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<br />..---.CERTIFICA: E OF INSURANCE ~'ficaleNurro'" ;
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<br />SUITE 2500. 240 - 4TH A VENUE SW COMPANIES AFFORDiNG COVERAGE
<br />CALGARY. AH T2P 4H4
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<br />INSUREO
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<br />COMPANY
<br />A
<br />COMPANY
<br />B
<br />COMPANY
<br />C
<br />COMPANY
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<br />fEDERAL INSURANCE COMPANY
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<br />TEL VENT F ARRADYNE INC
<br />3206 TOWER OAKS BLVD
<br />ROCKVILLE. MD 20852
<br />
<br />.-..-.....--
<br />CHUBB INSURANCE COMPANY OF CANADA
<br />
<br />COVERAGES
<br />
<br />35870772
<br />
<br />'\ POLICY EI'ff:CTlVE POLICY EXPIRATION
<br />DATE tM~!?iDL_ _._...~A..!!U..~~
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<br />GENERAL AGGREGATE
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<br />A ~ENERAl LIABILITY
<br />COMMERCIAL GENERAL LIABILITY
<br />o CLI\lMS MAOl:: t81 OCCUR.
<br />!t8J PRODUCTS & COMPLETED OPEA'.iIQNS
<br />tg) SUOOEN & ACCIDENTAl POLLUTION
<br />l8J 800ILY IKJV"" ....0 f>ROI't'.R'lY O...../lGE
<br />~ BlANKET COHTRACTUAl t lA8lllTY
<br />11', A . AU;~MOBILE c.;;;;~;:;:..,
<br />i ANY AUTO
<br />, All OWNED AUTOS
<br />l SCHEDULED AUTOS
<br />i HIRED AUTOS
<br />! 0 NON-OWNED AU"TOS
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<br />'I I GARAGE LIABILITY
<br />I 0 ANY AUTO
<br />, 0
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<br />
<br />TYPE OF INSURANCE
<br />
<br />POLICY NUMBER
<br />
<br />PRODUCTS - COMPIQP AGG
<br />
<br />()4/ 18/07
<br />
<br />06101/08
<br />
<br />PERSONAl. & AOV INJuRY
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<br />t:AC.; \,)Ct;URflENCE
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<br />PROPERTY GAMAGE
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<br />1 $ 10,000
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<br />I $ , .000,000
<br />
<br />1$
<br />IS _________
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<br />FIRE DAMAGE. {A\')'j ()f'\~ fife;
<br />
<br />M!;;.O l-:.,XP (Anyone person)
<br />
<br />73546717
<br />
<br />04!j8/()7
<br />
<br />04/ I g/Og
<br />
<br />COMB\!-leO SI!-lGLE LIMIT
<br />
<br />-'
<br />BODILY INJURY
<br />(Per Person)
<br />~---
<br />BOOIL Y INJURY
<br />(PelA<:<juel1\;
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<br />AUTO ON\. Y - FA ".CCID~NT
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<br />OTHER THAN AUTO ONl Y
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<br />fACH ACCI[)!;NT I S
<br />-;~GREGATE I S
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<br />EAC.; OCCUR!'ENCE i
<br />AGGREGATE I s
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<br />--+ T 1.'ieST. ATUT~:-I='1 OTHER --I-~'
<br />I UM\Tl:).. .
<br />EL EACh ACCiDENT i $
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<br />"...-i
<br />
<br />EXCESS LIABILITY
<br />o UMBRElLA FORM
<br />o OTHER THAN 11MBRELLA fORM
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<br />..-.+.................
<br />; WORKE:l:!t' COMPENSATiON ANLl
<br />, EMPLOYERS' LIABILITY
<br />
<br />i THE PRQPRJETOR j PARTNERS I
<br />! EXECWTIVE OFFICERS Idl~,
<br />
<br />o INCL
<br />o EXCL
<br />
<br />EL DISEASE - POl'CY LIMIT
<br />
<br />$
<br />
<br />Hr-OTHER I
<br />I PROFESSIONAL LIABILITY I ERRORS & I
<br />OMISSIONS LIABILITY 1
<br />. : __......_______--1.__ I
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES i SPECIAL ITEMS
<br />
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<br />EL Dt$EASE...:.ACW F>:.,.1-PLOY€E:
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<br />Yi7R96W
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<br />04!18107
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<br />E.A.Ch Q..,p.,iM, EACH WRvNG~ UL ACT
<br />()6iOl108 -----------------.-
<br />~LANNUAL AGGREGATE
<br />
<br />$ 1.000,000
<br />
<br />$ 1.000,000
<br />
<br />RE PROOF OF INSURANCE COVERAGE
<br />
<br />It '5 "<'YOby understood and agreed that the City of Santa Ana, P\NA - Transportation & Traffic Engineering Department, is added as an Additional Insured, with respect 10 the
<br />above-noted general liability coverages, but only as their interest may appear with resp(,'Cllo the operations of the Named Insured described above
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATIO,r-
<br />
<br />$i:OUlO ANY Of TH~ t:'\}\.,Cll:'S nf,3c?:1~D rlER2':N BE CA,"-'CElLf.G ae:rt"::<RF. THE p.;P:RI!.";i)~ (:...H[
<br />THE~.E~-,"rlf ".JtWHU<(S) N'FORQ,!'J(; CCVE~E W:LL. ENOtAVOP. ,0 W>Jl.J9 CAYS h"{lnL~j
<br />NuTIC~:: TO THE CC:RTf+:I(:..ATE !-,OLlER !>./AMiU) !"1f.Rr:N BU'i u.\H..uRE TO "'!AlL we,,", "V'..) ; let ;)tlAll
<br />\MK)~ NZ) OBUOf,T!C-N OR uABi" ,T" v~ Ar~Y ~JN(l UPCr<i THE jNSUR€RI~YI ~rfOMOlN'3 C0',,-::AJ\.G~
<br />TH~::;::: .t..GENTS OR ~~E~'>fNT,.l, tfOlU"i, OH HIE ~$;:SU€R (.F rH'S~;'ERnfl:::';A If.
<br />
<br />MARSH CANAoALl'HlTj /1 _~_..
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<br />~M~ (31~~_ __ - H;!-~ VAllO AS OF HiS:Apr-Q7
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<br />! Ctty of Santa Ana
<br />PWA ~ Transportation & Traffic Engint"t:rmg
<br />20 Civic Cenler i'l:lLa
<br />Sant,] Ana. CA 92701
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