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<br />09/28/2005 13:39 FAX <br /> <br />fijJ 002/005 <br /> <br /> AalBD~ CERTIFICATE OF LIABILITY INSURANCE I DAU (UMIDDIY'W) <br /> 09/2612005 <br />PRgPUCER THIS CERTIFICATE IS IllSUED AS A MATTER OF INFORMATION <br />Woodruff-Sawyer &. CO. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE! <br />220 Bush St., 7th Floor HOLDE!R. THIS CER~1f~CA TE! DOes NOT AME!ND, E!XTE!ND OR <br />San Francisco CA 94104 ALTER THE COVERA E! AFFORDED BY THE! POUCIES BELOW. <br />(415) 391-2141 INSURERS AFFORDING COVERAGE! <br />l"aUR~D lNSl.lRER k Travelers Pmnertv Casualtv Comnanv of America <br />Gordon & Williams G.n.",1 ContraC'OIll Inc. INSURER B: UnioZard In51l1'al\co Oroun <br />2 Faraday <br />Irnn..CA 92618 A- 200 2- lNSURIiiR c: <br />- \44A INSUltER D; <br />INSURER!: . <br />COVERAt::ES <br />THE POliCIES OF INSURANCE LISTED BELOW HAve BEEN ISSUED TO THE INSURED NAMED ABOI/E FOR THE l'OLlCY PERIOO INDICATED. NOTWITI1STANDING <br />ANY REQUIREMENT. TERM OR CONomON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN. THE INSURANCEAFFOI'lDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, eXClUSIONS AND CONDITIONS OF SUCH <br />~OLlCIES. AGGREGATE LIMITS SHOWN MAY HAve BEEN REDUCED BY PAID CLAIMS. <br />I R TYP&OPIHlURANCI POUGYNur.taSR POLICYEFFEcnVII P~I$1EXP'M.T1ON UMrro <br /> ~Nl!FW..lWIIUlY DTC0406IB40SmOS 1/1/2005 1/112006 IiiACH occuMENeG $ 1 OM 000 <br />A X COMMERCIAL GENERAL UA81Ll1V RAE DAMAGe lNiv OM fire) I. 300 000 <br /> I ClAIMS "ACE I:xJ OCCUR _EXP'''._~' S 5000 <br /> I- PERSONAL & AOV JNJUftV S 1,000 000 <br /> - 2 00_q,~ <br /> I- GENERAL AGGA!G'lli S <br /> n'~~oo;;Al'~18,PE~ PRODUCTS.. COMP/OP AGG . 2 000 000 <br /> ICV X P Loa <br />B .!!!,TOM08I\.l UAIllurv 05)BA618296 1/112005 1/1/2006 COMBINeD SINGlE UMIT S 1,000,000 <br /> ~ NiY NJTO (Eilacdci9n1J <br /> - AU. OWNED AUTOS 800ILY INJURY S <br /> SCHEDlA.EDAUT08 (Pet pet8M) <br /> X HIRED ,lmas . <br /> - 9ODII.YINJURY S <br /> X. NON.OWNEO AUTOS (Pltlcdd'l1t) <br /> - <br /> PROPER'N DMtAQ& S <br /> IPerACCidlnl) <br /> =roaUAmUIY AUTO ONLY -EAAccrDENT . <br /> /IHf ~UTO OTHen T'HAN EAACC S <br /> Alf'IO ONLY: AGO . <br /> 3~BO LIA.ILI1Y EACH Oe~REN'CE . <br /> OCCUR D ClAlIlot9MADE . l)f'_':)VED /:':.' o FORM AOOREOATS s <br /> , '-\.-' <br /> l' . <br /> =l ~EOoon.Le % -'5J -& _ //:,- . <br /> RETeNTION - .'-....efr/ s <br /> . " ',"-., ~ <br /> WORKERS COMPE""'TIONAND _alira St~~l cdy IOJ.t'- <br /> EhlPLOYlRS'LL\81UTY '\. Islant Ci A tarriey Ii.". EACH ACCIDENT . <br /> e,,,,. DIS~.l!A. EMPLOYE! S <br /> e.L DISI!ASIi. PQLICYL1M1T S <br /> OTHER S <br /> $ <br /> S <br />DESCRIPTION Of' OP&RATJONM.OCATIONlWEltlCLIi8/EXC:LlI$ION& .t.DDED BY ENCOIll:SI!MI!NT/SPECIAI. PROVJ$IONS <br />REVISES CERTIFICATE ISSUED 1/512005. Job 2422; SAPS. Tho City of Santa An., its officcrt. ."'ploy.... .gents, volunteers and rcprcstntllfives IIrIl <br />added as additional insured. per Coml CO D2 46 10 02 IlItachcd. <br />CERTIFICATE HOLDER I I ADOIT1ONAL IN$Uft!O-INSUR!R L.E1TER: CANCELLATION 10 Day Notice; for Non-Payment of Premiwn <br /> SHOULD AN....O'T...EADOYf: DIf.CRlBEP POl..IC'ES' II CAHCELLGO DEmUTHI iXPlRATJOH <br /> City of Santa Ana DATE THEREOf, THe ISSUING lNSUR&:R WlU. ~ MAIL. ~ DAYS WRfTl1iN <br /> 20 Civic Center Plaza - Ross Annex NOi'ICETO THECERTlf1CATEHOlDI!R NAMiDT"THEl.II!:FT~ <br /> Santa Ana, CA 92701 ~)lil!NRi1lil{iltXlmc~J6 <br /> ~~ <br /> , LOAN #: ~~~~;T~TIVl/JlV'Nv/ <br />ACORD 25-S (7/97) 1011; 0 .. ACORD CORPORATION 1&88 <br />