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ACORQ.0 CERTIFICA'E OF LIABILITY <br />INSURANCE <br />12102103°""' <br />PRODUCER �n1 <br />aDDo1- (J3lP' <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates K- <br />ONLY <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />P. O, Box 10550 14 - o-03✓v --! <br />HOLDER. <br />THIS CERTIFICATE DOES NOEND,POLIEXIES NDLO R <br />4 ` 300 of - L9 9& <br />COVERAGE AFFORDED THE <br />Santa Ana, CA 92711-0550 <br />�-' OC7-3" ��5 <br />' <br />714427-6810 <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />INSURER A: <br />Travelers Indemnity Co. of Illinois <br />RBF Consultin g <br />1 INSURER e: <br />- ---- -- -- - - - <br />Hartford Fire Ins. Co. <br />POBox 57057-._.-__. <br />INSURER a <br />---------------------------..__------ <br />Fireman's Fund Insurance Co. <br />Irvine, CA 92619-7057.-- <br />INSURERD: <br />------_---._-------_-__._-- - _ -_. <br />Underwriters at Lloyd's London <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <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 />INSfi- --1,05C10YEFFECTIVE <br />LTR TYPE OFINSURANCE POLICY NUMBER DATE MM/DD/YY <br />POLICYEXPIRATION <br />DATE MM/DD/YV <br />LIMITS <br />A LIABILITY -,Py 05Q1�04Q9203 11!30103 I11!30!()4 <br />EACH OCCURRENCE <br />SI 000000 <br />_GENERAL <br />X COMMERCIALGENERALALLIACCUR <br />FIRE DAMAGE (Any one fire) <br />$1,000,000__ <br />' CLAIMS MADE � X OCCUR INDP. CONTRACTORS <br />MEDEXP(AnyonepersOn)_-_$5,000 <br />'.X CONTRACTUAL jINCLUDED. ! <br />PERSONAL &ADVINJURY '.$1�000,000_- <br />X BFPO, XCU OCP <br />GENERAL AGGREGATE $2,000 000 <br />!�� <br />PRODUCT$ COMP/OP AGGi$2, 0000 000 <br />GENLAGGREGATELIMITAPPLIESPER:' <br />POLICY 1 X !, PET 1 X LOC <br />- <br />B AUTOMOBILE LIABILITY I57UENTLO126 11/30/03 11/30/04 <br />X '. ANY AUTO <br />COMBINED SINGLE LIMIT IS1,000,000 <br />(Ea accident) <br />BODILY INJURY <br />ALL OWNED AUTOS <br />-- . <br />SCHEDULED l '1 Yl I(- TES <br />AUTOS APPROVED t�S lV CORM <br />!l T. AS <br />(Per person) <br />$ <br />X HREDAUTOS <br />BODILY INJURY <br />S <br />NON -OWNED AUTOS <br />(Per accident) <br />`-� <br />- i '2C1V <br />PROPERTVDAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY DCPU(y City AiICT❑O}r. <br />(AUTO ONLY - EA ACCIDENT <br />$ -- <br />OTHER THAN EA ACC _ <br />ANY AUTO <br />i <br />$ <br />AUTO ONLV: AGG <br />$ <br />C EXCESS LIABILITY <br />�XSM00097333165 <br />11/30/03 111/30/04 <br />LEACH OCCURRENCEI <br />$1JO U00 <br />_ <br />_QQQ -..- <br />$10 OO_0 000 <br />r <br />X OCCUR I CLAIMS MADE <br />I <br />'AGGREGATE <br />PROFESSIONAL <br />$ <br />DEDUCTIBLE <br />LIABILITY IS <br />RETENTION $EXCLUDED. <br />WC:.Y.EfiS COMPENSATION AND <br />LIMITS OTH <br />TORV LtMITsEq <br />EMPLOYERS' LIABILITY ',. <br />E L EACH ACCIDNT $ <br />E.L. DISEASE - EA EMPLOYEEIS <br />E.L. DISEASE - POLICY LIMIT S <br />D ,OTHER Professional 1PI039400 '11/30/03 1111/30/04 1 <br />$1,000,000 Per Claim <br />Liability ! <br />I <br />$2,000,000 Annl Aggr. <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />General Liability policy excludes claims arising out of the performance of professional <br />services. <br />Re: JN 10-103090, On -call Services <br />(See Attached Descriptions) <br />City of Santa Ana <br />Public Works Agency,Att: Zed Kekula <br />20 Civic Center Plaza <br />Mail Station 43 <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL X)(R5PA"Xj0MAIL30__. DAYS WRITTEN <br />NOTICE TOTHE CERTIFICATE HOLDER NAM ED TOTH ELEFT, B!(xEnLLXt9x1IRRR7oRRRdWCX <br />25-S (7/97) l of 2 #M81822 <br />© ACORD CORPORATION 1988 <br />/-"`y, <br />