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<br />. <br /> <br />ACORD. CERTIFICATE )F LIABILITY INSURANC OPID,~ DATE (MMlDDNYVY) <br />PRG~N 1 06/20/05 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />CTK Insurance Services, Xno. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1240 N. Lakeview, Suite 240 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Anahaim CA 92807 <br />Phone: 714-779-2000 Fax:714-779-4129 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED A- - Zo:>S -013 INSURER A: Insurance Corp of Hannover <br /> PRG Insurance Staffing, Inc. INSURER B: Traveler's Insurance <br /> dba: West Coast Insurance INSURER c: National Casualty Co. <br /> Consultants <br /> 125 E Baker, Suite 290 INSURER 0: <br /> Costa Mesa CA 92626 <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OA CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH AESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATEUMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DATE(MMI~ <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/D LIMITS <br /> ~NERA1. LIABILITY EACH OCCURRENCE $1,000,000 <br />A .!.. COMMERCIAL GENERAL LIABILITY H67-1000470 06/05/05 06/05/06 PREMISES (Ea occurence) 0 <br /> - ~-C~MSMADE ~ OCCUR MED EX? (Anyone person) 05,000 <br /> - PERSONAL & AOV INJURY $1,000,000 <br /> - GENERAL AGGREGATE $ 2, 000, 000 <br /> il'LAGG~nE;:~ APn~ PER: PRODUCTS. COMP/OP AGG $ 2,000,000 <br /> X POLICY JECT . LOG <br /> ~OMOBILE LtABII.ITY COMBINED SINGLE I.IMIT $1,000,000 <br /> ANY AUTO (Ea accldent) <br /> - <br /> - ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Perpef'&on) 0 <br /> - <br />A .!.. HIRED AUTOS H67-1000470 06/05/05 06/05/06 BODilY INJURY <br /> (Per accident) 0 <br /> .!.. NON-OWNED AUTOS <br /> - PROPERTY DAMAGE , <br /> (Peraccltlent) <br /> ==fAGE LIABILITY AUTO ONLY- EAACCIDENT , <br /> ANY AUTO OTHER THAN EA ACC , <br /> AUTO ONLY: AGG 0 <br /> fJESSJUMBRELLA LIABILITY EACH OCCURRENCE '1,000,000 <br />A X OCCUR D CLAIMS MADE H67-2000470 06/05/05 06/05/06 AGGREGATE $1,000,000 <br /> APPROVED AS TO FOR ~ , <br /> ~ DEDUCTIBLE . <br /> X AETEI'mON '10,000 c./7/ ,~ 0 <br /> WORKERS COMPENSATION AND // //2 ITORy"LIMITS I I\JJ~- <br /> EMPLOYERS' UABILITY Laura Slfl E.L. EACH ACCIDENT . <br /> AtN PROPRIETOR/PARTNER/EXECUTIVE t/ Sl'i8(';Oy <br /> OFFICER/MEMBER EXCLUDED? A:;sistallt Cit Atlornc)' E.L DISEASE - fA EMPLOYEE $ <br /> ~~~clltS~~~v~~rO~S below E.L. DISEASE - POUCY LIMIT . <br /> OTHER <br />B Crime Coverage 104350558 08/17/04 08/17/05 Limits: $1,000,000 <br />C Errors &; omissions THOOOO0481 01/27/05 01/27/06 Occ./Agg. $lmil/$2mil <br />DESCRIPTION OF OPERATIONS f LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROViSIONS <br />Additional Insured per Attached Endorsement as Respects to General Liability <br />only <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Santa Ana <br />20 Civic Center Plaza (M-41) <br />PO Box 1988 <br />Santa Ana CA 92702 <br /> <br />CANCELLATION <br />SAN'l'AO 3 SHOUL.D ANY OF THE ABOVE DESCRIBED POL.1CIES BE CANCEL.LED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, BUT FAILURE TO DO SO SHALL <br /> <br />ACORD 25 (2001108) <br /> <br /> <br />ACORD CORPORATION 1988 <br />