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<br />~f07f2~05 11:47
<br />
<br />714572gSS0
<br />
<br />LPL INSURANCE
<br />
<br />PAGE 01
<br />
<br />OP 10 -=r CAT. (~~o~':""'1
<br />Gem:a-l"" 06/07/05
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ON~Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HO~DER. THIS CERTIFICATE DOES NOT AMEND. EX"ffiNll OR
<br />A~ TER THE COVERAGE AFFORDED 8Y THE PO~ICIES 8E~OW.
<br />--:
<br />INSURERS AFFORDING COVERAGE ~AIC #
<br />INSURER A: fl'~TE CO'i-nNSJ\.<JIQM t~ F\1tlIC
<br />INSUH.Ra, Ill\RTroRD CASUALTY lNS CO .- , 29424--
<br />"'1I\..i;:- ?~S - ~o'1 0 -
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />ljJ:..QRD_~
<br />
<br />PtiooUCl!!R
<br />
<br />LPL Insurance Agency ISle
<br />4811 Eureka AvQnue IF
<br />Yorba Linda CA 92886
<br />Phone:714-572-9700 Fax:714-572-9S80
<br />
<br />"IN$UReb
<br />
<br />GENERAL LEARNING CLIMATES
<br />OR. DAVID HARTL
<br />PO BOX ;n88
<br />ORANGE CA 92859-0788
<br />COVERAGES
<br />
<br />, 11i$\JRcR c:
<br />i INSU~~R 0:
<br />\ INS()RER!:
<br />
<br />TJolE POl.lOlea OF IN.5U,..ANCE I.IS1eO BELOW HAVE. 91;EN ISSUED TO THE IN9U~EO NAMED .aBOVE FO~ THE POttCY PEFlIO[) INDiCATED. NOTWltHST^NDING
<br />MY REQUIR~ENT. TEAM OR CONDITION OF ANY CONTRACT OR OTI-lER OOCUr.l!;NTWtTH RE~PE:CT TO WHICH THIS CERTIFICAT!: MAY!I"- ISSl.,Jl;tl OR
<br />MAY PliRTAlN. THE INSUR.'INCE AFFORoeD BY THE POLlCllES DESCRIBiO HEAE.IN IS SUBJECT TO AU. THE TERMS, EXCLUSIONS H<<J CONDITIONS 01'" S.UCH
<br />POLlel'S, AOO~EGATE LIMITS SHOWN MAY I~AVIi RP.I!N AEDUCfiO BY PAlO CLAIMS
<br /> .. j -", ".- cJ>.'fEr.:~rtf~\. A: e MMIOorvlt~N
<br />LTR N" TYPE OF INsllAAN.Ct POLICY NUMBER LIMITS
<br /> OeN~RAL L1ABllJTY ! EACH OCCUA.R.ENCE !,1000000 "_
<br />B l!: ~e.RClAlGE.NERA.t.I.IA,BILliV 72SBAK09228 04/01/05 04/01/06 clU_"'" ,"u
<br /> ~'.!ls!"s (Ea oeOJl'tlnCljl:)_ ~ "'oecoo
<br /> ~ CLAIMS MADE ~ OCCUR "---'--~
<br /> I MED EXP (Anyone p4tson) '10000
<br /> ~BuSiness Owne".s_ PERSONAL. & AOV INJURy _ .. 1000000
<br /> {nt,. GENEAAL,AGGREGATE .2000000
<br /> ~l AGG~EnE 1.1Mll APnS PER: :;'1+ Ma."'-c .e.--J , PR.OOUCTS . COMPfOP AGe .2000000
<br /> ! POLlCY jrS 1.0C ..
<br /> 1,~UTDIroBILI!!: I.IAElIL.rTY ..... COMBINeO SINGLE lIMIT
<br /> ,
<br /> I- AM'{AOrO I re8BCcklenl)
<br /> I- All OWN~D ^UT06 ~ml~\~r!- . eOorlY INJURY
<br /> ,
<br /> '- SCt-lEOULE!;1 AUTOS (Pl!lr~Aft.Qn)
<br /> '- HIRiD AUTOS __J.....:~,.
