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-09/19/03 08:16 FAX 949 553 0670 THE WOODITCH CO. 9002 <br />CERTIFICATE OF LIABILITY INSURANCE E IMMINDONMI <br />OP L DAT05/24/03 <br />PA II- 05/24 03 <br />PRODUCER <br />The Wooditch Company Insurance <br />services, Inc . <br />1 nark Plaza, #400 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE ODES NOT AMEND. EILTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />HAIC# <br />3 no CAA 92,614 <br />pnlaaa:949-553-9800 Faxe949-553-0670 <br />INSURED l /,/n�� <br />INSWRERA: St. Paul Fire and Marine <br />INSURER8: <br />INSURERt: <br />Pau US 11ineering, Inc. <br />P.OI Sox 21G <br />";As m, C► 92816-0216 <br />INSURER D: <br />INSURER E <br />COVERAGES <br />THE POLICIES OF INOURANCE LIST® BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, rMRM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 70 WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED NY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EKCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />NSR <br />PROF INS RANCE <br />POLICY NUMBaT <br />T�T"E <br />OA MNRT <br />LINTS <br />GENERAL ILTTY <br />EACH OCCURRENCE <br />31,000,000 <br />PREMISES IEWMNiiue <br />$100,000 <br />A <br />R <br />% COMMERCIALCBNERALLLAEwTr <br />CLAIMS MADE TOCCUR <br />XC06100067 <br />05/01/03 <br />05/01/04 <br />Min W(AM e PmmW) <br />55,000 <br />PERSONAL S ADV INJURY <br />S1,000,000 <br />GENERAL AGGREGATE <br />$2,000000 <br />GENL AGGREGATE LIMIT APPLIES PER <br />PRODUCTS•COMPIOPAGG <br />52 000,000 <br />POLICY R j CT F7 LOC <br />A <br />AUTOMOBILE <br />8 <br />LIABILITY <br />ANY AUTO <br />ICCO6100067 <br />05/01/03 <br />05/01/04 <br />COMBINED SINGLE LIMIT <br />IEEacdd"f) <br />f1,000,000 <br />BODILY INJURY <br />(P&P 9 ) <br />5 <br />ALL OWNEO AUTOS <br />SCHEDULEDAUTOS <br />BODILY INJURY <br />(PeratcidmH <br />5 <br />R <br />X <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DMMGE <br />(Pr moddwk) <br />S <br />DARAGE LWBILTTY <br />AUTO ONLY -EAACCIDENT <br />S <br />OTHER THAN EAACC <br />AUTO ONLY: AGG <br />E <br />ANY AUTO <br />S <br />EACESBILIABILITYLLA LIABILITY <br />EACH OCCURRENCE <br />S <br />OCCUR ❑ CLAIMS MADE <br />AGGREGATE <br />S <br />DEDUCTIBLE <br />A i V i"C} <br />RETENTION 5 <br />1AIMf <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LILITY <br />LIABILITY <br />ANY PRO OILPANNTNEw <br />PRIET EKECUTNE <br />OFFICERIMEMBER EXCLUDED? <br />If ya da=lee under <br />BPn, PROVISIONS below <br />�!, �,,;� <br />J„L <br />'• •" ,, <br />DeputV i. itY Alltl Tl <br />cy <br />AT <br />TORY LT AfTe ER <br />EL. RACH ACCIOr NT <br />8 <br />EL E-EAf1APL <br />DISEAE o <br />5 <br />EL DISEASE -POLICY LIMIT <br />5 <br />OTHER <br />OBSCRIPTION OF OPERATbN9 F LOCATIONS I VEHICLESI EXCLUMM ADOBD PYMWMEMENT I RPECL#L PROVISIONS <br />*Except 10 Days Notice of Cancellation for Non-Paymant of Premium. RE: <br />Emergency Sewer Repairs and/or Water Repairs for and in the City of Santa <br />Ana. It is hareby agreed that the City of Santa Ana, 20 Civic Center Plaza, <br />Saute Ana, CA 92701, its officers, employees. agente, volnnteare a <br />representatives are Hamad as Additional ***SEE NOTES*** GLAIPE/AV/IB <br />CERTIFICATE HOLDER CANCELLATION <br />SANTAH9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BECMCMLED SEFORETHE EXPIRATION <br />MAT UREOF, THE ESwNO MMFJt WSI EIBO #WIN MAIL 30 mrs w TREN <br />�,,, NNmcelO THE CERTIFIDATE HOLDER NAMED TO THE LEFT, �L <br />City of Santa Ana <br />20 Civic Center Plaza, M-93 <br />Santa Ana, CA 92702 4UT REB6 <br />ACORD 25 (2001100) 0 ACORD CORPORATION 199J88 <br />A' <br />5—. <br />