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<br />I ,... y '" -L\~... "" 1..-1" ... .""'"', '- -, ~I""''''''.L...I I . . . . '-' ~ I ,'""'. . '" L- I 07/09!ZOO4 <br /> PRO~~R (949)622-5517 FAX (949)622-SS1& THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA 11: <br /> GSM Insurance Services HOLDER. THI$ CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> lie. #0015612 Al TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 19200 Von Karman Ave. 1400 <br /> Irvine, CA 92612 INSURERS AFFORDING COVERAGE NAIC# <br /> I~R~O Curbside, InC. INSURER A; American Int'l Specialty Lines 26&83 <br /> 1605 N. Spurgeon St. IN3URER 5: Commerce & Industry Ins. Co. 19410 <br /> Santa Ana, CA 92701 INSURER C' <br /> INSURER D: <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THË POLICIES OF INSuRANCE LISTED BELOW HAVE BEEN ISSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N01WITHST ANDING <br />ANY REOUIREMENT T!õRM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR... <br />MÅ Y PERT AfN, THE iNSURAN<:E AFFORDED BY THE POLICIES DESCRIBED HEREIN tS SUBJECT TO ALL THE rEIWS. EXCLUSIONS ANO CONOITIONS OF'Sf:5tH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAV!õ BEEN REDUCED BY PAID CLAIMS. <br /> <br />L m NSfI <br /> <br />TYPE OF INSURANCE <br />GENERAl. I.lA81UTY <br />X COMMe~lAl Ge;NI;RAI. 1.lAlJII.ITY <br />CLAIMS MADE 00 occuR <br /> <br />POUCY NUMBER <br /> <br /> <br />LIMITS <br />$ <br />$ <br />$ <br /> <br />GENERAl. AGGREGATE <br /> <br />$ <br />$ <br /> <br /> <br />A <br /> <br />8 <br /> <br /> <br />"RODUCTS . COM"IO" AGG S <br /> <br />LOC <br /> <br />CA 808 77 11 11/23/2003 <br /> <br />08/21/2004 <br /> <br />COMBIN!õO SINGLE LIMIT <br />(Eio..=dcnl) <br /> <br />5 <br /> <br />ALL OWNEO AUTQoS <br />$CHEOVLE<D AIJTOS <br />HIReD AuTOS <br /> <br />BODILY INJURY <br />(P",pe¡oon> <br /> <br />5 <br /> <br />NON.OWNE<O AlfTOS <br /> <br />80011. Y INJURY <br />(P", .ocl~enI) <br /> <br />5 <br /> <br />PROPbRTY CAMAGI;; <br />(P", a<:cJ~onI) <br /> <br />s <br /> <br />GAAAGE LIABU.IT'( <br />fW'( AUTO <br /> <br />AUTO ONLY. EJ\ ACCIDëNT S <br /> <br />OTHER Tt1AN <br />/WTO ONLY, <br /> <br />E;A AGC $ <br />AGG S <br /> <br />fÐ(CESSIUM8REUA LIABIUTY <br />OCCuR 0 C\.AtMS MACE< <br /> <br />EACH OCâJRRËNce <br />AGGREGATE< <br /> <br />$ <br /> <br />S <br /> <br />oeOUCT'B..e <br />RETENTION <br /> <br />S <br /> <br /> <br />$ <br /> <br />$ <br />$ <br /> <br />WORKeRS COMPeNSAnON AND <br />EMPLOYERS' LIABlUTY <br />ANYPROPR~TO~PARTNe~ECUTWE <br />OI'FICeRiMeM~ exCLUoeO'? <br />~~f~V':'S~~S ÞefooN <br />OTHER <br />on~ractor's Pollution <br />A liabili1:Y <br /> <br />$ <br />e.L. OISEASe . EA EMPLOVe s <br /> <br />341 77 66 11/23/2003 <br /> <br />08/23/2004 <br /> <br />I;;.L [){SI;;ASI;; . POLICY UMIT S <br />$1,000,000 each loss <br />$1,000,000 total all losses <br /> <br />OESCRlP'T10N OF OPERA nONS I LOCA noNS I VEHICLES I EXCLU$IONS AODEO BY eNDORSEMENT I SP£CII\¡, P'IOVlS/ONS <br />he general liability policy includes the City of Santa Ana, its officers, employees, <br /> <br />olunteers and representatives as additional insured with regard to work performed by <br /> <br />he Named Insured where required by written COntract. <br /> <br />agents, <br />or on behalf of <br /> <br />Except 10 days for nonpayment of premium. <br /> <br />City of Santa Ana <br />Department of Public Works <br />20 Civic Center Plaza, M-21 <br />Santa Ana, CA 92702 <br /> <br />CANCEUATlON <br />SHOULO ANY OF THE ABOVE DESCRIBED POUCIE.S BE CANCELLED BEFORE THE <br />EXl'IMTJON DATI: TI1~OF. THE I3SUlNG INSURER WILL ~~~ t/IAI~ <br />~ DAYS WRlTT'EM NOTICE TO THI' CI'R.TIFlCATE HOf.O£R HAIIIED TO TI1E LEFT. <br /> <br />CERTIFICATE HOLDER <br /> <br />~K)c~ )OO(X <br /> (~~.JIU!OO(UI(X~JOOOO{XXXXXXXX <br />AUTH~ItEO ltep~eNTATIVE <br /> <br />ACORD 25 (2001/08) <br /> <br /> <br />@ACORDCORpORATION1988 <br /> <br />Michael V igliotta <br />Deputy City Attorney <br />