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�W -C�1!/p ND, CERTIFICATE' OF LIABILITY INS VCE <br />DATE IM <br />ADD'L <br />/ao15 <br />7/a3/2015 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />RFP INSURANCE AGENCY <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />5601 WEST SLAUSON AVE., SUITE 250 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />CULVER CITY, CA 90230 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Phone (310) 642.1933 Fax (310) 645-3150 <br />INSURERS AFFORDING COVERAGE MAIC # <br />INSURED CIVIC COLLECTION CORPORATION <br />INSURERA: PENNSTAR INSURANCE CO <br />INSURER B: State Compensation Insurance Fund <br />ATTN: DOUGLAS SHAW <br />1565 ELDERTREE <br />INSURER o- <br />DIAMOND BAR, CA 91765 <br />INSURER D: <br />INSURER E: <br />CPV0004862 <br />COVERAGES <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 />ADD'L <br />POLICY <br />POLICY EFFEEDATFIMMIDDCTIVE <br />POLICY EXPIRATION <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CPV0004862 <br />7/14/2015 <br />7/14/2016 <br />DA ET RENTED <br />PREMISES Ea occurence $ 10-01-0 0-0- <br />MED EXP (Any one parson) $ 51000 <br />A <br />CLAIMS MADE ® OCCUR <br />PERSONAL B ADV INJURY $ EXCLUDED <br />GENERAL AGGREGATE $ 2.000.000 <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGO $ INCLUDED <br />POLICY 71 <br />PRO- LOC <br />AUTOMOBILE <br />—COMANY <br />LIABILITY <br />AUTO <br />cPV0004862 <br />7/14/2015 <br />7/4/2016 <br />(EaBINEDl)SINGLE LIMIT $ 1,000,000 <br />BOINJURY $ <br />(Parr person) <br />A <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X <br />HIRED AUTOS <br />NON-OWNEDAUTOS <br />BODILY INJURY <br />(Pereccldenl) $ <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGS $ <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />OCCUR �CLAIMSMADE <br />8 <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />B <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />906737314 <br />8/2/2015 <br />8/2/2016 <br />TH- <br />X WC STATU- OED <br />E.L.EACHACCIDENT $ 1000000 <br />E <br />DISEASE-EAEMPP OYEIf S $ 1000000 <br />OFFICER/MEMBER EXCLUDED? YES <br />plespnipe under.L. <br />SPECIALS PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT $ 1000000 <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />R,e//z�. <br />L/L'cAri Gy <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA, RM 97 <br />P.O. BOX 1964 <br />SANTA ANA, CA 92702- <br />ACORD 25 (2001/08) <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 KIND UPON THE INSURER, ITS AGENTS OR <br />AUTT RIZED REPRESENTATIVE <br />CORPORATION 19AR <br />