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<br />j\'CORQ. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDOlVvyYt
<br />11/03/2005
<br />PROD~CER (650)341-4484 FAX (650)341-4465 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Business Professional Ins. Assoc. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />1519 South B Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />San Mateo, CA 94402
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED Valley Oak Systems Inc. ~(''1Il'' -00"3 INSURER A: Federal Insurance/Chubb Ins.
<br /> 5000 Executive Pkwy., Suite 340 A- 'UXI~ ~ogS INSURER B: Granite State Ins. Co
<br /> San Ramon, CA 94583 ^ - '2.~ .0lD'! INSURER c:
<br /> INSURER 0:
<br /> It, - WJS . 012.. INSURER E:
<br />
<br />COVERAGES
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br />ANY REOUIREMENT, TERM OR 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 DESCRIBED 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 />I,N~~ ~~~~ TYPE OF INSURANCE POL.ICY NUMBER P~,.U..5:Y EFFECTIVE POUCY EXPIRATION L.IMITS
<br />
<br />CA WC 184-37-90 10/16/2005
<br />MI WC 184-40-07
<br />ALL OTHER STATES -
<br />WC 184-34-39
<br />3582-10-16 07/28/2005 07/28/2006
<br />(EXCLUDED FROM EXCESS
<br />LIABILITY POLICY)
<br />f,-DLESCRIPTlON OF OPERA TlONS I LOCA nONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROViSIONS
<br />he City of Santa Ana, its officers, agents, employees, and volunteers
<br />n respects to insureds business operations.
<br />
<br /> GENERAL LIABILITY
<br /> 'x COMMERCIAL GENERAL LIABILITY
<br /> l CLAIMS MADE m OCCUR
<br />A
<br /> f--
<br /> f--
<br /> GEN'l AGGREGATE LIMIT APPLIES PER
<br /> hi ,nPRO.'n
<br /> POLICY JEer LOC
<br /> AUTOMOBILE LIABILITY
<br /> -
<br /> X ANY AUTO
<br /> ALL OWNED AUTOS
<br /> -
<br />A SCHEDULED AUTOS
<br /> X HIRED AUTOS
<br /> X NON-OWNED AUTOS
<br /> f--
<br /> I---
<br /> RRAGE LIABILITY
<br /> ANY AUTO
<br /> :JESS/UMBRELLA LIABILITY
<br /> OCCUR 0 CLAIMS MADE
<br />A
<br /> ~ DEDUCTIBLE
<br /> X RETENTION , IO,OOC
<br />
<br />WORKERS COMPENSATION AND
<br />E~PLQV~R_S' I.lABILlTY
<br />B ANY PROPRIETORIPARTNERlEXECUTIVE
<br />OFFICERIMEMBER EXCLUDED?
<br />
<br />If yes, describe under
<br />SPECIAL PROVISIONS below
<br />
<br />OT"""
<br />Protessional Liability
<br />A
<br />
<br />3582-10-16 PLE 07/28/2005 07/28/2006 EACH OCCURRENCE ,
<br />DAMAGE TO RENTED $
<br />
<br />MEO EXP (Anyone person) S
<br />PERSONAL & ADV INJURY $
<br />GENERAL AGGREGATE $
<br />PRODUCTS - COMPIOP AGG $
<br />
<br />7499-64-69 07/28/2005
<br />
<br />07/28/2006
<br />
<br />COMBINED SINGLE LIMIT
<br />(Eaaccident)
<br />
<br />BODILY INJURY
<br />{Per person)
<br />
<br />BODlL Y INJURY
<br />(Peraccidenl)
<br />
<br />PROPERTY DAMAGE
<br />(Per accident}
<br />
<br />AUTO ONLY - EA ACC1DENT $
<br />,
<br />
<br />OTHER THAN
<br />AUTO QNL Y:
<br />
<br />EA ACC
<br />
<br />7983-41-70 07/28/2005 07/28/2006 EACH OCCURRENCE
<br />AGGREGATE
<br />
<br />AGG $
<br />,
<br />,
<br />,
<br />,
<br />.
<br />
<br />EXCLUDES PROFESSIONAL
<br />LIABILITY
<br />
<br />10/16/2006 X I wc STATU. \ \OJ);"
<br />
<br />E.L EACH .A.CCIDENT
<br />
<br />E.L. DISEASE - EA EMPLOYEE $
<br />E.L. DISEASE - POLICY LIMIT $
<br />
<br />1,000,000
<br />1,000,000
<br />10,000
<br />l,OOO,OOC
<br />2,000,000
<br />1,000,000
<br />
<br />,
<br />
<br />1,000,000
<br />
<br />,
<br />
<br />.
<br />
<br />.
<br />
<br />3,000,000
<br />3,000,000
<br />
<br />,
<br />
<br />1,000,000
<br />1,000,000
<br />1,000,000
<br />
<br />$3,000,000
<br />$50,000 Deductible
<br />
<br />are named as Additional Insureds
<br />
<br />~dditional Insured applies to General Liability policy only
<br />'10 day notice of cancellation for non payment of premium shall apply.
<br />
<br />CERTIFICATE HOLD"R
<br />
<br />,..
<br />
<br />4TlnN
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />~ROV ED AS 'CO ~-\ ,- EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
<br />~ ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />0--t!4./ I A BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
<br />_ iStltt SI,c6i.." .... OF ANY KINO UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
<br />fa .) AUTHORIZED REPRESENTAl1VE
<br />1t City Aller'" Debbie Unland/SANDEE COL"I :-..:::,
<br />
<br />@ACORD CORPORATION 1988
<br />
<br />City of Santa Ana
<br />. Jeff Stevens- Risk Mgr.
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />
<br />ACORD 25 (2001108)
<br />
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