|
<br />. .
<br />.'.: '::;':":"M";' '.':':~:R:'" ':'S;"'~t.:.::
<br />::;..~~.~ ~ ~ :-:::-:~:~ .: : ::~ ..:....: ,';' ~~.~,:_:::::,~.
<br />PFlOOlJCeR
<br />MARSH RISK,&INSURANCE SERVICES
<br />P.0.OOX'931llJO
<br />SAN FRANCISCO CA 9<11'9-3880
<br />CALIFORNIA LICENSE NO. 0437153
<br />
<br />...... ".
<br />. I'll" ........:....~.~.'.
<br />:;':::':::.:~_:.:~~; ~ ~ r:, ..",",
<br />
<br />: .. ',. .:'.... :'::';':'. ".:-,. ',.~:' :'1:1":"...... .,.".....;.;:;1 ;',:..:.:.:,:, __
<br />C.EAtlf.lCAte:O'FAH$P"'~~E::: ~~A.=~~=
<br />".:~. '.. '.. ',.:. ":"; n; ""n,;"" '.: '.:~:'::; :;'," .... '. 'n:.:.: . ..:' ,- no"'; . ... ~
<br />
<br />'~:.:.~~ :; ;'~.';;
<br />...:......,...
<br />
<br />. ; ~ ; : . . .
<br />
<br />i.! :
<br />
<br />lHIl c~n'leAn. IS 1..sJ ",AIU.TTlR Of INl'atYATlCIIOHLY ANOCON~
<br />NO ~l>>tTS UPON lltE CERTlPlCAil HDL.~R g~R 'tHAN ltIDK PROYIJfD IN m~
<br />poua. 1l1~CUTlFlCAlEDQ!INOT A.MEHg, iXTUCO"...I.TIR TI-E CCVENlGIE
<br />AffCIIWElJ BY THE. IIOUCI.. L1IKfUIED HI!fWN.
<br />
<br />COMPANIESAFFOROING COVIiRA.GE
<br />
<br />A _.;}.(}()J- rID G
<br />A-~oo3- J9!
<br />
<br />COMP"""
<br />A. NATIONAL UNION A~ INS. CO. OF PITTSBURGH, PA
<br />COMP"'Y
<br />II
<br />
<br />URSCA.,f,ll-WPRO-lI4-<l5 SFOUf\SA
<br />It.I!lL.REO
<br />U RS CORPORATION
<br />Illlo. URS COFlPORATION 1>1I. ERICAS
<br />600 MONTGOMERV STFlEET
<br />:l$TH FLOOR
<br />SAN FRANCISCO, CA 94\' I
<br />
<br />AMERICAN INfERNATIONALBPECIAl.1YLItES INS. CO.
<br />
<br />COMPANY
<br />C
<br />COMPANY
<br />o
<br />
<br />!VA
<br />
<br />INSURANCE CO OF THE STATE Of' PA
<br />
<br />
<br />TI-IS IS10 CEI{J1FY THo\.T POUCIEaOF INSURANCE OESCFUliIW HEFIElN liwesEENI89UEDTO THE INBURE:D NAMED HEREIIII FCFt THE POUCVPB=lIOOINDIOATEO.
<br />NOTWITHS1"ANCXP<<Ji ANY RBJUlFlilMEN'T. TIIIII OF! coNOO'ION OF Nl'f CClNTPACT OROT'HEROOCI.IJIENT WITH RESI'ECT TO WHICH THE CEFfTIFtCATE MAYBE ISSUED QR
<br />MAY fiE RT'....N. nlf INel.lVHCE AfFORDED BY TI-E POLICIES CESCRBED tERBN II! I!lBIB:IT TO AU. TH: TEfW3, OONOIT10NB AND EXCLUSIONS OF &UCH f"OLICIEfJo.
<br />AGCRWATE UUl18 SHOWN MAY JitlVE BEEN REDJCED Ill' PAl [) CLAIr.! S.
<br />
<br />CO TY". Q flN&lRANCI fIOUCY NUYlI'" POLlcy..,.cn" ,()uev UIllRA'TKlN
<br />l.", o.t.ft lUM.ODml llAftl\lllJ1llllYVl
<br />" GEHRM. UAlILln QL033-311e O4All-'l4 0401105
<br /> :x ('.OIJlU!N:UJ. GENEF\ULlAelllT'f
<br /> ClA..aMACE ~ OCCUFl
<br /> OWNER'I!lr.cOt.lTP.ACT'on'SPACT
<br />A AlITDIllOBlLE Lill-lllTY 826-1 87D-'OS 04ID1.m Cl4.O,106
<br /> :x /tNyAUTO
<br /> IU OWNED AUrOS
<br /> SCHEOll.ED AUTOS
<br /> X HREOAUT09
<br /> X NalICNNEDAUT08
<br /> GARAGI W.ILU1Y
<br /> ~y AUTO
<br /> IIXCI:_ UAIIIUlY
<br /> LLIIPJ!LLA 1i0lW
<br /> OTHIA THAN UM8RElJ...A FOFW
<br />A WOAIC2N COIIPBI..nONAND ......,.. leAl 01 ~1104 01,(111tl5
<br />C EUP1.aY'1fW UUlUT't' ._ lAOS) 010111104
<br /> 01,0'105
<br />A 'T'H!"~NETOFII ,"a. 643GQDS EXCWD.CA.AOS,GA O1.o1~ 01Ja1105
<br /> PARTNERSQECUTIVE
<br />E OFfICERS ARE: El<<L M:WlllCl (GA 01 ,\)1104 0111J11OS
<br /> OTHII!!"
