag w „_ "Claims Made" I Ded: $25,000 Per Claim DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedvie, r more space Is required) Verification of Insurance City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702.1988 ACORD 25 (2010(05) 1 oft #S11122359IM11122300 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ©1938-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LXMCN