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~ ; ACORO,. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/OO/YYYYj 6/9/2005 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Venbrook Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 22801 Ventura Blvd. Third Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Woodland Hills, CA 91364 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone 813-225-6200 Fax 818-225..Q210 -- ri/llSURERS AFFORDING COVERAGE NAIC# INSURED Overland, Pacific & Cutler, Inc. A- ~Oo5.ID^ INSURER A: Great American E & S Comoanv 100 West Broadway INSURER B Hartford Casuat~l"$u;ance Co. Suite 500 INSURER C RSUllndemnitv Company Long Beach, CA 90802 INSURER D' National Liabilitv & Fire Co. I INSUR.ER 6: Illinois Union Insurance Comnanv COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE lNSURE:D NAMED ASOVE FOR THE POLICY PERIOD INDICA TED. 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 ~iES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS POUCY EXPIRATION ~ AD POlICY NUMBER I PRH-~'l" EFFECTIVE UMITS ~NERAL UABlUTY EACH OCCURRENCE S 1 000 000 ~ ==rMERClAl GENERAL LlA!lll)'T'( PL 5574310-02 6/1/2005 6/112006 gREMISES Ea oceureoce\ S 50 OOD A - CLAIMS WOE [!] OCCUR MED EXP (Anyone ""rsoo) S Excluded "~ Contractual Liabmtv PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2 000 000 rlL .ll.GG~E.nE LIMIT A?PlS ?ER: PRODUCTS - COMPIOP AGG s Excluded POLICY ~~RT lOC ~roNOBa.E UA8IUTY COMBINED SINGLE LIMIT s 1,OOO,DOO f- ANY AUTO 72UECTQ3952 6/1/2005 6/1/2006 {Eaaccideol) f- ALL OWNED AuTOS BODilY INJURY S 9 ,.x SCHEDULED AUTOS (Per person) ~. H:REO AUTOS BDDll Y INJURY S ~ NON-OWNED AUTOS (Peracc:idenl) e----. ~ $1,000 Comp Oed PROPERlY DAMAGE X $1,000 Coli Oed (Pefaccidef\ll s ;=rE ~.OJTY AUTO ONLY. EA ACCIDENT S ANY AUTO OTHER THAN EA Ace s AUTO ONLY: AGG S EJlCnSlUM9REUA UABlUlY EACH OCCURRENCE S 1 000,000 ~""OCCUR 0 CLAIMS MACE NHA214302 6/1/2005 6/1/2006 AGGREGATE s 1 000 000 C s R DEDUCTIBLE S RETENTION S S WORKERS COMPENSATJOH AND 530303 6/1/2005 6/1/2006 X I 'T~S,~T~r,~;. I IOJ'!:!- EMPLOYERS' LIABILITY D ANi PROPF!:IETORIF'ARTNERlEXECUTlVE E.L. EACH ACCIDENT S $1 000 000 OF"FICERlMEMBER EXCLUOl:D? YES E.L. DISEASE - EA EMPLOYEE S $1,000000 ~tEt~~:O~;rtiS be\QW E.L. DISEASE. POLlCY LIMIT S $1 000 000 OTHER BMI20022998 6/1/2005 6/1/2006 E & 0 $2,000,000 SIR: $100,000 E Errors & Omissions Prof Liab DESCRIP1lQNOfOPERA11OHSll.OCA.~SJV~HJCLESICXClUSlONS"DDEDBYENDORSEMENTlSPECIALPROVlSIONS ' ;'~:::'C': \1, ~ ' p.' rr) ~... Th' SA' ffi I ", I. \.' ' dtt e City of anta na, Its 0 Icers, agents, employees, consu tants, special counsel & reperesen~tives are named' a Ad lonal Insured as their interests may appear in the operations of the Named Insured. ~.x- , . 'c. t /Ij *10 Days Notice of Cancellation for Non*Paymentof Premium / ~ ;,-,,- _ ~~ '" , / , , CERTIFICATE HOLDER Add,lIonallnsured City of Santa Ana Public Works Department Attn: Taig Higgins 20 Civic Center Plaza Santa Ana, CA 92701- CANCELLA nON SHOUUl "NY OF ~E ABOVE OESCRIBED POUClfS BE CANCEllED BEFORE TfIE EXPlRATJON DATE THEREOF, THE ISSUING INSURER Will. ENDEAVOR TO MAIL ~ DAYS WRlTTEN NO't1CE TO 'THE C:ERT1FICATE HOLDER NAMED TO THE LEFT, BUT fAILURE TO bO so SHAll IMPOSE NO OBUGAnON OR l.JABIUTY OF ANY KIND UPON nlE INSURER, ITS AGENTS OR REPRESENTATlVE&. AU'JlfORlZED REPRES ACORD 25 (2001108) OVER1 CertJI 2 Holder# 10B