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<br />DATE (MMJDDIYY) <br />02 27 04 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br /> <br /> <br />OF LIABILITY INSU <br /> <br />CE <br /> <br />AeORD- CERTIFIC <br /> <br />PRODUCER AICHER INSURANCE AGENCY <br />1255 PROSPECT AVENUE <br />HERMOSA BEACH, CA 90254 <br />(310) 798-1650 <br />(310)798-1654/FAX <br />OVERLAND PACIFIC & CUTLER, <br />100 W. Broadway #500 <br />Long Beach, CA 90802 <br /> <br />ft,.- ~o03-03g A'JOO3--o1D <br /> <br />INC <br /> <br />INSURED <br /> <br />INSURER A: GREA'l' AMERICAN E&S INSURANCE COMPANY <br />INSURER B: <br /> <br />INSURER C: <br />INSURER 0: <br /> <br /> <br />INSURER E: <br /> <br />COVERAGES <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 PAJD CLAIMS. <br />I~.f: TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE POL~CYEXPIRATION <br />A GENERAl LIABILITY PL 5574310 06/24/03 06/24/04 <br />X COMMERCIAL GENERAL LIABILITY <br />Cl.AJMS MADE 00 OCCUR <br /> <br />A <br /> <br /> <br />LIMITS <br />EACH OCCURRENCE $ <br />RAE DAMAGE (Anyone fire) $ <br />MED EXP (Anyone person) $ <br />PERSONAL & ADV INJURY $ <br />GENERAl AGGREGATE $ <br />PRODUCTS - COMPIOP AGG $ <br /> <br />LOC <br /> <br />06/24/03 06/24/04 <br /> <br />PL 5574310 <br /> <br />COMBINED SINGLE LIMIT <br />(Eaaooident) <br /> <br />ANY AUTO <br />ALL OWNED AUTOS <br /> <br />80DIL Y INJURY <br />(Per person) <br /> <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON-OWNED AUTOS <br /> <br />BODILY INJURY <br />(per accident) <br /> <br />PROPERTY DAMAGE <br />(Per accident) <br /> <br />GARAGE lIABIUTY <br />ANY AUTO <br /> <br />AUTO ONl V - EA ACCIDENT $ <br />EA ACC $ <br />AGG $ <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />OTHER THAN <br />AUTO ONL V: <br /> <br />EXCESS lIABIUTY <br />OCCUR D ClAIMS MADE <br /> <br />~,~ ,tj I <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />DEDUCTIBLE <br />RETENTION <br /> <br /> <br />$ <br /> <br />WORKERS COMPENSATION AND <br />EMPLOYERS'LlABIUTY <br /> <br />$ <br />E.l. DISEASE - EA EMPLOYEE $ <br />E.L DISEASE. POLICY LIMIT $ <br /> <br />OTHER <br /> <br />DESCRIPTION OF OPERATIONS/lOCATIONSNEHIClES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> <br />THE CITY, ITS OFFICERS, AGENTSW, EMPLOYEES, CONSULTANTS, SPECIAL COUNSEL & <br />REPRESENTATIVES ARE NAMED AS ADDITIONAL INSURED PER ATTACHED CG8225 <br /> <br />1000000 <br />100000 <br />exclude <br />1000000 <br />2000000 <br />exclude <br /> <br />$ <br /> <br />1000000 <br /> <br />$ <br /> <br />$ <br /> <br />$ <br /> <br />*30 DAYS EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUMS <br />CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LfTIER: CANCELLATION <br />SHOULD ANYOFTHEABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO HE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAlLURETO DO SO SHALL <br />IMPOSE NO 8l~ON OR UABILlpn:>F"ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENT TIVES. . <br />AUTHORI REPRES ATI <br />I <br /> <br />CITY OF SANTA ANA <br />PUBLIC IIORKS DEPARTMENT <br />20 CIVIC CENTER PLAZA M-36 <br />SANTA ANA, CA 92701 <br /> <br /> <br />ACORD 2S-S (T /97) <br /> <br />RPORA TION 1988 <br />Iii,,! , <br />l"¡. L~ ,;.. <br />