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<br />pROll\JCER <br />GSM Insurance Services <br />License No: OD15612 <br />30 Corporate Park #307 <br />Irvine CA <br />INSURED <br />Curbside, loc. <br />1605 N. <br /> <br />FAX (949) 851-8802 <br /> <br />DATE (MMlDDJYYYY) <br /> <br />8/23/2005 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br /> <br />ACORDm <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />92606 <br /> <br />INSURERS AFFORDING COVERAGE <br />INSURER A: Steadfast Insurance <br />INSURER B: Zurioh American Insurance <br />INSURER c: <br />INSURER D: <br />INSURER E: <br /> <br />NAICII <br /> <br />Santa Ana <br />COVERAGES <br /> <br />CA 92701 <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE 8EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWITHSTANDlNG ANY <br />REQUIREMENT, TERM OR CONDmON OF PHY CONTRACT OR OlHER [X)CUMENT W1lH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDlTlONS OF SUCH POUClES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAW CLAIMS. <br />IN'" =5 . POLICY EFFECTIVE POLICY EXPIRATION <br />LTR TYPE Of INSURANCE POUCY NUMBER DATE IMMfDDIYV) DATE (MIlWODIYY) UMITS <br />A ~aw... LIABILITY GPL 543 5554-01 08/23/2005 08/23/2006 EACH OCCURRENCE $ 1,000,000 <br /> ~ :=]MERCIAL GENERAL LIABILITY ~~~~J~~~~l . 100,000 <br /> - ClAIMS MADE [!] OCCUR MED EX? (fvw one DImon) . 25,000 <br /> PERSONAL & PDV INJURY . ~,OOO/OOO <br /> GENERAL fJJ:;GREGATE $ 1,000,000 <br /> ~~AGG~r!r~~ ^PiPER: PRODUCTS - COfWllOP N3G . ~,OOO,OOO <br /> POUCY ..ECT lOC <br />B ~TOM08LE UABILrTY SAP 543 5553-01 08/23/2005 08/23/2006 COMBINED SINGLE LIMIT 1,000,000 <br /> (Eaa;;cidert) . <br /> ~ ANY AUTO <br /> - ALL OWNED AUTOS BODILY INJURY <br /> (per person) . <br /> SCHEDULED AUTOS <br /> - .._-. <br /> - HIRED AUTOS $1,000 OEO COMP ElODIL Y INJURY <br /> (persCCident) $ <br /> - NON-OWNED AUTOS <br /> - $1,000 OED COLL PROPERTY DAMAGE <br /> (peraccldttnt) $ <br /> ~G. UABlUTY AUTO ONLY -EAACCIOENT $ <br /> ~y AUTO On-lER THAN eA I'{X $ <br /> AUTO ONLY' AGG $ <br /> EXCESSlUMBRa.LA UABlUTY EACH OCCURRENCE . <br /> =:J OCCUR o CLAIMS MADE AGGREGATE $ <br /> $ <br /> =J ~EOUCTIBlE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND IT~f[~sl jOJ: <br /> EMPLOYERS' UABIUTY <br /> ANY PRaPRIETORlPARTNERfEXECunve E.l. EACH ACCIDENT $ <br /> OFFICERiMEMBER EXClUOED? EL. DISEASE. EA EMPlOVEE $ <br /> 1fytl$,dasctlbelMlder <br /> SPECIAL PROVISIONS below E.L.. DISEASE. POlICY LIMIT S <br />A OTHER Contractor's GPL 543 5554-01 08/23/2005 08/23/2006 $1,000,000 EaCh incident <br /> Po11ution Li.ahili ty $1,000,000 Policy aggregate <br />DESCRtPTJON OF OPERATIONSlLOCATIONSlVEHICLESlEXCLUSlONS ADDED BY ENDORSEMENT/SPECIAl. PROVISIONS <br />The general liability policy includes the City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives as additional insured with regard to work performed by or on behalf of the Named Insured where required <br />by written contract. *Except 10 days for nonpayment of prem <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Santa Ana <br />Department of Public Works <br />20 Civic Center Plaza, ~ <br />Santa Ana, CA 92702 <br /> <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANcelLED BEFORE THE <br />EXPIRATION DATE THEREOF. THE ISSUING I'lSURER WIlL ~ MAlL <br />AYS WRITTEN NOnce TO THE CERTIFICATe HOLDER NAMED TO THE LEFT. lOt <br /> <br />ACORD 2S (2001108) <br />tNS025 {0108l_06 AMS <br /> <br />Oeputy City Attorney <br />VMP Mortgae8 Solwona, Inc. (800)327-0545 <br /> <br />ACORD CORPORATION 1988 <br /> <br />Page1d2 <br />