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DATE (WIIDDIYYYY) <br />PRCOVAC -RD 34CERTIFICAATE�OF293ABILITYIINSUcRAATE 1NICEDASAN+A,rrERDFIN S/055/200 <br />(7 RMATION <br />nu, v AMn en&ivgwc Hn RIGHTS UPON THE CERTIFICATE <br />PHD Insurance Brokers, Inc. <br />License #0462338 <br />P. 0. Box 3205 <br />-den Grove, CA 92842 <br />D Paulus EngTneering, Inc <br />2871 E. Coronado Street <br />Anaheim, CA 92606 <br />INSURERS AFFORDING COVERAGE <br />INSURER A: <br />INSURER B' <br />INSURER 0 <br />INSURER O <br />INSURER E. <br />NAIC # <br />COVER <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWRHSTANOIN <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 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 />MSR <br />DD <br />TYPE of INSURANCE <br />POLICY NDYBER <br />POLICYEFfECTIVE <br />An VMffiQ,YYI <br />POLCVEYPIRATION <br />DATE �� <br />UNITS <br />GENERAL LIABILITY <br />COMYIERCWL GENERAL LIABILITY <br />EACHOCCU RRENCE <br />i <br />DRNIAGETORENTEO <br />S <br />MEO EXP(Arty me Perm) <br />$ <br />CLAWS MADE ❑OCCUR <br />PERSONAL I AOV INJURY <br />3 <br />GENERAL AGGREGATE <br />3 <br />GENL AGGREGATELa1R APPLIES PER. <br />PRODUCTS -CONPIOP AGG <br />f <br />POLICYF_j jEC{ M LOC. <br />AUTOMOBILE <br />UAI IRY <br />ANYAUTO <br />B04043001696 <br />OS/01/2004 <br />05/01/2D05 <br />COMBINED SINGLE LNVT <br />IEaemamp <br />S <br />11000,00 <br />X <br />BODILY INJURY <br />(Pc Pena l <br />3 <br />A <br />ALL OWNED AUTOS <br />SCHEOVLED AUTOS <br />HIREDAUTOS <br />NON-0WNE0 AUTOS <br />X <br />X <br />BODILY INJURY <br />IPer arc'CMI <br />S <br />X <br />PROPERTY DANIAGE <br />(Par 2=GM; <br />3 <br />GARAGE UABK.ITY <br />AUTO ONLY - EA ACCIDENT <br />3 <br />OTHER THAN EAACC <br />AUTO ONLY AGO <br />3 <br />ANY AUTO <br />S <br />EXGESSIUMBRELLA LABILITY <br />EACH OCCURRENCE <br />S <br />AGGREOATE <br />3 <br />OCCUR CLALLS MADE <br />3 <br />3 <br />()EOucrI E <br />3 <br />RETENTION S <br />I <br />WORKERS COMPENSATION AYO <br />vrc BTATD DIH <br />EL EACH ACCIDENT <br />3 <br />EMPLOYERS LIABILITY <br />ANY PROPRIETOR/PARTNEWEX ECUTWE <br />OFFICERJMEMSER EXCLUDE07 <br />EL DISEASE - EA EMPLOYEE <br />3 <br />1, ee ee urge, <br />SPECIAL PROVISIONS eamv <br />E.L. DISEASE - POLICY ULITT <br />I S <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />RE: Emergency Sewer Repairs and/or Water Repairs for and in the City of Santa Ana <br />-ity of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701, its officers, employees, agents, <br />volunteers and representatives are named as additional insureds as respects to operations covered <br />ay this policy. <br />'Ten day notice of cancellation for non-payment of premium. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 25 (2001108) <br />SROULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE T11E <br />gJ1 ATKNI DATE THEREOF. THE ISSUING MSURER WILL ENDEAVOR TO MAp. <br />'°36 DAYS WRITTEN NOTICETO THE ERTIFCATE HOLDER NAMED TO THE LEFT, <br />BU FAILURE lb. "IL SUCH NOTICE E LL IMPOSE O}TGIGATION OR LIABILITY <br />0 NY KING NTHE MSURER. R PR NTATIVES. <br />(DACORD CORPORATION 1988 <br />