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<br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 I DATE <br />01/09/2004. <br />PRODUCER 877-559-6769 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> willis North America, Inc. - Regional Cert Center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 11201 N. Tatum Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Suite 300 <br /> Phoenix, AZ 85028 INSURERS AFFORDING COVERAGE <br />INSURED Korve Engineering INSURER A: St. Paul Fire and Marine Insurance Compan 24767-100 <br /> 155 Grand Avenue INSURER B: American Home Assurance Company 19380-000 <br /> Suite 400 <br /> Oakland, CA 94612 INSURER C: <br /> INSURER D: <br />I 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 PAID CLAIMS. <br />I~f: TYPE OF INSURANCE POLICY NUMBER PD~L, .~Y ri~~J6TIVE Pgk!fEY ~~'tfJ!.9N <br /> <br />LIMITS <br /> <br />A <br /> <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE [X] OCCUR <br /> <br />BK01576088 <br /> <br /> LOC <br />A AUTOMOBILE LIABILITY BK01576088 <br /> ANY AUTO <br /> ALL OWNED AUTOS <br /> SCHEDULED AUTOS <br /> X HIRED AUTOS <br /> ¡I <br /> X NON..QWNED AUTOS / <br /> GARAGE LIABILITY <br /> ANY AUTO <br /> EXCESS LIABILITY <br /> OCCUR D CLAIMS MADE <br /> DEDUCTIBLE <br /> RETENTION $ <br />B WORKERS COMPENSATION AND WC3281718 <br />EMPLOYERS' LIABILITY <br /> <br /> <br />9/11/2003 9/1/2004. EACH OCCURRENCE $ 2 000 000 <br /> FIRE DAMAGE (Any one fire) $ 1 000 000 <br /> MED EXP (Anyone person) $ 10 000 <br /> PERSONAL & ADV INJURY $ 2 000 000 <br /> GENERAL AGGREGATE $ 4. 000 000 <br /> PRODUCTS - COMP/OP AGG $ 2 000 000 <br />9/11/2003 9/1/2004. COMBINED SINGLE LIMIT 2,000,000 <br /> (Ea accident) <br /> BODILY INJURY <br /> (Per person) <br /> BODILY INJURY <br /> (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> AUTO ONLY - EA ACCIDENT $ <br /> OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EACH OCCURRENCE $ <br /> AGGREGATE $ <br /> $ <br /> $ <br /> $ <br />9/1/2003 9/1/2004. OTH- <br /> ER <br /> E.L. EACH ACCIDENT $ 1 000 000 <br /> E.L. DISEASE - EA EMPLOYEE $ 1 000 000 <br /> E.L. DISEASE - POLICY LIMIT $ 1 000 000 <br /> <br /> <br /> <br />AS~>iS L~.L,i, <br /> <br />OTHER <br /> <br />DESCRIPTION OF OPERA TIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 1/9/2004. WITH ID: 3931502 <br /> <br />The City of Santa Ana, its officers, employees, agents, volunteers are named as additional insured <br />per the attached endorsement. <br /> <br />CERTIFICATE HOLDER <br /> <br />ADDITIONAL INSURED; INSURER LETTER: <br /> <br />CANCELLATION <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL Illill"YMJIII"CCIXMAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF'QCaUCaI~L <br />:JIXJUIIXĊ’UIX <br /> <br />ACORD 25-S (7/97) <br /> <br />Col1:893527 Tpl:219096 <br /> <br /> <br />@ACORD CORPORATION 1988 <br /> <br />City of Santa Ana, M-93 <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br /> <br />