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<br />From. Vicki Fagan, CISR At: Andreini & Company FaxlD: 650-378-4361 To: Attn: Jerry Feffries
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<br />Date: 8/1312007 11 :37 AM Page: 3 of 9
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<br />Au~ 0.7. .0:7 09: 36"
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<br />'Public .W6,.ks
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<br />7146'l733'1:5
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<br />AcaRii -'''CERTIFICA TE OF LIABILITY IN 151J RANCE
<br />
<br />OPID .l1\r.cl~flVD~
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<br />CtINI-1 . 05 3i 07
<br />
<br />,~i:Ef.TU:ICATE IS ISSUED AS AMATTE.R OF LNFORMATION
<br />(lNl Y .UO cONFERS NO RIGIfTS up'm THE.CERT1F1CATE
<br />HOl[I:!R THIS CERTIFICATE! POES NOT AMEND. ~NO Oft
<br />"'-'EI! "IIE: COVERAGE AFFORDED BVTlfE POI.ICIES BELOW.
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<br />"~DUCE.~
<br />And".in1 &. COlllpO"y-South Coast A-~-;>o3 ~
<br />License 0206825
<br />On. MacArthur Place. . Suite 100 A-.rooJ- 023'--OJ
<br />S6nth Coasc. Meuo CA. 92707
<br />~.l:IQD.e:: 714-327-~4CO PaxI:714.-32j''':'14,99.
<br />lNSUm!C .
<br />
<br />cYrni~al Laboratories of
<br />. ..S\\Bf:e~;t:I1i!'-1:"d.iuo, l:l1e~
<br />.P":O....BD'X-.3A9 _._.....' ~.. _
<br />San BeD1a.~ciiuo Ch 9..l;;"!I!02 --.
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<br />t~I~;URE :'tf A:~ORDING COVERAGE.
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<br />~E~~~~ ::~:3'enit:h rnsurance. Co an
<br />l"fiJR..ER :: : I.,. :.:.... ~-= .
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<br />NAlC#
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<br />COVERAGES
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<br />Tl1E POlICIES Of INSURANCEUSlED SELOW ~'.'E BEEN ISSUCDTO 'niE INSI.1AeO lIIJ'uEO ABO"'!: r:QR 11~ ''O.ICY PERIOD IND!CAlEO..IJCJJWJTHSrANOING
<br />~'f REOLlrRlOMENT,'TERM.ciR CONDJnOP<l at" IWY CQNl'I'(p.C1"QROThEil OOcUAAENrWlnI RE.Sl'ECT1.'1 >N I ~11l'lilS.cEAnF"Ic.\TE Nl\VaE r85UEOtlR \
<br />-.v PSRTAltl!; THE IIllSUP.ANCf AFfDRDCD BV THE POl.JCiESCESCRlQffi HEREIN IS SUBJEcT TC I,lL 1.., T;: thol;. en.USIONS. AND CONDITIONSOF' sue,",
<br />PlJLlClE:>. AlOG~GA.TE lIU1TS SHOW.... "lAY HA.VE:BEEN REOUeetJ ~y PA.IOOAIM:s.
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<br />"NPEOF INSURANCI;
<br />G9lERAL..f..lA8l1..lTY
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<br />X CCMuEAcw..G~I;Rf\t.UI',!llL.HY
<br />= =:J CLAIMS AlJ.OE [!J OCCUR
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<br />POUC'V' HUMBER
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<br />DATE IMMlDD
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<br />'lCP2.068!f752()1
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<br />~I-l OCCURREN:CE
<br />02/01./08 NU!Mt9Es[~~1
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<br />PERSOtw..& AnV INJURY'
<br />G~ACGIlEC4'rE
<br />PRODUCTS. COuPlQP AGG
<br />Elu..l' Ben.
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<br />11,000,000
<br />53.00.000
<br />HO,OOO
<br />'1.000,000
<br />'2.0000.000
<br />S Excluded.
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<br />1"11,000,000
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<br />ill'OLle!.Ll..~-r I !lOC
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<br />ANY AUTO
<br />:: All.OWNEOAlITOS
<br />SCl-G)uLED AUTOS
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<br />OaJOl/08 ,~.=,~)
<br />BODIlV INJURY
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<br />~, ~ r'>'T T !'\500Nl.~ AGG .
<br />~:i-SY.-EL.. - '-!;ACHOCCUR....:a '5.000;000
<br />O:!,IOl.O-; 02/01./08 'AGGllEG4TE 5-
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<br />EXCESSJuUBRELL\ UABtUTY
<br />/!J CCCUA. 0 t.t.A1MS!MDi! ctJp206B'g.753444
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<br />~ORl<f.RS tOM;>-';;NSATIOPllA}JO
<br />EMPLOYERS' UABlLITY
<br />B 1\NYPROPRrm>!ilPARTlII!;RIEXECUTlVE C06"6924302 0;1/01, O~
<br />1_- .'P~"ICl>RtMC~&:Rexcl.Uoel7<' . - "- .... ;... i
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<br />A ;:::sro,- :Bl.."k&t Xcpmam20l Oi!.~~~ iJ 02/01/09
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<br />DESCRIPTIO," CFOPI!RAnoNS I lCCAilDfoIS/VEHlClESIEXCWSJONSAOOED8Y ENDORSEMENT. ~Pf{;II, . f fi:JI'ISIOOS
<br />CQ.rtificate Kolder is additional insu~ed as respe;,c te :0 l~eDera.l !.ii!.bilit:.y
<br />per ~itteD cQatxacc per attached S-17957-G99
<br />'the CANCELLATION .OOC,1Ce. herein is amended to read 10 :[ji:!I~ as respects any
<br />cancellation due to non-pay.msnt of premium
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<br />~ORYlIMIT!i-L Eli
<br />e.LEAa-lACCfOENT ;~. DaD, 00.0
<br />!:..l..OlSl:'ASE:&tI!MPl:Om 1~,'ODO. DOD
<br />!.;.LOlSEASE"POlICrUUIT S 1, ODD. 000
<br />
<br />02/01/08
<br />
<br />Property
<br />Special
<br />
<br />111300a
<br />
<br />C~TIACATE HOLDER C,:!I/CEI; ,=~!'H
<br />CITYSAA. S~I;lULO,)II" 31'l'liE ABOVE l)e~RI~ f'0UCIE.$ Qe CANC&.Leo t1~.~l'Ji~t:ltPJRP.nON
<br />[AfETHil~H.p, THEISSUlNGlNSURER:Wl\.LENOEAVORTOMAlt. ~ DA'rSrffiETTEN
<br />"Ol1C~ - :1'.1 E I:EIl11F1CA"l'!: HOLDER /'lAMEOTO THE lEFT, 8lIr JO'AllURETO DOSOSI-IAI..1.
<br />
<br />City of Santa Ana
<br />Departmen t O:f J?ubJ.ic Worn
<br />22D S. D~isGY ~Vg.
<br />Santa Ana CA 92703
<br />
<br />1"iUSt<.: I.) ) 11':iJ1.TION OftlJAEilLJTY ClF ANT I'iI~DUroN nil: rlllSlmER" m; AG~l'3 O-lt
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<br />AI. T~' :oI':SRl<5EN'ATTVE
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<br />ACORD 25 (2001/0B)
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<br />GO'd
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<br />01' II [nHllL002-60-9n~ 00'1/0'100 x~
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<br />
<br />200 'd
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