<br />B PROF. LIASIUTY (BO) 818-41G8 """,- 04.IJ1.....
<br /> a..AI.u MADE FOI'N
<br />
<br />
<br />LIMIT'
<br />
<br />B ENEP.Al. AOOREOPATE
<br />PROOlJCTs..<:oMPJOP .-aG
<br />PEf:I9OIlAL 6 AC>>IINJI.RY
<br />1!Ac:H OCCURRENCE
<br />FiRe au.IIAGE!: (AnVal. &-11)
<br />MEOEXPt,Mrl_.....,)
<br />
<br />QCt,II"EC~U~IT
<br />
<br />800lL Y lK.lUfW
<br />(P. "-'lII'l)
<br />
<br />&COl.Y If'IJUR.Y
<br />p.lIOdanO
<br />
<br />PftOPERTYo-MAQE
<br />
<br />AlITO en. y. fA. MOl DENT
<br />
<br />(lTIoI&RTHAN AUTO ONLY:
<br />EACH A(KjIDENT
<br />AOOFBlATE!:
<br />EADI OCCIJFFENCE
<br />AllGRB3ATE
<br />
<br />B. D1SEASE.POL.ICY UMJT
<br />a. C1sWf-EACH EMPlO'YEE
<br />
<br />EACH CLAN
<br />AGGREGATE
<br />
<br />J 1.000000
<br />S 2.000.000
<br />. 1,000,000
<br />$ , .000.000
<br />. , .000.000
<br />. 5.000
<br />J 1,000,000
<br />$
<br />$
<br />$
<br />$
<br />
<br />'. t ''''d'''c,,'."~r
<br />i.!~,_,,-~
<br />
<br />'.000.000
<br />1,000,000
<br />'lOOllOO
<br />
<br />$1.000,000
<br />51,000,000
<br />
<br />DElCAIPnON OF OP&AAllCNlllCC4l1GNIlNEl-lCL.UllPlcw.ITEUa
<br />RE: PROJECT NO. 67-l>>ll6'005.01: CENTEPLJNE PRWECT NOiSE REVIEW. THE crrv OF SANTA ANA. ITS OFRCER9. AGENTS. EUPWYEES. & Va.UtfTEERS ARE
<br />AllllI1lONAI.1NSUREDS Wlfft RESPECT OI'ERATlOlS PEFlFOFlMED BY OR RJR THE NANEO INSUREO AS RESPECTS GEI'lERAL lIABUTY. THIS INSURANCE IS
<br />PRIMARY PER I'a.lCV FORM. &EVERABUTY OF INTEREST.cROSS UABIUTY APPUE9.
<br />
<br />1 '.~ _", + -. ~ - -, ' . I. f N I' ".. . !' . , " I' " . .., -
<br />,,~:r,1"~'./1 \ 'I ---. .',' ,r ' ._ < l' r."" ",II,,~,,+fr!"""_~_'_f4-..+._.J'.j..... . W4j1J"j_\'''',':t~t.T'l
<br />. ", ,E. 'I ,. . ~;"
<br />
<br />CITY OF SANTA ANA
<br />20 CIVIC CENTER PLAZA
<br />P.O. BOX 1!188
<br />~AANA.CA G27C2
<br />
<br />~~ 1/'1
<br />
<br />SHOlLO iii., or' TH!!! POliCies DI!:SOPllet:O HEFlEN BE CANceLLED BEFORE" THE EXPlMTIOOl
<br />DIl.TSTHEREOF, THE I!ULREflAFFCROINQ COYIifWJIiiWIL.L. ....XIIIICJa MAlLSQ Q\Y8
<br />W~TTENNo1'ICeTOTM!CEJmFlCATE I<<lL.OiFlNIt."EC~IN;e:~.~. ...:10.. ---
<br />,.,.-........Q~ .- __If]Jl-.---IUW.-'"dI.~
<br />Jm' rT1 ..~..-_ -..~---.-_~
<br />......._..f'.~.._.-aCC~CrJ~:JQC~(Jr_...._.."lJOO(1X
<br />
<br />WA.R8H LBA INO
<br />BY: MchID Nekotl
<br />
<br />':j1 ':,_. ; -}.',.::; .,"~ . ~:"__ ,..L._-l~~_>.l:'~"c~:~;_':'._/'I,' ~.'..;, '(-4~:;r. .' ,,}I.. I.r.._.'}:.'
<br />
<br />'1".tJ .'(..17 .L..
<br />
<br />VALI5AroF,""-"
<br />
<br />/Hi4.-.
<br />
|