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<br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE I DATE {MMJDI;I/'(J'l
<br />02/08/2008
<br />PRODUCER (949)857-4500 FAX (949)857-4800 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Millennium Risk Management & Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />License # OC13480 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />5530 Trabuco Road INSURERS AFFORDING COVERAGE
<br />Irvine, CA 92620
<br />INSURED iNSURER A: Travelers Property Casualty Co. of Ame ri ca
<br />R. J. Noble CO. INSURER B:
<br />P. O. Box 620 INSURER c:
<br />Orange, CA 92856-9020 INSURER 0:
<br /> I INSURER E:
<br />
<br />tJ, ;;2CCf3-0 3'-1
<br />
<br /> COVERAGES
<br /> THE POLICIES OF INSUR!\NCE 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 rMY 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 /> lNSR TYPE OF INSURANCE POLICY NUMBER ~4~~::~~E Pgi'fllt~~N LIMITS
<br /> LTR
<br /> ~NERAL LlABILlTY EACH OCCURRENCE , 1 000,000
<br /> X COMMERCIAL GENERALllA81l1TY EXGL5273C16707 07/01/2007 07/01/2008 FIRE DAMAGE (Any one fire) , 300,000
<br /> I CLAIMS MADE m OCCUR MED EXP (Anyone person) , 5 000
<br /> A PERSONAL & ADV INJURY , l,OOO,Oon
<br /> -
<br /> - GENERAL AGGREGATE , 2.000,000
<br /> ~'~ AGG:EME ~lIMIT AP~tLPER PRODUCTS ~ COMPIOP AGG , 2,000,000
<br /> POLICY X m?i LOC
<br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT ,
<br /> ~ ANY AUTO CAP9322B42607 07/01/2007 07/01/2008 (EaaccidenL) 1,000,000
<br /> - ALL OWNED AUTOS BODILY INJURY
<br /> (Per person) ,
<br /> A - SCHEDULED AUTOS
<br /> - HIRED AUTOS BODILY INJURY
<br /> (PeraccidanL) ,
<br /> - NON-OWNED AUTOS
<br /> PROPERTY DAMAGE ,
<br /> (ParaccidenL)
<br /> GARAGE LIABILITY AUTO ONLY -EAACCJDENT ,
<br /> =i ANY AUTO OTHER THAN EAACC ,
<br /> AUTO ONLY: AGG ,
<br /> EXCESS LIABILITY EACH OCCURRENCE , 5,000 000
<br /> tkrOCCUR 0 CLAIMS MADE CUP9322B43807 07/01/2007 07/01/2008 AGGREGATE , 5,000,000
<br /> A ,
<br /> R DEDUCTIBLE ,
<br /> RETENTION , ,
<br /> WORKERS COMPENSATION AND xlfo~n~J,~sl IUER'
<br /> EMPLOYERS' LIABILITY UB4786C3107 07/01/2007 07/01/2008 l,OOO,oon
<br /> A E. L EACH ACCIDENT .
<br /> E.L DISEASE - EA EMPLOYEE $ 1,000,000
<br />I E.L DISEASE - POLICY LIMIT , 1,000,000
<br />I OTHER
<br />
<br />DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESJEXCLUSIONSADDED BY ENDORSEMENT/SPECIAL PROVISIONS
<br />Certificate Holder, its officers, employees, agents, volunteers & representatives are named as
<br />
<br />Additional Insured as respects General Liability per endorsement EXG3730106 & EXG3740106.
<br />
<br />RE: Project #06-7906 & 07-7507; Oelhi & Willard Neighborhood Improvements
<br />
<br />*10 day notice of cancellation in the event of non-payment of premium.
<br />
<br />CERTIFICATE HOLDER I I ADDITIONAL INSURED: INSURER LETTER,
<br />
<br />CANCELLATION
<br />
<br />Ci ty of Santa Ana "
<br />20 Civic Center Plaza ~
<br />Santa Ana, CA 92701
<br />
<br />'--;I:J:}(, c (i l / I Jr
<br />f" '/ I
<br />
<br />SHOUI.D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL. ~ MAIl.
<br />":30 DAYSWRlnEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE L.EFT,
<br />," 1;.~1l1(JOO0.)Il1Q~)(x<<lOO0@tXillXl1lXlOOUXJO(X
<br />JtltIllC<<XXXXXXXX
<br />}. A L /,...,
<br />,F ..... A
<br />@AC(9l'lD CORPORATIO't;Jl88
<br />
<br />AUTHORIZED REPRESEN~
<br />L<!lllIard Zimirl.Jfv h
<br />,
<br />
<br />/') C.
<br />
<br />ACORD 25-5 (7/97)
<br />
<br />/' "..J.L.".
<br />
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