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ACORD,M CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 01/U9/200a PRODUCER 877- 559 -6769 Willis North America, Inc. - Regional Cert Center 11201 M. Tatum Boulevard THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Suite 300 Phoenix, Az 85028 INSURED Korve Engineering INSURERA:St. Paul Fire and Marine Insurance Compan 24767 -100 INSURERB:American Home Assurance Company 19380 -000 155 Grand Avenue Suite 400 GENERAL LIABILITY Oakland, CA 94612 INSURERC: INSURER D: EACH OCCURRENCE INSURER E: FIRE DAMAGE (Any one fire) %Iwv n-VVV THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE DATE MM D1YY1 POLICY EXPIRATION DATE MMIDD/YY LIMITS A GENERAL LIABILITY BKO1576088 9/11/2003 9/1/2004 EACH OCCURRENCE $ 2,000,000 FIRE DAMAGE (Any one fire) $ 11000,000 X COMMERCIAL GENERAL LIABILITY MED EXP(Any one person) $ 10,000 CLAIMS MADE 1XI OCCUR PERSONAL 8ADV INJURY $ 2,000,000 GENERALAGGREGATE $ 41000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $ 2, 00,000 POLICY PE OT LOC A AUTOMOBILE LIABILITY BKO1576088 9/11/2003 9/1/2004 COMBINED SINGLE LIMIT $ 2,000,000 ANY AUTO (Ea accident) ALLOWNEDAUTOS BODILYINJURY $ (Per person) SCHEDULED AUTOS HIREDAUTOS _ ' - -" " BODILY INJURY $ (Per accident) X NON -OWNEDAUTOS PROPERTY DAMAGE $ - �`'JiA : /� ;� (Per accident) GARAGE LIABILITY �- - j 'i AUTO ONLY - EA ACCIDENT $ OTHERTHAN EAACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND WC3281718 9/1/2003 9/1/2004 X TORYLAMITS OER E.L. EACH ACCIDENT $ 11000,000 EMPLOYERS' LIABILITY E.L. DISEASE - EA EMPLOYEE $ 1 000,000 E.L. DISEASE - POLICY LIMIT $ 1 000,000 OTHER DESCRIPTION OF OPERATIONS /LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 1/9/2004 WITH ID: 3931502 The City of Santa Ana, its officers, employees, agents, volunteers are named as additional insured per the attached endorsement. c1= 0TICI1`ATF unI nFR I I AnnMnuAi wwsimr -n• wsimr -P i FTTFR• CANCELLATION ACORD 25-S (7/97) Coll:893527 Tpl:219096 Cert:3934320 VACORDCORPORATION99SS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL XXZNaW i0CMAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFI= z5Fw1If7AaZXX01XALL 747C7II�:aGii City of Santa Ana, M -93 AUT ES ENTATIVE 20 Civic Center Plaza Santa Ana, CA 92702 MER ACORD 25-S (7/97) Coll:893527 Tpl:219096 Cert:3934320 VACORDCORPORATION99SS