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Glient#: '1259431 305CORDOCOR
<br />ACORN.,, CERTIFICATE OF LIABILITY INSURANCE DA1/TE1771201417014 )
<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 INS URER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
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<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />tho terns 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 endorsement(s).
<br />BB&T Insurance Services ALONE714 578.7370
<br />(AIC. No Ext)
<br />of Orange County ADDRESS:
<br />CMata@bband
<br />680 Laogsdorf Drive Suite 100 ooR4ss _
<br />Fullerton, CA 92831 � wsuREF
<br />. Tro,rninrc Prn,
<br />Cordoba Corporation
<br />1401 N. Broadway
<br />Los Angeles, CA 90012
<br />Cc
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />THIS IS TO CERTIFY 'ITO ITHE 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 'r0 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 />__ _..._. ......._....__. AAAA...__-_._
<br />LTR TYPE OF INSURANCE INbRL NNO POLICY NUMBER MMIP9/YYYY ''. MMIORn'Y, LIMITS
<br />_
<br />A GENERAL LIABILITY ''., : 6306C62815114
<br />01/20/2014':01120/201 EACH OCCURRENCE S1,000,000
<br />AAAA. .__ _
<br />X COMMERCIAL GENEMLL IARILITY
<br />TQ RENTED
<br />`_@snnsDeco rs cel x300000
<br />__, �,__
<br />- CLAIMS -MADE Xa OCCUR
<br />_
<br />- MEp EXP (A, Dna Q onl 551000
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<br />;PERSONAL&ADV INJURY S1,000,000
<br />GENERAL AaGREGATE x21000 000 ...............
<br />GENT AGGREGATE LIMrr APPUCF PER'.
<br />:PRODU rS-COMPIOPAGG $2,000,000
<br />X POLICY PRO-
<br />LOC
<br />——
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<br />_ JECT_ _ _ _ _ _
<br />A nuromoeR.E UAsalrv� 8106082815114
<br />_ _ _ _
<br />01/20/2014701120/2015 boMeINPC SINGLE unnT
<br />IEa arcmar yL 51,000,000__-__
<br />XsANY AUTO
<br />iBODILY INJURY IN, persm,) j8
<br />ALL OWNED L--SCHEDULEDBODILY
<br />INJURY (Peracctlenl) IS
<br />,AUTOS _' AUTOS
<br />Xi NONOWNEO
<br />HIRED ALTOS X 'AUTOS ;
<br />PR
<br />PROPERTY DAMAGE
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<br />A X,UMBRELLA uaa X OCCUR ;CUP6C82815114
<br />01/20/201401/2012015. EACH OCCURRENCE I51p,,�000,000
<br />EXCESS LIAR CIAIMSMALE j
<br />AGGRFGATP IS10yOOO,000 ,__,
<br />i
<br />I AEP RETENTION
<br />_ _
<br />A I WORKERS COMPENSATION 'US6C87099214
<br />ATH
<br />0112012014,0 112 012 01 5 X WCGTAATU-.J
<br />AND EMPLOYERS' LIABILITY YIN
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<br />ANY PROPRATMPARTNEMEXECOTIVE"-'�
<br />OEFICERIMEMBER EXCLUDED- N, NfA
<br />I, EI EACH AC('IDENT 51,000000 --
<br />(M,datOrYiONH) yp qAy )-110Vj,',+
<br />I l'U
<br />�) �p�7� �E _L OISEASEEAe'MPLOY£E1$1000000�
<br />If Jae ascbbeundet tiR d.
<br />OE SC RIP' PON OF OPERATIONS balm f
<br />EL DBCAS___ _
<br />_���E POLICY LIMtT '1,000000
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<br />DESCRIPTION OF OPERATIONS i LOCATION& /VEHICLES (Attach ALGAE 101, ACdltlonai Ramarka SeM1atlula, If mare space is required)
<br />Certificate Holder is named as Additional Insured, as respects General Liability, as required by written
<br />contract per the attached form CGD4140408 pg 1 and 2 of 2.
<br />Additional Insured amended to include the following: The City of Santa Ana, 20 Civic Center Plaza, Santa
<br />Ana, California 92702; its officers, employees, agents and volunteers are named as additional insureds with
<br />regard to liability and defense of suits arising from the operations and uses preformed by or on behalf of
<br />the named insured.
<br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92702.198$
<br />AUTHORIZED REPRESENTATIVE
<br />©198$-2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD
<br />#S116954311M11693570 LXMCN
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