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len : ACORD~ CERTIFICA~ - OF LIABILITY INSUR DATE (MM/DDfYYYY) 10/27/2004 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NCE PRODUCER Dealey, Renton & Associates P. O. Box 10550 Santa Ana, CA 92711-0550 714427-6810 William Hezmalhalch Architects 2850 Redhill, Suite 200 Santa Ana, CA 92705-5543 INSURERS AFFORDING COVERAGE INSURER A: United States Fidelity & Guaranty INSURER B: St. Paul Fire & Marine Ins. Co. INSURER C: INSURER 0: INSURER E: NAIC# INSURED COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY NUMBER POUCY EFFECTIVE Pg~IfJI~~~~N LTR NSR TYPE OF INSURANCE DATE MMlDD/YY LIMITS A ~NERAL L1ABIUTY BK01461996 09101/04 09/01/05 EACH OCCURRENCE .1 000 000 X COMMERCIAL GENERAL LIABILITY General Liab. ~~~~~i,~9E~En~~~~nce' '1 000000 I CLAIMS MADE [XJ OCCUR excludes claims MED EXP (Anyone person) .10000 arising out of PERSONAL & ADV INJURY .1 000 000 the performance GENERAL AGGREGATE .2 000 000 ~'~ AGGREAE ~lIMIT APAsIPER: of professional D RECE VED BY PRODUCTS - COMPIOP AGG .2 000 000 POLICY ~~g. lOC services WNTOWN DEVI " ^. A ~OMOBILE L1ABIUTY BK01461996 09/01/04 09101/05 COMBINED SINGLE LIMIT ANY AUTO OCT l 2004 {Eaaccidenl} '1,000,000 - - ALL OWNED AUTOS BODILY INJURY {Per person) . - SCHEDULED AUTOS CITY OF S ANTA ANA ~ HIRED AUTOS BODILY INJURY (Peraccidenl) . ~ NON-QWNED AUTOS PROPERTY DAMAGE . (Per accident) ~~GE UABILITY AUTO ONLY - EA ACCIDENT . ANY AUTO OTHER THAN EA ACC . AUTO ONLY: AGG . 3~SSfUMBRELLA LIABILITY EACH OCCURRENCE . OCCUR 0 CLAIMS MADE AGGREGATE . . ~ ~EDUCTIBlE . RETENTION . $ B WORKERS COMPENSATION AND WVA7726881 09/01/04 09/01/05 X I we STATU-, I 10J~' EMPLOYERS'L1ABILlTY .1,000,000 ANY PROPRIETORlPARTNER!EXECUTIVE E.l. EACH ACCIDENT OFFICERlMEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYE .1,000,000 If yes, describe under .1,000,000 SPECIAL PROVISIONS below E.l. DISEASE - POLICY LIMIT B OTHER Professional QP03801862 09/20/04 09/20/05 $1,000,000 per claim Liability $1,000,000 annl aggr. DESCRIPTION OF OPERATIONS { lOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS , - ,be-' ( C TC >:-< n;1rv1 '. , . -' '~,-.' -Except 10 days notice of cancellation for non-payment of premium. The City of Santa Ana, its officers, agents, volunteers and employees are _~(i~ additional Insured on General Liability coverage but only as respects to ..,. -- work being performed by the insured. J.-->; ~. It C::". .j_~~_j _ _'.., Jh~'-"-"j Coverage afforded the additional insured is primary and non-contributory. A.S.:;.:,L..H --':dy , . CERTIFICATE HOLDER CANCELLATION City of Santa Ana Alln: Danell Mercado Downtown Development Division 305 E. Fourth Street, S#201 Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL E~K~l ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, BIJf)f)I.)tWOllXDlQ:klXl".tlt9(Xxx lJIllXlil:lllXQClX )OS(lJlm~)()l3(OiIIJCXXX lIl8P.(!XmM)lJJ)(D!:KX AUT ORIZEO REPREiN~ ACORD 25 (2001108) 1 of 1 #M113249 THC @ ACORD CORPORATION 1988