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ACORD TM. CERTIFICATE OF LIABILITY INSURANCE OAT JUN 24 8Y' MARK JACKSON INSURANCE AGENCY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. BOX 775 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR YORSA LINDA CA 92885 -0775 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. LIMITS INSURER, IT;S AGENTS OR REPRESENTATIVES. PHONE: 714. 779.2629 FAX: 714. 779.1176 A enD Lid#: 0673236 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: U.S. Llablilty Insurance COrnpany 125895 INSURER B: ACIRE, INC. 211 SIMPLICITY IRVINE, CA 92620 INSURER C: INSURER 0: INSURER E: $ 5,000 COVERAGES 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 WHICII 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. Imal LT TYPE OF INSURANCE i POLICY NUMBER POLICY.IFEgWE DATE MMID POUCYEXPIRATION DATE MMIOtl LIMITS INSURER, IT;S AGENTS OR REPRESENTATIVES. GENERALUABILITY PPPI006536E JUL 612 JUL 613 EACH OCCURRENCE $ 1,000,000 UAMAOE TO RENTED PREMISES Eem mncn $ 50,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE I X OCCUR MED. EXP (Any One Pm.) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 A GENERAL AGGREGATE $ 2,000,000 GENT. AGGREGATE LIMIT APPLIES PER PRCDUCTS- COMPGP AGO. $ 1,000,000 POLICY AUTO MOBILE LIABILITY ANYAUTO PPP1006536E JUL 612 JUL 613 COMBINED SINGLE LIMIT (Ea noldent) $ i +000 +000 BODILY INJURY (Per DDBCn) $ ALL OWNED AUTOS A- SCHEDULED AUTOS X X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Peracddent) $ PROPERTY DAMAGE $ GARAGE LIABILITY APPROVED V 1 AS TO FORM lYl AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY; AGG $ - -— EXCESS / UM13ERELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR El CLAIMS MADE Laura SLitt Aheedy $ Assistant City Attorney DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'CIABILITY 1 L iDRV umiia OTHER I E.L, EACHACCIDENT $� ANY PROPRIETORNARTNERE%E W TIVE DFFICEWMAMBER BxCLUDEDT ! E.L. DISEASE-EA EMPLOYEE $ n y.., moNlw undx SPECIALPROVISWNS W. :E.L. DISEASE - POLICY LIMIT $ OTHER: PROFESSIONAL LIABILITY PPPI00653BE JUL 612 JUL 6 13 ;$1,000,000 EACH OCCURRENCE A ERRORS AND OM MISSIONS ;$2,000,000 ANNUAL AGGREGATE RETRO DATE: 07/0612007 DESCRIPTION OF OPERATIONSILOCATIONtVEHICLES ]EXCLUSIONS 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 AnnITNNAI.. INSURED' INSURER LETTER: CANCCI1 ATMnN ACORD 25 (2001106) Certificate # 12972 Mark Jackson 0673236 25A -60 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE 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 UABILITYOF ANY KIND UPON THE 20 CIVIC CENTER PLAZA, M -36 INSURER, IT;S AGENTS OR REPRESENTATIVES. SANTA ANA, CA 92701 At1TMORREO REPRESENTATIVE Attention: MARILYN BOOTHE ACORD 25 (2001106) Certificate # 12972 Mark Jackson 0673236 25A -60