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I 'ACORD_ CERTIFICATE OF LIABILITY INSURANCE OPID s � 4)404 <br />PAIILTJ-1 �1 04/30 /04 <br />The Wooditch Company Insurance <br />ssrvices, Inc. <br />1 Park Plaza, #400 <br />Irvine CA 92614 <br />Phone:949-553-9800 Pax:949-553-0670 <br />A c3-1`75 A <br />PPaLUIUS 6216 Enering, Inc. <br />Anaheim, CA 92816-0216 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Al T'PR TUF rnUFRGGF AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE I NAIC R <br />INSURER a. <br />INSURER C <br />WSURER D <br />MV�LMV[.0 <br />THE POLICIES OP WSURANCE LISTED BELOW HAVE EEE( SS:JEDTO THE INSURED NA.V_^ ABOVE FOR THE POLICY PEMOD INOICATEO. NOTW TrHSTANOIN3 <br />j <br />ANY REOU'FEMENT. TERN. OR CONDITION OF ANY C(INIRACT OR OTHER 30C1MENT WITH RESPECT TO W4ICH THS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INS: RANCE AFFORDED BY THE PCT ICES DESCRIBEO HEREIN 15 <br />SUBJEC- TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLCIES. AGGREGATE LLW TS SHOWN MAY HAVE BEEN REXCED BY PAID CLANS. <br />1 LTR INSRD TYPS OF INSURANCE <br />POLICY NUMBER <br />LI Y A : N LIMITS <br />DATE MMIDDI'M DATE IL=Ai0R'YT <br />I ' GENERAL LNBLLRY <br />EACH OCCURR-RICE <br />I S 1, 000, DOD <br />A X I COMMERICAL GENERAL LIABLLT' <br />IRG62055 <br />OS/Ol/D4I 05/01/05 PREMISES Ea Dc-ureDesl <br />IS 50, 000 <br />I�X CLAIMS MADE OCCUR <br />xD <br />. MEO Ism L" en! person)) <br />I i EXCLDDED <br />! <br />:i PERSONAL t ADV INLRY <br />I31,00D,DDo <br />i GENERAL AGGREGATE <br />V S 2, DOD, OOO <br />! GEN'L AGGREGATE LIMO APPLIES PER: <br />! (PRODUCTS--OMwOPAca1 <br />2, 000, 000 <br />POLICY,' I jE LOC <br />I AUTOMOUR1 UAS ITY <br />I i COMBINED SINGLE LIMIT <br />S <br />I <br />j l ANYAUTO <br />I !� acceem) <br />CALL OWNEDA'JTOS <br />I (BODILY W.V RY <br />i S <br />1 SCHEDULED AUTOS <br />I (Pn person) <br />I <br />~•': HIRED AUTOS <br />BODILY INJURY <br />j <br />S <br />II� NON -OWNED AUTOS <br />tpl; xJEad1 <br />1 PROPERTY DAMAGE <br />IPc• XOdeel: <br />I''I <br />(GARAGE LIABILITY <br />(AUTO ONLY - EA ACCIOENT <br />�S <br />! ANY AJTO <br />OTMER THAN EA ACC { S <br />` <br />i AUTO ONLY. AGO S <br />EXCES5IUM8RELLAUABILRY <br />i I EACH OCCURRENCE <br />! S <br />OCCUR CI CLAIMS MAD` <br />j'. AGGREGATE <br />is <br />DEDUCTIBLE <br />I <br />I S <br />RETENTION S <br />S <br />WORKERS COMPENSATION AND <br />Lan S Ei'. <br />EVPLOYERV LIABILITY <br />I'TORY <br />". : E' .EACH ACCIDENT <br />S <br />ANY PROPRI-pTO". ARTNER/EXECUTIVE <br />OFFICEIVMEMBER EXCLUOEO7 <br />I El. 22,AS'e -EA EMPLOYE S <br />i <br />E ve;.Oacr:x vtie' <br />SPECIAL PROV'.S.ONS psvm <br />t <br />I EL DISE.ISc-POLICY LMI, S <br />:OTHER <br />I <br />I <br />i <br />I <br />I j <br />I <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT, SPECAL PRDWIONS <br />- <br />-Except 10 Days Notice of Cancellation for <br />Non -Payment of Premium. RE: <br />Emergency -Sewer-Repairs and/or Water Repairs <br />for and in the City of Santa <br />Ana. it is hereby agreed that the City of <br />Santa Ana, 20 Civic Center Plaza, <br />j <br />Santa Ana, CA 927D1, its officers, employees. <br />agents, volunteers & <br />representatives are Named as Additional <br />***SEE NOTES"- GLAIPE/AU/XX <br />SADITAA9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAVCELLEO BEFORE THE EXPIRATID <br />DATETNEREOP,THEISSUING INSLAERWILLG"--' -^MAIL 3C DAYSW%TTEN <br />NOnCE TO THE CMTIFICATE HCLDER NAMED TO THE LEA., W:-FMbbRbFDip.GppY�_ <br />City of Santa Ana <br />2C Civic Center Plaza, N-93 <br />Santa Ana, CA 927C2 ALIT �EPRESE <br />APPROVED AS TO FOi. 1 <br />--- <br />Laura Sot Shr_G, <br />Assistant ty A,,.vu_L <br />