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Client#' 50701 <br />ACORDT. CERTIFICATE <br />OF LIABILITY <br />INSURANCE <br />09/01105Dyr <br />PRODUCER <br />Professional Practice <br />TYPE OF INSURANCE <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 />Insurance Brokers, Inc. <br />POLICY EXPIRATION <br />OATS MMIOD <br />ALTER <br />THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />2030 Main Street, Suite 350 <br />Irvine, CA 92614-7248 <br />BK02147957 <br />09/01/05 <br />INSURERS AFFORDING COVERAGE <br />INSUREDr <br />Dahl Taylor & Associates, Inc. <br />4b <br />- �06�{ I <br />INSURER A. <br />Fidelity and Guaranty Insurance Undw <br />INSURER B: <br />St. Paul Protective Insurance Co. <br />2960 Daimler Street <br />MED EXP (Any one person) $10000 <br />INSURERC: <br />Continental Casualty Company <br />Santa Ana, CA 92705-5824 <br />INSURER D <br />PERSONAL & ADV INJURY $1,000,000 <br />INSURER E. <br />r:FA <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MMIDOIYY <br />POLICY EXPIRATION <br />OATS MMIOD <br />UNITS <br />A <br />GENERAL LIABILITY <br />BK02147957 <br />09/01/05 <br />09/01/06 <br />EACH OCCURRENCE $1,000000 _ <br />FIRE DAMAGE (Any one fire) $500000 <br />X COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one person) $10000 <br />CLAIMSMAOE 1XI OCCUR <br />PERSONAL & ADV INJURY $1,000,000 <br />GENERAL AGGREGATE s2 OOO 000 <br />GEN'L AGGREGATE LIM ITAPPLIES PER: <br />PRODUCTS-COMPIOPAGG $2,000,000 <br />POLICY PEI LOC <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />BK02147957 <br />09/01105 <br />09/01/06 <br />COMBINED SINGLE LIMIT <br />(Ea accident) $1,000,000 <br />BODILY INJURY <br />(Per person) $ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Per accident) <br />X <br />X <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGG $ <br />A <br />EXCESS LIABILITY <br />BK02147957 <br />09/01/05 <br />09/01106 <br />EACH OCCURRENCE $1000000 <br />X OCCUR ❑ CLAIMS MADE <br />AGGREGATE $1,000,000 <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />B <br />WORKERS COMPENSATION AND <br />BW02147951 <br />09/01105 <br />09/01/06 <br />X We STATU OTH- <br />RY LIMITSR <br />EL EACH ACCIDENT $1,000,000 <br />EMPLOYERS' LIABILITY <br />E.L. DISEASE EA EMPL OVEE $1,000,000 <br />E.L. DISEASE POLICY LIMIT $1000,000 <br />C <br />OTHER Professional <br />AEA113969319 <br />05/06/05 <br />OS/06106 <br />$1,000,000 PER CLAIM <br />Liability <br />$1,000,000 AGGREGATE <br />DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />general liability: the city of santa ana, its officers, employees, <br />agents, volunteers and representatives are named additional insured per <br />attached endorsement. <br />SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED <br />City of Santa ana DATE THEREOF, THE ISSUING INSURER NNL-C-GN�MAIL 3O—DAYS WRITTEN <br />Attn: William Watson NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, EfTTTA[ORC'I000�e9NM.i <br />Fire Dept. a" a le 490telt, SRO <br />1439 So. Broadway 'ne►IeeaenrA+wEe. <br />Santa Ana, CA 92707 AUTHORIZED REPRESENTATIVE <br />ACORD 25-S (7197)1 of 2 #M333883 CCL © ACORD CORPORATION 1988 <br />