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<br /> - . CERTIFICATE OF LIABILITY INSURANCE I
<br />ACORD" DATE (MMlDOfYY)
<br /> 12/28/04
<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATIER OF INFORMATION
<br />Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />199 S Los Robles Ave Ste 540 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Pasadena, CA 91101
<br />626 844-3070 INSURERS AFFORDING COVERAGE
<br />-..-------- -.-....-- ------- ..- --......-- .-. ---- .- -
<br />INSURED I< I'1I1Sj(,'7 JO h V" INSURER A: United States Fidelity ~Guaranty
<br /> Urban Studio ----- ------------
<br /> INSURER B: SI. Paul Fire & Marine Ins. Co.
<br /> 3921 Wilshire Blvd., Suite 420/l! -),[03-/55 -- ------------- -
<br /> INSURER c: XL Specialty InsLJran_,,-,,-Co.
<br /> Los Angeles, CA 90010 A - cH::>-LfD ------- .-. --. -- --
<br /> -,;),() - INSURER D:
<br /> ---..----- ----._-_.- _m ----- -
<br /> I INSURER E:
<br />
<br />Client#. 8419
<br />
<br />URBANSTUD
<br />
<br />COVERAGES
<br />
<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 /> ~"-- -. P8k'PeV {~~~%J.}~~ P<6~~J (~~~C~I~\N ~_______M____'___'
<br /> ~f~ TYPE OF INSURANce POLICY NUMBER LIMITS
<br /> A GENERAL LIABILITY BK01565160 12/13/04 12/13/05 EACH OCCURRENCE '.:!..J!90,OOO ___
<br /> -Xl COM M ERCIAL GENERAL LIAS IUTY ----.--
<br /> ~~~_AGE .(Any one fire) '1,000,000
<br /> _ J i C~;M:A~E W O~C:: I MED EXP (Anyone person) 1'10,000
<br /> r~;s-o;~~_~~~~ IN~URY '1 000 000
<br /> I GENERAL AGGREGATE '2 000 000
<br /> M-LAGGREIG~l LIMIT AP~lS pm '2 000 000
<br /> I POLICY ~~g. LOC I PRODU~~_~GOMPfOP AGG
<br /> A piOMOBILE LIABILITY BK01565160 12/13/04 12/13/05 I COMBINED SINGLE LIMIT
<br /> ~ ANY AUTO I (Eaaccident) ,___ '1,000,000
<br /> ___1 ALL OWNED AUTOS I BODILY INJURY ,
<br /> ___~ SCHEDULED AUTOS I (Per pe~~~)
<br /> [X i HIRED AUTOS I BODILY INJURY
<br /> ~~ N~N-OWNED AUTOS (Peraccidenl) $
<br /> r- --
<br /> -1 ---- --. Tn lO{'\Ol\, I PROPERTY DAMAGE ,
<br /> .~~n"u',; , ^" (Peraccidenl)
<br /> GARAGE LIABILITY ~:TOONLY - EA ACCIDEN! ,
<br /> ---I ~-_..- ----- ",---
<br /> _ __I ANY AUTO Lf~L ~I /Iz OTHER THAN EA~CC _ ,
<br /> ."-- ..--. .._----------, --.
<br /> I AUTO ONLY: AGG ,
<br /> 3~SS LIABILITY Laura ~u ~~CURRENCE I,
<br /> OCCUR C CLAIMS MADE l\ssistant C:{;;J Attorney AGGREGAT;----- - -T;- -----..------
<br /> =---- ==1$------
<br /> ~ DEDUCTIBLE ----,-- , ----------
<br />, i RETENTION , ,
<br /> B I WORKERS COMPENSATION AND WVA2449066 01/09/04 01/09/05 ~~sTATU-i_l. I~TH.
<br /> EMPLOYERS' LIABILITY T 8YJJMITS_ .. ER -
<br /> i E.L EACH ACCIDENT -- ~hOOO,OI1Q..,_
<br /> -
<br /> I ~~ASE ~f.I. EMPLOY5-E: '1..1100,000.. _.------
<br /> E.L DISEASE - POLICY LIMIT ,1,000,000
<br /> C OTHER Professional DPS9406622 112/11/04 12/11/05 $1,000,000 per claim
<br /> iability 1 I $1,000,000 annl aggr.
<br /> I 1
<br /> DESCRIPTION OF OPERATlONSlLOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPEC1AL PROVISIONS
<br /> City of Santa Ana, its officers, employees, agents, volunteers and
<br /> representatives are named as an additional insureds as respects
<br /> general liability for claims arising from the operations of the named
<br /> insured.
<br /> CERTIFICATE HOLDER I I AD DIllONAL INSURED. INSURER LETTER: -- CANCELLATION Ton nov IIInHro fM IIInn_
<br /> SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br /> City of Santa Ana RECEIVED DATE THEREOF, THE ISSUING INSURER WILL~M~MAIL3.0.....-DAYSWRITTEN
<br /> Alln: Vincent Fergoso NOTlCETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFT, B)(JtI,etX&eJCJUJOlO1&UktrdXXx
<br /> P.O. Box 1988 DEe 29 2004 IUeQIX~Xll[XIlRatl('fm(KIltJmIlIlt:Dt.R)t.DU"~MDIlla:X
<br /> Santa Ana, CA 92702 .RIJe6I:)(WJl.a.X
<br /> I SANTA ANA PlANNING DEPT n:HORIZ~~ ~~:~E
<br /> - , .
<br />
<br />ACORD 25 S (7/97) 1 of 1
<br />
<br />#Sl17388/Ml17387
<br />
<br />AAF
<br />
<br />@ ACORD CORPORATION 1988
<br />
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