LIBRARY CORPORATION, INC. (THE) 1A

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( ~-S.Q~D CERTIFICATE OF LIABILITY INSURANCE °iiiozizooal , PRODUCER (;01)733-2530 FAX (301)791-1478 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keller-Stonebraker Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1120 C Professional Court HOLDER. THIS CERTIFICATE DOES N07 AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 609 Hagerstown, MD 21741-0609 INSURERS AFFORDING COVERAGE NAIC # INSURED The Library Corporation INSURER A: Hartford Casualty Insurance Co 29424 CARL Corporation, Inc., ETAL INSURER B: Hartford Fire Insurance Co. 19682 Research Park INSURER C: TWTn City Fire Insurance Co. 29459 IfIWOOd, NIV 25428 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINI ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W ITH RESPECT TO W HICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 42UUNUA1381 05/26/2004 OS/26/2OOS EACH OCCURRENCE $ 1,000, DU X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300, DD CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 1D, DD A PERSONAL BADV INJURY $ 1,000, DD GENERAL AGGREGATE S ; , OOO, DDD GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG $ 3,000, DDD POLICY PRO- JECT LOC AUT OMOBILE LIABNTY 42UENUA1452 DS/26/2DD4 DS/26/2DD5 COMBINED SINGLE LIMIT X ANV AUTO (Ea accident) $ 1,000,000 ALL O W NED AUTOS BODILY INJURY $ B SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS / ` 7 < // (Per accitlenl) / ' // /~ (~ /C P (p PROPERTY DAMAGE y . $ (Per accidenp GARAGE LIABILRY AUTO ONLY-EA ACCIDENT $ ANV AUTO ~ EA ACC OTHER THAN $ AUTO ONLY: qGG $ E%CESS/UMBRELLA LIABILITY 42RHUUP.1427 05/26/2004 05/26/2005 EACH OCCURRENCE $ 3,000,00 X OCCUR ^ CLAIMS MADE AGGREGATE $ ; , OOO, DD A $ DEDUCTIBLE $ X RETENTION $ 10,00 $ WORKERS COMPENSATION AND 42WBGU 1360 DI/29/2004 01/29/2005 WC STATU- OTH- EM R O ' PL VE S LIABILITY ANV PROPRIETORIPARTNER/E%ECUTIVE E.L. EACH ACCIDENT $ 1,000, OOD OFFICER/MEMBER EXCLUDED4 R es tlescnbe untler E.L. DISEASE - EA EMPLOYE $ 1, OOO, 000 y , SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1, DDD, DDD Professional Liability OOTE022261904 09/02/2004 09/02/2005 $2,000,000 Each Claim B -Claims Made-9/02/03 $2,000,000 Aggregate Retro Date $25,000 Deductible DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / E%CLUSIONS ADDED BV ENDORSEMENT I SPECIAL PROVISIONS ity of Santa Ana, Its Officers, employees, agents, volunteers and representatives are additional 'nsured as respects the general liability policy 0 day cancellation except notice of cancellation for non-payment of the premium will be 10 days. ee attached Form H00001 -which is a part of the above referenced policy. Additional Insured status 's described in Section II of the Insuring Agreement. City of Santa Ana 20 Civic Center Plaza M-30 P.O. Box 1988 Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE E%PIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRRTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY ITS AGENTS OR REPRESENTATIVES. i+a.vnu LD (~uv uuDl ©ACORD CORPORATION 1988