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<br />ACOHa. CERTIFICATE OF LIABILITY INSURANCE I DATE IMM/DOIYYYY}
<br />11/03/2005
<br />PROO~CER (6$0)341-4484 FAX (650)341-4465 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Business Professional Ins. Assoc. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />1519 South B Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />San Mateo, CA 94402
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED Valley Oak Systems Inc. ~- \/I'Iq -00'3 INSURER A:. Federal Insurance/Chubb Ins.
<br /> 5000 Executive Pkwy., Suite 340 A- '2.00~ '035 INSURER B: Granite State Ins. Co
<br /> San Ramon, CA 94583 A - '2.~ -OlD'! INSURER c:
<br /> INSURER 0:
<br /> /I, - 2COS - an.. INSURER E:
<br />
<br />COVERAGES
<br />
<br />LIMITS
<br />
<br />lYPE OF INSURANCE
<br />GENERAL LIABILITY
<br />e-
<br />X COMMERCIAL GENERAL LIABILITY
<br />l CLAIMS MADE [K] OCCUR
<br />
<br />EACH OCCURRENCE $ 1,000,000
<br />DAMAGE TO RENTED $ 1,000,000
<br />MED EXP (Anyone person) $ 10 , 000
<br />PERSONAL & ADV INJURY $ 1,000,000
<br />GENERAL AGGREGATE $ 2,000,000
<br />PRODUCTS - COMPIOP AGG $ 1,000,000
<br />
<br />A
<br />
<br />A
<br />
<br />e-
<br />f-
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />h POLICY n m?i n lOC
<br />~TOMOBILE I..lA81L1TY
<br />ANY AUTO
<br />-
<br />~ ALL OWNED AUTOS
<br />~ SCHEDULED AUTOS
<br />~ HIRED AUTOS
<br />~ NON-OWNED AUTOS
<br />
<br />7499-64-69 07/28/2005
<br />
<br />07/28/2006
<br />
<br />COMBINED SINGLE LIMIT
<br />(Eaaccident)
<br />
<br />$
<br />
<br />1,000,000
<br />
<br />BODilY INJURY
<br />{Per person)
<br />
<br />$
<br />
<br />BCDll Y INJURY
<br />(Peraccidenl)
<br />
<br />$
<br />
<br />PROPERTY DAMAGE
<br />(Per accident)
<br />
<br />$
<br />
<br />-;RAGE LIABILITY
<br />II ANY AUTO
<br />
<br />AUTO ONLY - EA ACCIDENT $
<br />
<br />OTHER THAN
<br />AUTO ONLY
<br />
<br />EAACC $
<br />AGG $
<br />$
<br />$
<br />$
<br />$
<br />$
<br />
<br />3,000,000
<br />3,000,00C
<br />
<br />A
<br />
<br />~ESSIUMBRElLA LIABILITY
<br />--.J OCCUR D CLAIMS MADE
<br />
<br />h DEDUCTIBLE
<br />!xi RETENTION $ 10, OO(
<br />
<br />7983-41-70 07/28/2005
<br />
<br />07/28/2006
<br />
<br />EACH OCCURRENCE
<br />AGGREGATE
<br />
<br />EXCLUDES PROFESSIONAL
<br />LIABILITY
<br />
<br />CA WC 184-37-90 10/16/2005
<br />MI WC 184-40-07
<br />ALL OTHER STATES -
<br />WC 184-34-39
<br />3582-10-16 07/28/2005 07/28/2006
<br />(EXCLUDED FROM EXCESS
<br />LIABILITY POLICY)
<br />h-~ESCR1PnON OF OPERA TlONS I LOCA TlONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
<br />he City of Santa Ana, its officers, agents, employees, and volunteers
<br />n respects to insureds business operations.
<br />
<br />WORKERS COMPENSA TlON AND
<br />!::""PtDV~P_o;;' I.lA81UlY
<br />B ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER.'MEMBER EXCLUDED?
<br />
<br />10/16/2006 x~sT~I~~1 IOJ~.
<br />
<br />El. EACH ~,CCIDENT
<br />
<br />$
<br />
<br />1,000,000
<br />1,000,000
<br />1,000,000
<br />
<br />Ilyes,oescribeunder
<br />SPECIAL PROVISIONS belOW
<br />
<br />E,L DISEASE - EA EMPLOYEE $
<br />EL DISEASE - POLICY LIMIT $
<br />
<br />_OT",",
<br />~rotessional Liability
<br />A
<br />
<br />$3,000,000
<br />$50,000 Deductible
<br />
<br />are named as Additional Insureds
<br />
<br />~dditional Insured applies to General Liability policy only
<br />~10 day notice of cancellation for non payment of premium shall apply.
<br />
<br />City of Santa Ana
<br />. Jeff Stevens- Risk Mgr.
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />
<br />'ROVED AS 1'0 ,-
<br />
<br />~k.e./t.//J;
<br />~~;tt SI.d;iy
<br />1t City Altor'l
<br />
<br />C....,....,., I .....,,....,
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAil
<br />-1!!- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT,
<br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR l.IABllITY
<br />
<br />CERTIFICATE HOLDER
<br />
<br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
<br />AUTHORIZED REPRESENTATIVE
<br />
<br />~~-
<br />
<br />Debbie Unland/SANDEE
<br />
<br />ACORD 25 (2001/08)
<br />
<br />@ACORD CORPORATION 1988
<br />
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