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<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />MICHAEL J, HALL & COMPANY NE INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />1957810TH AVENUE N.E. HQLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />POULSBO WA 98370 ALTER THE COVERAGE AFFORDED BY THE POLICIES BElOW.
<br />PHONE: (360) 598-3700
<br />FAX: (360) 598.3703 Aaencv Llc#: 0792445 INSURERS AFFORDING COVERAGE NAlC#
<br />INSURED . .. INSURER A; llOYD'S OF LONDON
<br /> CAlVADA ENVIRONMENTAL SERVICES, INSURER B: FIDELITY GUARANTY INSURANCE CO
<br />INC INSURER c:
<br /> 108 BUSINESS CENTER DR.
<br /> CORONA CA 92880 INSURER D: .
<br /> INSURER E:
<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 />AtlY REQUIREMENT. TERM OR CONDITION Of ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTlF.ICATE W\.Y BE ISSUED OR '
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POlICIES DESCRlBEO HEREIN IS SUBJECT TO All THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE B.EEN REDUCED BY PAID CLAIMS.
<br />I/oiS TYPë OF INSURANCE POLICY NUMBER P~~~~~~ ~~J,~ UMlTS
<br />\.7
<br /> ~NERAI. UABllfTY BK01893708 APR 21 04 APR 21 05 EACH OCCURRENCE $ 1,000,000
<br /> COMMERCIAL GENERAlllAP'lfTY DAMAGE TO RENTEO $ 300,000
<br /> - bCLAIMSMADE W OCCUR
<br /> MED. EXP (Any 0... Penopnl $ 10,000
<br /> -
<br />B PERSONAl & AfÝoIINJURY $ 1,000,000
<br />I---
<br /> GENERAl AGGREGATE $ 2,000,000
<br /> I--- 2,000,000
<br /> Gl;N'l AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPJOP AGG. $
<br /> h POLICY n~^_~. n,,,,-,
<br /> ~OMOBllE llASllfTY BK01893708 APR 21 04 APR 21 05 COMBINED SINGLE UMIT 1,000,000
<br /> (Ea acódentl S
<br /> - ÞNiAUTO
<br /> All OWNED AUTOS BODILY INJURY
<br /> - (Per person) S
<br /> - SQf8>UlEO AUTOS
<br />B
<br /> ~ HIRED AUTOS BODilY INJURY
<br /> $
<br /> ~ NDN-<>WNEDAUTOS (per accident)
<br /> - PROPERTY DAMAGE S
<br /> GARAGE lIABilITY AUTO ONl. Y . EA ACCIDENT $
<br /> ==t ANY AUTO / OTHER THAN EA ACC $
<br /> AUTO ONt Y: AGG S
<br /> OESS I UMBERElLA LIABILITY /c;/I Z/ov V EACH OCCURRENCE $
<br /> OCCUR 0 CLAIMS'MADe ' If? gvrr~ AGGREGATE $
<br /> rt6 -V~ {, s
<br /> R DEDUCTIBlE $
<br /> RETENTION $ $
<br /> WORKERS COMPENSATION AND I we STAT\}. I IÒTHEII
<br /> EMPLOYERS' LIABIUTY E.l. EACH ACCIDENT $
<br /> ANY PROPRlETORIPAATHERlEXECI111VE
<br /> OFFICER/_Eft EXCWOED7 f.l. DISEASE-EA EMPLOYEE $
<br /> If '.'So dt4çrtÞ8l1nder E.l. DJSEASE-POllCY UMIT $
<br /> SPECIAL PROVISIONS btlow
<br /> OTHER: tlCP2342 APR 21 04 APR 21 05 $1,000,000 EACH CLAIM
<br />A PROFESSIONAL LIABILITY $1,000,000 AGGREGATE
<br /> CLAIMS MADE FORM RETRO DATE 03/01189
<br />DESCRIPTION OF OPERATlONS/LOCATIONlVEHICLES/EXCLUSIONS ADDED ENDORSEMENTI SPECIAL PROVISIONS
<br />PROJECT: CES
<br />THE CITY OF SANTA ANA IS ADDIONAlINSURED ON GENERAL LIABILITY AS RESPECTS LIABILITY ARISING OUT OF ACTIVITIES BY, OR
<br />ON BEHAlF OF THE NAMED INSURED AS PER ATTACHED FORM CG 20 10.
<br />CERTIFICATE HOLDER X I ADDITIONAl INSURED: INSURER lETTER: CANCELLATION
<br /> SHOUlD ANY OF THE AWVE DESCRIBED POlICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY Will MAIL 30 DAYS WRITTEN
<br /> NOT,œ TO THE CERTifICATE HOLDER NAMED TO THE LEFT
<br /> FOR THE CITY OF SANTA ANA
<br /> PO BOX 1988 M-26
<br /> SANTA ANA, CA 92701 AlTrnOR/ZED REPRESENTATIVE
<br /> ~/~
<br />A"ention: HOUSING & NEIGHBORHOOD DEVEL
<br />
<br />ACORD 25 (2001/08)
<br />
<br />Certificale #
<br />
<br />24973
<br />
<br />Matthew l. Copus
<br />
<br />I
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