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<br />,'-.. <br /> <br />CERTIFICj;\~ OF LlABqJTY INSUrlNC;E-- <br /> <br />A CORD <br />~'."_.'.--~--TM <br /> <br />-_."------- <br /> <br />DATE (MMJDDNY) <br />02 27 04 <br />.niiIS. CERTIFICATE Îi.-¡:.Sl;¡:i) AS A MATH" OF INFORMATION <br />ONl Y AND CONFEF:: NO RIGt'I,; UPON HiE CERTIFICATE <br />HOLIlER. THIS CERTIFlCA i E DOES NOT AMEND, EXTEND OR <br />ALTUi THE COVERAGE AFi'ORDED BY THE POLICIES BELOW. <br /> <br />PRODUCER. <br /> <br />l'.ICHER INrURANCJ:: AGENCY <br />1255 PROSPECT AVENUE <br />HERMOSA BEACH, CA 90254 <br />(310) 798-1650 <br />(31.0) 798-1654/FAX <br />OVERLAND PACIFIC & <br />100 W. Broad\~ay <br />Long Beach, CA <br /> <br />INSUAEr~-": AF¡=C;-;OING COVLT~AnE <br /> <br />-----....-- <br /> <br /> NSUR~:D <br /> <br />CUTLER, <br />#500 <br />90802 <br /> <br />INC <br /> <br />IWURER A" ILLINOIS UNHfN INSURANCE COMPANY <br /> <br />INSur¡ER B: <br /> <br />INSURER G: <br />INSURER O. <br /> <br />--~ <br /> <br />, <br /> <br />COV:cRA(,ES <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 /> <br />INšA -.- POLICY EFFECTIVE POLICY EXPIRATION <br />LTR TYPE OF INSURANCE POLICY NUMBER ATE MM 0 D <br /> <br />GENŒAL LIABILITY <br /> <br />15. --- COMMERCIAL GENERAL LIABILITY <br /> <br />~= ClAIMS MADE 0 OCCUR <br /> <br /> <br /> <br /> <br />GEN'l AGGREGATE LIMIT APPLIES PER. <br />I PRO- <br />~.......lPOLlCY JECT LOC <br />AUTOMOBilE LIABILITY <br /> <br />INSURER E. <br /> <br />LIMITS <br /> <br />$ <br />FIREDAMAGE(AnyonefireL $ ------ <br />$ <br />~---~------- <br />PERSONAL & ADV INJURY $ <br />------ <br />GENERAL AGGREGATE $ <br />PRODUCTS - COMP/Or AGG $ <br />------- --.---.-------- <br /> <br />EACH OCCURRENCE <br /> <br />-------~--- <br /> <br />MED EXP (Any o':..~.:.::.~nl <br /> <br />ANY AUTO <br /> <br />COMBINED SINGLE LIMIT <br />(Eaaçcid~nt) <br /> <br />$ <br /> <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br /> <br />BODilY INJURY <br />(Per person) <br /> <br />$ <br /> <br />-.---- <br /> <br />_._--~_._---- <br /> <br />HIRED AUTOS <br /> <br />BODILY ¡NJURY <br />(Per accid~nt) <br /> <br />$ <br /> <br />NON-OWNED AUTOS <br /> <br />PROPERTY DAMAGE <br />(Per accident) <br /> <br />$ <br /> <br />GARAGE LIABILITY <br />ANY AUTO <br /> <br />EXCESS LIABILITY <br />-=-J OCCUR D CLAIMS MADE <br /> <br />I\.PP1;~()\/ .hI-' <br />&~ <br /> <br />': <br /> <br />)h.L'{ <br /> <br />AUTO ONLY - EA ACCIDENT $ <br />EAACC $ <br />-----_.~---~- -------- <br />AGG $ <br />EACH OCCURRENCE $ <br />----------- ------------------- <br />AGGRmATE $ <br />--------------- " <br />$ <br />$ <br />.n__~___--- <br />$ <br /> <br />OTHER THAN <br />AUTO ONLY: <br /> <br />DEDUCTIBLE <br />RETENTION $ <br />I WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br /> <br /> <br />V!J-- <br /> <br />j",ò,i 1;; l'~ 1 - <br /> <br /> <br />El. EACH ACCIDENT $ <br />E.l. DISEASE - EA EMPLOYEE $ <br />E.l. DISEASE - POLICY LIMIT $ <br /> <br />A <br /> <br />OTHER <br /> <br />- "' . -- ---------- -- -- ---- -- - --- <br />OESCRIf'TlON OF OPERATIONS/LOCATIONSNEHICLE.5/EXClUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> <br />PROFESSIONAL <br />"RRORS & OMISSIO <br />- -- - - ----------------- --..- <br /> <br />BMI 20010437 <br /> <br />11/15/03 11/01/04 $2,000,000 <br />$2_, ogo, _000 <br /> <br />EACH CLAIM <br />AGGREGATE <br /> <br />---------------- <br /> <br />*30 DAYS EXCEPT <br />CERTIFICATE HOLDER <br /> <br />CITY OF SANTA ANA <br />PUBLIC WORKS DEPARTMEN'f <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br /> <br />10 DAYS FOR NON-PAYMENT OF PREMIUMS <br />AODITIONAlINSU~EDi INSURER lETTER: CANCELLATION <br />SHOULD ANY OF THE AnOVE DESCRIBED rOLlCI ES BE CANCELLED BEFORETHE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAil -~-- DAYS WRITTEN <br /> <br />M-36 <br /> <br /> <br />Attn: <br />ACORD 25-S (7/97) <br /> <br />Tai <br /> <br />Hi <br /> <br />ins <br />