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Xi ... .... . ...... ...... .... . . .... . *I::: : :.: ;. <br />DATE(MMIDDNv' <br />A CORDL 11/28/2oos <br />ATTER OF INFORMATION <br />PRODUCER Stephen 14 u <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Hub International T AMEND, EXTEND 07 <br />6101 K. Centinel THE POLICIES BELOW. <br />Culver City, C COVERAGE <br />A <br />Insurance oratio <br />Golden Eagle 0� <br />DDMPANY <br />(310) 568-5900... <br />INSURED <br />COMPANY Houston Casualty Company <br />LaBelle - Marvin, Inc. <br />a <br />2700 S. Grand Avenue <br />Granite State Insurance Co. AIG <br />Santa Ana, CA 92705 c, <br />COANY <br />C MP <br />COMPANY <br />D <br />jvV L <br />THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />THIS IS TO CERTIFY <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I <br />DO <br />TYPEOF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE ��POLICYEXPIRATION <br />-_ LMRS <br />jj <br />• <br />GENERAL LIABILITY <br />CBP9491248 <br />6/16/2005 06/16/2006 <br />GENERAL AGGREGATE 52,000,000 <br />PRODUCTS - COMPIOP AGO s 2, 000, 00C <br />7X COMMERCIAL GENERAL LIABILITY <br />PERSONAL I ADV INJURY 31,000,000 <br />CLAIMS MADE X CCCUR <br />EACH OCCURRENCE s 1,000,000 <br />OWNER'S &CONTRACTOR'S PROT <br />FIRE DAMAGE (Any one file) $ 100,000 <br />MED EKE (Any one person) 35,000 <br />• <br />LAUTOMOBILE <br />LIABILITY <br />CBP9491: <br />6/16/2006 <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />X <br />ANY AUTO <br />ALL OWNED AUTOS <br />BODILY INJURY $ <br />(Per person)) <br />SCHEDULED AUTOS <br />0 <br />BODILY INJURY <br />HIRED AUTOS <br />NON OWNED AUTOS <br />0 S <br />(Per goodI <br />"r?Vx <br />PROPERTY DAMAGE 41 <br />GMIW3E LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />ANY AUTOLattL <br />Yeaa <br />OTHER THAN AUTO ONLY: <br />EACH ACCIDENT II <br />AGGREGATE $ <br />EXCESS LIABILITY <br />CU9492251 106/16/2005 <br />6/16/2006 <br />EACH OCCURRENCE $5,000,000 <br />AGGREGATE $5,000,000 <br />A <br />X UMBRELL-AFORM <br />OTHER THAN UMBRELLA FORM <br />1 6 <br />WORKERS COMPENSATION AND I WC1515245 <br />6/16/2005 <br />06/16/2006 <br />X ly'Ry" <br />LIMIT R — <br />EMPLOYERS' LIABILITY <br />EL EACH ACCIDENT $ 1, �000,000 uv �um <br />EL DISEASE. POLICY LIMIT51, 0 0 '. 000 <br />TI INCL <br />EL DISEASE - EA EMPLOY 81, 000,000 <br />EPwerov <br />PA TMERSIEXECUTIVE <br />OFFICERS ARE EXCL <br />F1 <br />B <br />IOTHER <br />Professional <br />HCO510084011/04/2005 <br />�O <br />06/16/2006 <br />1 Limit <br />Liability <br />125,000 Deductih2e <br />DESCRIPTION OF OPEMTIONSILOCATIONSME ICMISPECIAL ITEMS <br />City of Santa Ana is Listed as Additional Insured per Form CG 20 10 10 01 Attached <br />City of Santa Ana <br />20 Civic Center Plaza- M36 <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />MPIRAT10N DATE THEREOF, THEA ayment ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />1 0 days noce for non - <br />BUT FAILURE TOMAIL SUCH NOI)CO SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF MY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES._ <br />AUTHORIZED REPRESENTATAT <br />