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<br />-qt- MV CERTIFICATE OF LIABILITY INSURANCE
<br />11200
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<br />PRODUCER (818) 598-8900 FAX: (818) 598-8910 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Venbrook Insurance Servioea, CA Lie OD80832 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND
<br />E
<br />,
<br />XTEND OR
<br />6320 Canoga Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />12th Floor
<br />Woodland Hills CA 91367 INSURERS AFFORDING COVERAGE NAIC #
<br />INSURED INSURERA Hartford Fire Insurance 19682
<br />Overland Pacific & Cutler Inc. INSURERaThe Hartford
<br />100 West Broadway suite 500 INSURERaWestchester Fire
<br /> INSURER D:
<br />Long Beach CA 90802
<br />OVERAgFS INSURER E:
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
<br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH
<br />HI
<br />T
<br />S CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
<br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICI
<br />ES.
<br />UE LIMITS SH MAY HAVE BE SLREDUCED BY D
<br />INS R ADDI
<br />TYPE OF INSURANCE
<br />POLICY NUMBER POLICY EFFECTIV
<br />DATE (MMIDDNY) E POLICY EXPIRATIO
<br />DATE MA OfY N
<br />LIMITS
<br /> GENERAL LIABILITY E $ 1,000,000
<br />
<br />A
<br />X X COMMERCIAL GENERAL LIABILITY DAMAGE TORENTEp
<br />Eaoaimrence
<br />5 300,000
<br /> CLAIMS MADE OCCUR 72UUNTA7859 6/1/2009 6/1/2010 MEDFxP one sal S 10, 000
<br /> X $10,000 BI&PD Ded. 1
<br /> PER NJ Y ,000,000
<br />s
<br /> Per Claim 2
<br />00
<br /> GENE E E ,
<br />0,000
<br />$
<br /> GENL AGGREGATE LIMIT APPLIES PER:
<br />RO- PRODUCTS-C $ 2,000,000
<br /> POLICY X J
<br />LOC
<br /> AU TOMOBILE LIABILITY
<br />
<br />X
<br />ANY AUTO COMBINED SINGLE LIMIT
<br />(EaaccMent)
<br />$ 1,000,000
<br />A ALLOWNEDAUTOS 72UUNVR7859 6/1/2009 6/1/2010
<br />
<br />X
<br />SCHEDULEDAUFOS
<br />L,
<br />0 t BODILYINJURY
<br />(Per person)
<br />S
<br /> X HIREDAUTOS `? O 3? 80DILYI
<br /> X NON
<br />OYWEDAUTOS NJURY S
<br /> - ?ppgll
<br />- / (Per accident)
<br /> X Comp Ded. $1,000
<br />y
<br />?
<br /> X Coll Dad. $1 000 X II ??lJ PROPERIYDAMAGE
<br />(Per acciden0 $
<br /> [GARAGE LIABILITY Stltt
<br /> ra
<br />
<br />t 0
<br />
<br />Tn y AUTOONLY•EAACCIDENT
<br />S
<br /> ANY AUTO City
<br /> H kSSiS Ilt
<br />a OTHERTHAN EAACC $
<br /> , AUTO ONLY: AGG S
<br />EXCESSIUMBRELLA LIABILITY
<br />EACH OCCURRENCE $ 2,000,000
<br />X
<br />OCCUR CLAIMS MADE A GR AT $ 2,000,000
<br />S
<br />B DEDUCTIBLE 72RHUTR7849 6/1/2009 6/1/2010
<br />$
<br />RETENTION S
<br />S
<br />B WORKERS COMPENSATION AND T 0
<br />EMPLOYERS' LIABILITY X
<br />ANY PROPRIETORfPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000
<br />OFFICER/MEMBEREXCLUDED?
<br />72WETQ9233 6/1/2009 6/1/2010
<br />K yes. describe under E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />SPECIALPROVISI NS belm
<br />E.L. DISEASE-POLICY I)MIT $ 1,000,000
<br />C 07HER professional Liab. G24412763002 6/1/2009 6/1/2010
<br />Ea. Claim $ 2,000,000
<br />Claims Made
<br />Aggregate $ 2,000,000
<br />beductible $ 50,000
<br />DESCRIPTION OF OPERATIONSILOCATIONSNERICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROV
<br />ISIONS
<br />The City of Santa Ana, its officers, agents, employees, consultants, special counsel & representatives included as
<br />additional insured per attached endorsement #CG20260704
<br />h
<br />w
<br />ere required by contract. Subject to policy terms,
<br />conditions, and exclusions.
<br />*10 DAY NOTICE OF CANCELLATION FOR NON-PAYMENT OF PREMIUM
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />City of Santa Ana EXPIRA710H DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
<br />Public Works Agency, M-36 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
<br />Attn: Sheri Barkley
<br />P.O. BOX 1988 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
<br />Santa Ana, CA 92702 INSURE ITS AGENTS OR REPRESENTATIVES.
<br />astitastitUDy REPRESENTATIVE
<br />Haarry/CH rry/CH
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<br />A"? A?
<br />IC,
<br />NS07R ACORD 2b (2001!08) (D ACORD CORPORATION 7988
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