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ACOR" CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) <br />� <br />16. 11/22/2012F <br />4/26/2012 <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(ies) 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 endorsement(s). <br />PRODUCER Lockton Insurance Brokers, LLC <br />725 S. Figueroa Street, 35th Fl. <br />CA License #OF 15767 <br />Los Angeles CA 90017 <br />CONTACT <br />NAME: <br />PHONE FAX <br />ac No <br />E-MAIL <br />ADDRESS: <br />A <br />(213) 689-0065 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A: `%1 ilant Insurance Company 20397 <br />35894252 <br />INSURED Best Best & Krieger LLP <br />INSURER B: 2 <br />INSURER C : Hartford Accident and Indemnity Company 22357 <br />1312669 3750 University Ave., 3rd Floor <br />Riverside CA 92502 <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />GUVI'KALitJ KI-,NKlFJl I W) CFRTIFICOTF NI IMRFR• I I /h-/ I 11 011=1/1CIAAI 4111I1ADC0. YYYVYYY <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 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADD <br />INSR <br />SUBR <br />WV <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />Y <br />N <br />35894252 <br />11/22/2011 <br />11/22/2412 <br />EACH OCC RREN <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) $ 1,000,0 0 <br />X MMERCIAL GENERA BILITY <br />CLAIMS -MADE X OCCUR <br />MED EXP (Any oneperson) $ 10,000 <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2.000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ Included <br />POLICY PRO LOC <br />JECT <br />$ <br />B <br />AUTOMOBILE <br />LIABILITY <br />N <br />N <br />73555244 <br />11/22/2011 <br />11/22/2012 <br />CUME31NED SINGLE LIMIT <br />(Ea accident) $ 1,000,000 <br />I <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per person) $ XXXXXXX <br />BODILY INJURY Per accident $ XXXXXXX <br />PROPERTY DAMAGE $ XXXXXXX <br />(Per accidpratl <br />X <br />HIRED AUTOS X AUTO -OWNED <br />$XXXXXXX <br />UMBRELLA LIAB <br />HCLAIMS-MADE <br />OCCUR <br />NOT APPLICABLE <br />EACH OCCURRENCE $ XXXXXXX <br />EXCESS LIAB <br />AGGREGATE $ XXXXXXX <br />DED RETENTION $ <br />$ XXXXXXX <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. <br />OFFICER/MEMBER EXCLUDED? � <br />N I A <br />N <br />72 WE DQ2237 <br />4/1/2012 <br />4/1/2013 <br />TORY _ <br />X LIMT ER <br />EACH ACCIDENT <br />$ 1.000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT 1 $ 1,000.000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />The City of Santa Ana, its officers, employees and agents are Additional Insured to the extent provided by the policy language or endorsement iSs&6 or approved <br />by the insurance carrier. Coverage provided is primary and non-contributory. Waiver of Subrogation applies per attached endorsement(s). <br />wr. OCC rivactuticntS <br />`,rl <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES'BE CANCELLED BEFORE <br />Ae <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BC)DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />11767171 AUTHORIZED REPRESENTATIVE <br />City of Santa Ana <br />Attention: City Manager <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD c 1 ggg_ 0 PCORD CORPORATION. All rights reserved <br />