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<br />'1 <br /> <br />Client#: 6540 <br /> <br />WILLDAN <br /> <br />A£DRDTM <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />DATE (MM/DDIYY) <br />10/01/2004 <br /> <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 />PRODUCER <br />Dealey, Renton & Associates <br />P. O. Box 10550 <br />Santa Ana, CA 92711-0550 <br />714427-6810 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />- -______m_- <br /> <br />---------....- <br /> <br />--------- <br /> <br />Willdan <br />2125 E. Katella Avenue, Ste. 200 <br />Anaheim, CA 92806 <br /> <br />, INSURER A: <br />INSURER B: <br /> <br />Hartford Fire Ins. Co. <br />American Automobile Ins. Co. <br />- - - -- - --- --- -- - .- - ----- --------------- <br />Security Jns.C~-"_of Hal"tfo-,"~_*- <br /> <br />INSURED <br /> <br />INSURER c: <br /> <br />INSURER D: <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 PAID CLAIMS. <br />I~~~ TYPE OF INSURANCE POLICY NUMBER i Pg~!fEY ~~~&J.:.~E <br />A L, GEN, ERAL LIABILITY ¡57CESOA1661 ~ 11/09/03 <br />~ 'COM M ERCIAL GENERAL LlAB ILlTY <br />f--+-- CLAIMS MAùE =xJ OCCuR INDP. CONTRACTORS <br />X ¡CONTRACTUAL INCLUDED. <br />ilB-fP_D, )(Cuu - <br />GEN'L AGGREGATE LIMIT APPliES PER: <br />¡ POLICY X- P~O;: <br />AUTOMOBILE LIABILITY <br />X ! ANY AUTO <br /> <br /> <br />! 11/09/04 <br /> <br />LIMITS <br />EACH OCCURRENCE $1 000000 <br />FIRE DAMAGE (Anyone fire) $1 000 000 <br />MED EXP (Anyone person) , $10 000 <br />PERSONAL & ADV l_i'lJU~'r'..- !1..()00,000.. <br />GENEf3A.L:_A£G~GA TE$~QJI()()- <br />PRODUCTS,CeJr..1P-'eJP AGG_$2,().Q()..1!..0Q. <br /> <br /> <br />A <br /> <br />57UENUL9643 <br /> <br />11/09/03 <br /> <br />: 11/09/04 <br /> <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br /> <br />$1,000,000 <br /> <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />Œ= NON-OWNED AUTOS <br />~-- -~~- <br /> <br />BODILY INJURY <br />(Per person) <br /> <br />-- <br /> <br />BODILY INJURY <br />(Per accident) <br /> <br />GARAGE LIABILITY <br />ANY AUTO <br /> <br />I\_??O~O~!~~D' <br /> <br />A '", <br />/ "I. <br /> <br /> <br />PROPERTY DAMAGE <br />(Per accident) <br /> <br />AUTO ONLY - EA ACCIDENT $ <br /> <br />-- ----_u_-...--______n - ---- <br /> <br />EA ACC $ <br />AGG $ <br />$ <br />$ <br />$ <br />$ <br /> <br />OCCUR <br /> <br />CLAIMS MADE <br /> <br /> <br />OTHER THAN <br />AUTO ONLY: <br /> <br />EXCESS LIABILITY <br /> <br />1- <br /> <br />EACH OCCURRENCE <br /> <br />.. '"' ~ <br /> <br />AGGREGATE <br /> <br />, ì.,J oJ.. j , ,~ <br /> <br />DEDUCTIBLE <br />RETENTION <br /> <br />C <br /> <br />OTHER Professional <br />Liability <br /> <br />XAE0235189 <br /> <br />12/01/03 <br /> <br />12/01/04 <br /> <br />X WC STATU- <br />RY <br />E.L EACH ACCIDENT $1,000,000 <br />E.L DIS;';'SE - EA EMPLOYEE' $1,000,000 <br />E.L DISEASE. POLICY LIMIT $1,000,000 <br />$1,000,000 Per Claim <br />$2,000,000 Annl Aggr. <br /> <br />OTH. <br /> <br />B <br /> <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br /> <br />WZP80917259 <br /> <br />11/09/03 <br /> <br />i 11/09/04 <br /> <br />DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />General Liab. policy excludes claims arising out of the performance of prof. services. <br />*Security Insurance Company of Hartford is 100% reinsured by XL Specialty Insurance <br />Company which is rated A+XV by A.M. Best and Company. <br /> <br />(See Attached Descriptions) <br />CERTIFICATE HOLDER <br /> <br />ADD mONAL INSURED . INSURER LETTER: <br /> <br />CANCELLATION <br /> <br /> <br />OCT 0 1{ 2004 <br /> <br />SHOULD ANY OF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL~J(~XJMAIL30 - DAYS WRITTEN <br />NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHELEFT, B~JOiIJln uIMaxx <br />IØÐQGX~AQMXJrlX.J(XICØIIJlXIf'JDJI){}(X~JC! þ( x <br />DIaBJORI)IfiX <br />AUTHORIZED REPRESENTATIVE <br /> <br />City of Santa Ana <br />AUn: Tonia Zerba <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br /> <br />RECEIVED <br /> <br /> <br />'I ~í"í.c'¡h\ ' \j~'IJ1. <br />~;!oJ u"!f~¡f~,.1 . ;...,. <br /> <br /> <br />LL <br /> <br />@ ACORD CORPORATION 1988 <br /> <br />ACORD 25-5 (7/97)1 <br /> <br />of 2 <br /> <br />#M81151 <br />