<br /> 800lL y INJURV ,
<br /> NOt(.oWN,!O AUTO$ IPtlf~cid.rl11
<br /> ","... --. _. --
<br /> ~1 - APPROVED AS TQcPC RM PROPERTY OAMAGE .
<br /> (Pof!:lccldWlI)
<br /> ~AAGl! LIA.,LI,.,. ~~TO ONI,V. fA ACCIOENT .
<br /> ANYIillTO /1'/ ' '-
<br /> - . ..- .....\ ~ ' /l. /, - EA ACe .
<br /> _' ..J... ',,:." / ,,-. OTH8R THAN
<br /> AUT ONLY: AGO ,
<br /> ~CESS1U",I::tJlGL.LA L1ABILlTV Assistant 'ily Attorney li ' EACH OCCURRENCE I
<br /> l~ OCCUR 0 CLAIMS MAD!! L\.....;.:...j~ v~ '-', ,_.._".~u dV A.GGRIiGA.'Tl:. .
<br /> .
<br /> =j ~EOUCTl"" ,
<br /> !
<br /> Rrrr~NTION . .
<br /> WORKERS CQMPENUTION AND , X !To'"""t'..,,,; IJ~~:..
<br />A EMPlOYeRS' UAl!IlLlTY 1443563 04/01/05
<br />Nf'( PFtOPR1ETOR/FMTNERJEXecutNE 04/01/06 E.LEACH ACCIOENT : $' '10~ODr
<br /> OFFlceRIM~MB.F.R e.xCLUOI%O~ EL OIB_EAsE .EA."F'L~,"el'lOOOOOO
<br /> lf~5.dn~crlb8Und8r ,
<br /> S ECIAI, F'~OVISIONS beloW U 01"/1'" - POUCY UMIT I. 1000000
<br /> j'OTHER
<br />I ,
<br />DESCRIItl'ION OF OPERA1lON$/ LOCATlOt'<lS IVEHICLE81 EXCLUSIONS AOe!;D!!Iv 9lDORSEMiNT I SnClAL p~ovrSloNG
<br />ALL OPERATIONS OF THE INSUMD AS COVERED BY THESE POLICIIi:S. lIE: CONSULTING
<br />SERVICES. THE Cn'Y OF SANTA ANA, ITS OFFICERS, AG:ENTS, EMPLOYEES, AND
<br />VOr.lJN'l'EERS ARE NAMED ADDITIONAL INUSI\ED PER ATTACHED CG2010 10/93. TEN DAY
<br />NOTICE OF CANCELLLATION APPLIES FOR NON-PAYMENT O~ P~IUK.
<br />CERTIFICATE HO~OER
<br />
<br />CANCI!~~A TION
<br />CiTXO:rS SHOUll) ANY 01" TH~A80VI;: DESCRI!E.tl POLIC1E8 IECANC~ BEarORE. "!'H~ aP1FI.A'T\Oti
<br />D"TE THEREOF. THE lSSUING INSURER LL ~ llN'\4ArL 30 DAY' VfflITT!N
<br />, -
<br />NOTICE TO lliE CIiRTlfICATE tiOlD AAMEO TO TttE lE.". BuT """~S"KA1.1.
<br />IMI'OSE NO OBLIGATION OR 0" A.NY KINO UPON nte INSURER, ITS AGENTS OR
<br />REPRESENiATlVEli.
<br />AUrnoRIZED FtEPRiS
<br />
<br />CITY OF SANTA ~
<br />A~:m: ClTY CLERK
<br />20 C~VIC CENTER PLAZA
<br />SANTA. ANA CA 92701
<br />
<br />ACORD 25 (2001/08)
<br />
<br />
<br />@ACORDCORPORATION1988
<br />
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