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<br />ACORD. <br />__-._____TM <br />,-f"!" .+ii!tZif;", 'Wf~1';;'F- <br /> <br /> <br />DATE (MMIDDIYY) <br />03/10/2005 ' <br />Serial # A14516 THIS CERTIFICATE Ib ,~SUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br /> <br />COM~ANY AMERICAN SAFETY CASUALTY INSURANCE CO. <br /> <br />PRODUCER <br />LEGENDS ENVIRONMENTAL INS.SVCS,LLC <br />1305 GENE AUTRY WAY <br />ANAHEIM, CA 92805 <br />LICENSE #OC79875 <br />(714) 634-2683 (714) 634-3704 <br /> <br />INSURED <br /> <br />RINCON CONSULTANTS, INC. <br />790 EAST SANTA CLARA STREET # 103 <br />VENTURA, CA 93001 <br /> <br />COMPANY <br />B <br /> <br />COMPANY <br />C <br /> <br />COMPANY <br />D <br />~g;9VtG~.' .. _ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IssueD TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REOUIREMENT, 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 8 Y THE POLICIES DESCRiBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POllCIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br /> <br />co TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />L1R POLICY NUMBER DATE (MM/DDNY) DATE (MMIDDNY) <br /> GENERAL LIABILITY HSR 04-7706-001 12/17/04 12/17/06 GENERAL AGGREGATE $ 3,000,000 <br />A X COMMERCIAL GENERAL LIABILITY PRODUCTS-COM~OPAGG $ 3,000,000 <br /> CLAIMS MADE [R] OCCUR PERSONAL & ADV INJURY $ 3,000,000 <br /> OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 3,000,000 <br /> X CONTRACTORS POLL FIRE DAMAGE (Any OIle fire) $ 100,000 <br /> MEO EXP (Anyone person) $ 10,000 <br /> AUTOMOBILe LlABILlTY <br /> ANY Auro COMBINED SINGLE LIMIT $ <br /> ALL OWNED AUTOS lIAR 1 6 005 BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS SODILY INJURY <br /> , <br /> NON-OWNED AUTOS (Peraccldenl) <br /> PROPERTY DAMAGE <br /> GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM $ <br /> WORKER'S COMPENSATION AND <br /> EMPLOYERS' L1ABILtTY EL EACH ACCIDENT $ <br /> THEPROPRIETORl INCL EL DISEASE - POLICY LIMIT $ <br /> PARTNERSiEXECuTIVE <br /> OffiCERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ <br /> OTHER <br />A PROFESSIONAL LIABILITY HSR 04-7706-001 12/17/04 12/17/06 INCLUDED IN ABOVE LIMITS <br /> CLAIMS MADE RETRO DATE 12/9/94 <br /> <br /> <br /> <br />DESCRIPTION OF OPERATIONSILOCATIONSIVEHICI-ESISPEC1AL ITEMS <br />THE CITY OF SANTA ANA AND THE COMMUNITY REDEVELOPMENT AGENCY OF THE CITY OF SANTA ANA HOUSING AND <br />NEIGHBORHOOD DEVELOPMENT ARE NAMED AS ADDITIONAL INSUREDS WITH RESPECTS TO WORK PERFORMED FOR THEM BY <br />THE NAMED INSURED. <br />ENDORSEMENT ATTACHED IN LIEU OF CERTIFICATE DATED 3/2/05 <br /> <br />~,*r~ . <br /> <br /> <br />'mOii6l'2 <br />C:\FMPRO\CERTPROS.WEB <br /> <br /> <br />..c", <br /> <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL. ENDEAVOR TO MAIL <br />30 DAYS WRlnEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE L.EFT, <br />BUT FAILURE TO MAIL. SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE COMPAN, GENTS 0 SENTATrVES. <br />AUTHORIZED REPRESENTATIVE OF INDEPE ENT INS <br /> <br />CITY OF SANTA ANA <br />ATTN: ARABELA SALDIVAR <br />HOUSING AND NEIGHBORHOOD DEVELOPMENT <br />P.O. BOX 1988 M-26 <br />SANTA ANA, CA 92701 <br />