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<br />Jun 21 05 11:15a <br /> <br />Public Works <br /> <br />7148473345 <br /> <br />p.2 <br /> <br />. JUN-02-2005 0<3:42 ~DREINl ~D CO <br />A'CDRD. CERTIFICATE OF LIABILITY INSURANCE <br /> <br />P.02/04 <br />OP 10 DATE CMIWJlOInYJI <br />CLINI-l 06 02 05 <br />THIS CERTIFICAlE IS ISSUED AS A MATTER OF INFORIWATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIC~TE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />ALTER nif! COVERAaE AFFORDED BY THE POliCIES BROW. <br /> <br />I'RODUCER <br />Andreini ~-Company-S_Coa8t Net <br />License 0208825 <br />One "cArthur Place, SuLtc 100 <br />South Coast Metro CA 92707 <br />Phone:714-3~7-1~OO Vax:714-327.1499 <br />INSUAEb <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />NAICIIl <br /> <br />Clinical Laboratories of <br />San Bernadino, Inc. <br />P.O. Box 329 <br />San Barnadino CA 9A402 <br /> <br />11'l3UIUi:RA; _~C... c..u.ny l:'clIipUr oC <br />IN6~A D: C_.l"......~ CU....l~.. ....._ <br />INSUqERC Zenith Inaurance COGIpanL <br />INSU""'R c. <br />INS~1l E; <br /> <br />COVERAGES <br /> <br />THE POliCIES OF INSuRANCE 1I3TED lIELOW HJ\\I1;; 8EI;;I'llSSUED TO Tt<E INSURED NAMED IlBOIIE FOR THE POtICY P1iAIOO IIII00CA TED. NO'TWITHST ANDING <br />ANY AIlQVlAEMENT, TE~"" OR COIlIOITIOlII OF lltoN CONTRIoCT OR OTfER DOCUMENT WiTllIlESl'ECT TO WHICt1 THIS CEATIFIClITE ~AY BE 18SVEO OR <br />MAY I'ERTol\IN. THE INSURANCE ,t.FFORDE' 0 BY T...e PO~ICIES DESCAlKO HEREIN IS SUBJECT TO lOll niE TE RMS, UC~Ull'ONS AND CONDIT IONS OF SUCH <br />PO~ICIES. AGGREOATe liMIT!! SHOWN MAY HAVIi lIEEN REPUCEO 8'1' "AD CLAIMS, <br />~TR Nstet TTPIi OF INSUMNCE POLICY NlJI4ER ~n:lMMIOM'VI o".n; '.IIIDOm'I liMITS <br /> ~EftAL L1A8Illl'Y eACH DCCU~NC€ 11,000,000 <br />B X 3MI4ERCIAl C;areRAlllA8ll1l'Y TCP2068975201 02/01/05 04101/0' ~=~s rs;, ~NI\CtI) 1500.000 <br /> - CIA\MSI\I~ ~ OCCUR, <br /> - MEa EXP (Afty 0"<: ""raonl 110,000 <br /> PeRSON.Al. & AD\lINJUI'lY '1.000.000 <br /> - GENERAl. AGORE~Te $2.000 000 <br /> GI;N'lllOOREOol\TI: llrllT JllIPlIes peR, PReDUCTS . COll4p/oP AOG I Excluded <br /> I POLICY n ~R@r n LOC <br /> AUTOMOBILE U"SIUfY CO~llllliiD SINGLE LIMIT I 1,000,000 <br /> f- <br />A ANY "UTO BtJ'A2068975084 02/01/05 02/01/06 IE. Ice_II <br />I-- <br /> ~ All OWNED AUTOS IIOOIL Y INJURY <br /> 5 <br /> SCHEDULEO AUTOS jP.. 'lflIllII/ <br /> >-- <br /> Jt HIRED AuTOS BooL Y INJURV <br /> 5 <br /> ...!.. NON.OWNED ...uTOS (Plr'I_'. <br /> -.. <br /> - APPROVED \.8 TO FO] M I"1I0l'EftTf OA......GI;; l <br /> (Pe< _cad.nll <br /> RRAIOE LIABILITY ,lPl~ ~ 1..~/13 AUTO OIllL Y . EA ACCIDENT S <br /> ANY AUTO OTltER Tt<AN ""Ace I <br /> , - T .~lITIl Jl: ift Sheedy IIUTO ONLY, AGO S <br /> I!ICCESlI/UI\dIIIl:EUA UABILlTY Assista~ ity Attorney !;ACH OCCUIlIU:I\lCE S <br /> tJ OCCUR 0 CLAII'.1SIMOE AGGREGII"1'E S <br /> S <br /> R OiitlUC'f'IIl.E S <br /> RETENllOI'l S s' <br /> WORKEllScolIII'l!NSAnON AND X lrr"~-"IM1TS,1 IU~~. <br /> _LOYERS' UABIlITY <br />C AlIIV PROPRIETORlPAATHEIlIEXECUTIVE Z066924601 02/01/05 02/01/06 E l, EACt1I1CCIOENT S 1,000,000 <br /> OFFrcEAlMiMBE~ EllC. UDan E.L.. DlllE,o.Se . EA I:MP.OVEE , I, <!?o ,000 <br /> =~=XS~ON!l blllM' e l O~E. POLICY lll\llT 51 000,000 <br /> DTIlE" <br />D E&O/Profe8sioDal BBA27U70923 02/01/05 02/01/06 Bach Dce 1,000,000 <br /> Liability Oed. 50.000 <br />OfSCIll'TlOH OfF OPDU.'nO~ I LOcAl1ONS IVI!ttICl.iE6 j elCCLII:!KlIIS ADDeo 8'1' IlNDOR5EIoENT I St'ECIAL I'RaIllliIOHS <br />City of Santa Ana is nsmed as additionAl insured. bu~ only as thei~ interest <br />may appear as :r:espects operations of the named insurad. Covarage i8 primary <br />and non-contributory, <br /> <br />CE~T'FJCAYE HOLDER <br /> <br />City of Santa Ana <br />Water Resource Div., .-82 <br />TOIll\ Dix <br />220 S. Oaisy Avenue, Bldg. A <br />Santa Ana CA 94703 <br /> <br />CANCELLATION <br />llHOUl.D IiIW Of' 'tNIi AlIOIIE DESCAlllPD POLIGI&311E CANCELLED 8!FORE TttE!:lU'IRIIllON <br />DATE TlifAIEOF. THE ISSUING INSURER WIll eN....\IOJl TO tMIL ~ OIlYS WAlTTE~ <br />MOllCE TO TlIl! CElilTlflCil TE HOlDER NAl4ED TO TIlE LEFT, BUT FAILU~ TO DO so !IIIlU.l <br />IMI'OSE 1\10 DeLlCA TlON OllllABIUfY 01' A>I'I KINO UPON l'14E ~IliUR"1I. . rs AGENTS OR <br /> <br />ACORD 25 (2001108) <br /> <br /> <br />e ACORD CORPORATION ,," <br />