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<br />AèoRt>", CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDJYYYY) <br />7/20/2004 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Venbrook Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />22801 Ventura Blvd, Third Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Woodland Hills, CA 91364 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Phone 818-225-8200 Fax 818-225-8210 <br /> INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Overland, Pacific & Cutler, Inc. INSURER" Great American E & S Company <br /> 100 West Broadway INSURER., The Hartford Insurance Company <br /> Suite SOO INSURER c: Everest National Insurance <br /> Long Beach, CA 90802 INSURER'" illinois Union Insurance Company <br />, INSURER E, RSUllndemnltv ComDanv <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 /> <br />INSR DO' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> <br />GENERAL LIABIUTY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE 00 OCCUR <br /> <br />PL 5574310-01 <br /> <br />6/24/2004 <br /> <br />6/1/2005 <br /> <br />EACH OCCURRENCE <br />N <br />PREMISES Ea occurence <br />MED EXP (An one person <br />PERSONAL & ADV INJURY <br /> <br />LIMITS <br />$ 1,000,000 <br />$ 50,000 <br />$ Excluded <br />$ 1,000,000 <br />$ 2,000,000 <br />PRODUCTS. COMPfOP AGG $ Excluded <br /> <br />A <br /> <br />GENERAL AGGREGATE <br /> <br /> <br /> LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> ANY AUTO 72 UECUM6536 6/24/2004 6/24/2005 (Eaaccidenl) <br /> ALL OWNED AUTOS BODILY INJURY <br />B (Per person) $ <br /> SCHEDULED AUTOS <br /> X HIRED AUTOS BODILY INJURY <br /> X $ <br /> NON.QWNEO AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> {Per accident) <br /> GARAGE UABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESsnJMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X OCCUR D CLAIMS MADE NHA212256 1/9/2004 6/1/2005 $ 1,000,000 <br /> AGGREGATE <br />E $ <br /> üE:.uu¡,;ïiBU::. $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND 3900048305-041 6/1/2004 6/1/2005 X we STATU- OTH- <br /> EMPLOYERS' UABILlTY $ 1,000,000 <br />C ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT <br /> OFFICERlMEMBER EXCLUDED? YES E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br /> g~~I~tS~~~~I~':óNS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br /> ~THE~ BMI20010437 6/24/2004 6/1/2005 EPL: $1,000,000 - $15,000 Retention <br />D mp oyment Practices Liab & E & 0: $2,000,000 - $50,000 Retention <br />Errors & Omissions Prof Llab <br /> AS TO FORM <br /> <br />DESCRIPTION Of OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PR <br />"10 Days Notice of Cancellation for Non-Payment of Premium" <br /> <br />CERTIFICATE HOLDER <br />City of Santa Ana <br />Public Works Department <br />Altn: Taig Higgins <br />20 Civic Center Plaza <br />Santa Ana, CA 92701- <br /> <br />Ad Itlonallnsured <br /> <br /> <br />CANCELLATION <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEfORE THE EXPtRATION <br />DATE THEREOf, THE tSSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTifiCATE HOLDER NAMED TO THE LEFT, BUT FAlWRE TO DO SO SHALL <br />IMPOSE NO QBUGATtON OR LIABILITY Of ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHQRUEDREPRESENTATNE <br /> <br />\..-{ <br /> <br />1-1. <br /> <br />ACORD 25 (2001/08) <br /> <br />e <br /> <br />0 e <br /> <br />@ACORDCORPORATION 1988 <br />