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DATE(MMIDOIYY) <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE 11/07105 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton &Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P O Box 10550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Ana, CA 92711.0550 <br />714 427.6810 <br />INSURED _ <br />Willdan <br />2401 E. Katella Avenue, Ste.300 Ar-_%Ot)5_((V3 <br />Anaheim, CA 92806 <br />COVERAGES <br />INSURERS AFFORDING COVERAGE <br />-- <br />INSURERA: Zurich American Insurance Co. <br />INSURER B. <br />American Automobile Ins. CO <br />INSURER C: <br />XL Specialty Insurance Co. <br />INSURER D: <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE -UK 1111, FULR.Y FI=I VV 111 1I. ,...—........... ­• <br />OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT <br />INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />MAY PERTAIN. THE <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />- _ _ POLICY EFFECTIVE POLICY EXPIRATION ! LIMITS <br />LTR POLICY NUMBER DATEMIDDIYY DATE MM 00 <br />TYPE OF INSURANCE <br />V <br />A GENERAL LIABILITY '.GL0904316300 11/09/05 11/09/06 <br />EACH OCCURRENCE j$1,000,000 <br />� COMMEk"'iAL GENE LIABILITY( <br />X CO. <br />1 FIRE DAMAGE IA,Y one fire) $1,000,000 <br />I -- - -- <br />AIMSMADERAL <br />�_KiOCCUR INDP.CONTRACTORS <br />MEDEXP(Myaneperson) $10,000_ <br />LX INCLUDED <br />PERSONAL aADV INJURY $1 000 000 <br />-CONTRACTUAL <br />'_X JBFPDCU <br />GENERAL AGGREGATE s2,000,000 <br />-_ _.- <br />!GEN'LAGGREGATE LIMITAPPLIESPER. 'I <br />PRODUCTS -COMPIOPAGG1$2000000 _ <br />PEO LOG <br />POLICY � <br />A AUTOMOBILE LIABILITY <br />BAP904316200 <br />11/09105 <br />11/09/06 <br />COMBINED SINGLE LIMIT 81,0003000 <br />X ANY AUTO <br />(Ea accident) I <br />AL OWNED AUTOS <br />! <br />BODILY INJURY $ <br />- <br />SCHEDULED AUTOS <br />(Per person) <br />--- — - <br />X HIRED AUTOS <br />BODILY INJURY $ <br />!' <br />(Per accident) <br />_ <br />X_ NON -OWNED AUTOS <br />-- - ------ -- -- -- <br />PROPERTYDAMAGE $ <br />--- -- _ — <br />(Per accident) <br />AUTO ONLY -EA ACCIDENT <br />GARAGE LIABILITY <br />I ANY AUTO <br />OTHER THAN <br />AUTO ONLY: AGG $ <br />I EXCESS LIABILITY <br />I <br />EACH OCCURRENCE $ <br />J OCCUR CLAIMS MADE <br />AGGREGATE $. <br />$ <br />I DEDUCTIBLE <br />r RETENTION $ <br />B WORKERS CJUPENSATON AND <br />IAJZP60936177 <br />'! 11/09/05 <br />411109106 <br />$ <br />WCSTATU- BOTH- <br />X !TORY LIMIT$ I i ER <br />EMPLOYERS'LIASILITY <br />E.L. EACH ACCIDENT 1$1,000,000 <br />!E.I.DISEASE - EA EMPLOYEE'$1,000,000 <br />E.L. DISEASE -POLICY LIMIT 1$1,000,000 <br />C OTHER Professional <br />IDPR9415196 11109/05 <br />11/09/06 <br />$1,000,000 per claim <br />$2,000,000 annl aggr. <br />(Liability <br />j <br />DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />APPROVED AS TO FORM <br />General Liability policy excludes claims arising out of the performance of professional <br />services <br />/ <br />Re: Building Department counter technical staff <br />Laura S Sheedy <br />(See Attached Descriptions) <br />Assistan it Attorney <br />RECEIVc <br />City of Santa Ana <br />Attn: Tonia Zerba Nov 0 9 2005 <br />20 Civic Center Plaza <br />P.O. Box 1988 SpNTAANAPLANNING <br />Santa Ana, CA 92702 <br />SHOULD ANYOFTH EABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL XXRQn$AA7c7P MAIL$D DAYSWRITTEN <br />NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BXj5AL OCAXAXXIAAAXXXX: <br />WWMXMVQtiLA3 XXkgmx=KXMAMXMXXbMXICXXX1Qt1M7tWADMn)M <br />ACORD 25-S (7197)1 of 2 #M142508 <br />© ACORD CORPORATION 191 <br />