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ACORD <br />CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) <br />TM 06/25/08 <br />PRODUCER 1- 28-6555 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Amea & Gough, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />~ ~~ ~ " <br />450 <br />i <br />~ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Northr <br />d a Parkwa <br />g Y <br />-- <br />S <br />i ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />u <br />te 102 ~~ <br />~~ <br />Atlanta, GA 30350 <br />Michael Herlihy INSURERS AFFORDING COVERAGE NAIC # <br />INSURED /~ <br />TRC Alton Geoscience, Inc. /J <br />1-~) ~ /\ INSURERA:Commerce & Industry Insurance Company <br />_ / <br />TRC Solutions, Inc. TI a (~1 ,.~ V~~/~~ <br />LLL ~J INSURERB:American Int'1 Spec Lines Ins. Co. <br />21 Technology Drive INSURERC:Twin City Fire Insurance Company <br />Irvine, CA 92618 ~ `-~ ~Q ~ ~~ 8 INSURER D: <br /> INSURER E: <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 DO' <br />POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />LIMITS <br />p+ GENERAL LIABILITY GL 7168709 07/01/08 07/01/09 EACH OCCURRENCE $1,000,000 <br /> X <br />- COMMERCIAL GENERAL LIABILITY ~ DAMAGE TO RENTED <br />!PREMISES Ea occurence` <br />$ 500,000 <br /> CLAIMS MADE ~ OCCUR <br /> MED EXP(Any one person) $5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> <br /> GENERAL AGGREGATE $2,000,000 <br /> <br /> GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $2,000,000 <br /> POLICY X PE ~ X LOC <br />A AUT OMOBILELIABILI7Y CA 7168886 A/0 07/01/08 07/01/09 <br />A X gNYAUTO CA 7168888 MA <br />07/01/08 <br />07/01/09 Ea aBcideD SINGLE LIMIT <br />( ) $1,000,000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> <br />X BODILY INJURY <br />$ <br /> NON-OWNED AUTOS (Per accident) <br /> X Comp. Ded. $1,000 <br /> <br />X <br />Coll. Ded. $1, 000 PROPERTY DAMAGE <br />(Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO <br />OTHER THAN EA ACC <br />$ <br /> AUTO ONLY: AGG $ <br />B EXCESSIUMBRELLA LIABILITY UMB 7168710 07/01/08 07/01/09 EACH OCCURRENCE $ 10,000,000 <br /> X OCCUR ~ CLAIMSMADE AGGREGATE $ 10,000,000 <br /> <br /> DEDUCTIBLE <br /> RETENTION $ $ <br />C WORKERS COMPENSATION AND 20WN MF5434 A/O 07/01/08 07/01/09 X WC STATU- OTH- <br /> EMPLOYERS' LIABILITY <br />TORYLIMITS ER <br /> ANY ~R(1PRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 <br /> OFFICERIMEMBER EXCLUDE"D? <br /> <br />If yes <br />describe under E. L. DISEASE-EA EMPLOYEE $1,000,000 <br /> , <br />SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $1,000,000 <br /> OTHER <br />8 Professional Liability 3778255 07/01/08 07/01/09 Per Claim/Agg. lOM/15M <br /> 8&O-Including Pollution Liab. <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ~ ...... <br />R8: Alton Geoscience, Inc. <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 97201; ~ // <br />its officers, employees, agents, volunteers and representatives are named / <br />/' <br />C/ <br />as Additional Insureds on a Primary and Non-Contributory basis with ~~j'~~, (,F <br />respect to Liability, where required by written contract. <br />R. <br />City of Santa Ana <br />20 Civic Center Plaza - Ross Annex (M-36) <br />Santa Ana, CA 92701 <br />nrnon ee ienn~ men <br />USA <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE ~ ±J~~~ ~ _ <br />~~ ~' e16is30 UACORD CORPORATION 1988 <br />