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AL'yR0 CERTIFICATE OF LIABILITY INSURANCE DATE NM24 ;Y' TM. MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH PRODUCER —__ _._.__........._ ASS TYPE OF INSURANCE POLICY NUMBER LTR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MARK JACKSON INSURANCE AGENCY GENERAL LIABILITY PPP1006536E ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. BOX 775 $ 1,000,000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR YORBA LINDA CA 92885.0775 X COMMERCIAL GENERAL LIABILITY _ CLAIMS MADE X OCCUR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PHONE: 714 - 779 -2629 $ 5,000 A FAX: 714 - 779.1170 Agency Wc#', 067323B ,� ! ;'. 4 " ,)NSURERS AFFORDING COVERAGE NAIC # INSURED GENERALAGGREGATE INSURER A: U.S. Liability Insurance Company 125895 ACIRE, INC. PRODUCTS- COMPIOP AGG. INSURER B_ 'GEN'L AGGREGATE LIMIT APPLIES PER: 211 SIMPLICITY " .NS .. _.._ ____.. __ _ ...... ......... ._........... _..... INSURER G: POLICY IRVINE, CA 92520 AUTOMOBILE LIABILITY PPP1006536K ANY AUTO I A-7_ Q ) 3 /' INSURER E: Pnveo An=c THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. —__ _._.__........._ ASS TYPE OF INSURANCE POLICY NUMBER LTR ...... _- .__.____ POLICY EFFeCirvE POLICY EXPIRATION OATS MMJDO GATE WO _ LIMITS GENERAL LIABILITY PPP1006536E JUL 612 JUL 613 EACH OCCURRENCE $ 1,000,000 DAMADE TO RErvTEO PREMISES Ee tlCwmm $ 50,000 X COMMERCIAL GENERAL LIABILITY _ CLAIMS MADE X OCCUR MED. UP {Any One Person) $ 5,000 A PERSONAL B ADV INJURY $ 11900,000 GENERALAGGREGATE $ 210001000 PRODUCTS- COMPIOP AGG. $ 1r000,000 'GEN'L AGGREGATE LIMIT APPLIES PER: POLICY AUTOMOBILE LIABILITY PPP1006536K ANY AUTO JUL 6 12 JUL 6 13 - COMBINEO SINGLE LIMIT (Ea acdIdI $ 1,000,000 BODILY INJURY ALL OWNED AUTOS A' SCHEDULED AUTOS (Per person) $ BODILY INJURY (Per accident) $ X X HIRED AUTOS NON -OWNED AUTOS OPERTY DAMAGE $ -- GARAGE LIABILITY 1 AUTEOAO�TNLY 12AACCIOENT $ EAACC $ ANYAUTO yyryry 'rjY I* .AO700,HAN GGIS EXCESS I LIABILITY LAIMS MADE \SF DEDUCTIBLE p55isk O Yn0 �Ity P RENCE AGGREGATE $ _.....- .. -- $ $ RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TW.n 83AR'- OTHER RY Sh?LT3- EL. EACH ACCIDENT $ ANY PROPRIETB WPARTPE WEXELUTIVE E.L. DISEASE -EA EMPLOYEE $ OFFIGEWMAMBEREXOLUOED4 e r.N ePECML PRUVI910Ne M. .E.L. DISEASE - POLICY LIMIT S OTHER: PROFESSIONAL LIABILITY PPP1006536E - JUL 6 12 JUL 6 13 $1,000,000 EACH OCCURRENCE A ERRORSANOOMMISSIONS $2,000,000 ANNUAL AGGREGATE RETRO DATE: 0710612007 DESCRIPTION OF OPERATIONSILOCATION IVEHICLESIEXCLUSIONS ADDED ENDORSEMENT/ SPECIAL PROVISIONS CONSULTING PROFESSIONAL THE CITY OF SANTA ANA ARE ADDED AS ADDITIONAL INSURED PER END CG 20 26 07 04. THE INSURANCE IS NON - CONTRIBUTORY AND PRIMARY END# L722 (02109) TO ALL OTHER INSURANCE OF THE CITY IN RESPECT TO THE OPERATIONS OF THE NAMED INSURED, 10 DAYS NOTICE OF CANCELLATION FOR NON - PAYMENT OF PREMIUM AnnITIONAI INRIIRFn- INRURFR I FTTER, PAWPCI I ATNIM ACORD 25 (2001108) CerUflcate # 12972 25A -57 VUSI JaCK30n UU132311 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DAFE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT CITY OF SANTA ANA FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 20 CIVIC CENTER PLAZA, M -36 INSURER, II AGENTS OR REPRESENTATIVES. SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE Attantlon: MARILYN BOOTHE ACORD 25 (2001108) CerUflcate # 12972 25A -57 VUSI JaCK30n UU132311