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<br />. <br /> <br />-" ~ , <br />-A'CORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 1.n1 DATE (MM/DOIYYYY) <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, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1240 N. Lakeview, Suite 240 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Anaheim CA 92807 <br />Phone: 714-779-2000 Fax:714-779-4129 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED 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 BakerCASuite 290 INSURER D: I <br /> Costa Mesa 92626 T <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 />ANY REQUIREMENT. TERM OA CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCAIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER I PD~'i'~~MMJDDfvy\1: DATE MMJDDfYY LIMITS <br /> ~NERAL LIABILITY EACH OCCURRENCE S 1, 000,000 <br />A X COMMERCIAL GENERAL LIABILITY H67-1000470 06/05/05 06/05/06 I PREMISES (Ea occurence) $ <br /> - ".~ CLAIMS MADE ~ OCCUR i MED .~~~ {Any ~ne p~rso~___ ~5, OO()n___ <br /> PERSONAL & ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> il'~ AGG~~~E LIMIT APnS PER PRODUCTS - COMP/OP AGG 'S 2.000,000 <br /> X POLICY jf8,: LOC <br /> =lDMDSILE LIABILITY , COMBINED SINGLE LIMIT <br /> ANY AUTO (Eaaccidenl) S 1, 000,000 <br /> _! ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> f- <br />A ~ HIRED AUTOS H67-1000470 06/05/05 06/05/06 BODILY INJURY <br /> , (Peraccidenl) $ <br /> ~ NON-OWNED AUTOS <br /> f- PROPERTY DAMAGE I <br /> (Per accident) <br /> GARAGE LIABILITY i AUTO ONLY. EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY' AGG S <br /> ~ESS/UMBRELLA 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 /> A~ ., S <br /> ~ DEDUCTIBLE APPR( VED ,) 0 FORiv; $ <br /> X RETENTION $10,000 $ <br /> WORKERS COMPENSATION AND '/ :/jI "on, ./z._ ITORYlIMITS I -[DJ"f' <br /> EMPLOYERS' LIABILITY ::<: <!V_.-'l..~t; .-.-.-.-...-..- .-. E.L. EACH ACCIDENT S <br /> ANY PROPRIETORlPARTNER/EXECUTIVE L...UI<-l.. d.< ,J., ,cJ <br /> i OFFICER/MEMBEn EXCLUDED? As :::iiSl"i1: City /\1fi;~r ~ " E.L. DISEASE. EA EMPLOYEE $ <br /> ~p~el~tS~~~v~s?o~s below E.L. DISEASE. POLICY LIMIT S <br /> ! OTHER <br />B I 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 J LOCATIONS J VEHICLES J EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Additional Insured per Attached Endorsement as Respects to General Liability <br />only <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />SANTA03 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED 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 />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> <br />City of Santa Ana <br />20 Civic Center Plaza (M-41l <br />PO Box 1988 <br />Santa Ana CA 92702 <br /> <br /> <br />ACORD CORPORATION 1988 <br /> <br />ACORD 25 (2001108) <br />