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<br />. <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 D~ DATE (MMlDDlYYYY) <br />USADV-l 11/03/05 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />United Valley Ins. Svcs. / ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Mulholland Insurance Agency HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O.Box 847 ALTER THE COVERAGE AFFORDED 8Y THE POLICIES 8ELOW. <br />Elk Grove CA 95759-0847 <br />Phone: 916-685-3400 INSURERS AFFORDING COVERAGE NAlC# <br />INSURED i " if' INSURER A: Llovds of London <br /> ft-.xW -075 INSURER B: <br /> U. S. Advocacy INSURER c: <br /> Bruc.. Young <br /> 925 L Str....a suite 1490 INSURER 0: <br /> Sacramento 95814 <br /> INSURER E: <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY PERIOD INDICATED. NOlWlTHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF Am CONTRACT OR OTHER DOCUMENT WI11-\ 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 />LTR NSR TYPE OF INSURANCE POL.ICY NUMBER PD~~1:~rtf8~IE Pgk~~Y,~~,h~~qN LIMITS <br /> ~ERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY I ~~~~~S Ea occurence\ $ <br /> : I CLAIMS MADE D OCCUR MED EXP (Anyone person) $ <br /> I- PERSONAL & ADV INJURY $ <br /> ,- GENERAL AGGREGATE $ <br /> ~'L AGG:EAE LIMIT APnS PER: PRODUCTS. COMP/OP AGG $ <br /> POLICY ~~8i LOC <br /> sOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Eaaccident) $ <br /> ANY AUTO <br /> ALL OWNED AUTOS BeDIL Y INJURY <br /> (Per person) $ <br /> I-- SCHEDULED AUTOS <br /> I f-- HIRED AUTOS BODILY INJURY <br /> $ <br /> NON-QWNED AUTOS (Per accident) <br /> - <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> ~AGE LIABILITY AS TO FORM AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO "pPROVE)) OTHER THAN EA ACC $ <br /> ", AUTO ONLY: AGG $ <br /> pESSnlMBRELLA LIABILITY 70/' n j .A EACH OCCURRENCE $ <br /> OCCUR 0 CLAIMS MADE /v ~ " Sheedy <br /> ~J.ura Sutt AGGREGATE $ <br /> _,)iSlant Cit AttOrney $ <br /> =1 ~EDUCTIBLE $ <br /> " RETENTION $ $ <br /> I WORKERS COMPENSATION AND II I T~~v"~'~WS I I OJ~~ <br /> EMPLOYERS' LIABILITY $ <br /> r ANY PROPRtFTORlPARTNERlEXECUTIVE E.l. EACH ACCIDENT <br /> I OFFICER/MEMBER EXCLUDED? I E.L. DISEASE - EA EMPLOYEE $ <br /> ~P~tl1lS~~JJjS~~NS below E.l. DISEASE - POLICY LIMIT $ <br /> OTHER I, <br />A Professional Liab 10505 00065329B OS/21/05 OS/21/06 1000000 <br /> Claims Mad.. Ded 5000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />COVERAGES <br /> <br />CITYOFS <br /> <br />SHOULD ANY OF THE ABOVE. DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * 30 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 />REPRESENTATIVES. <br />A I RE,TATlVE .J <br />J.-:r" . VI <br /> <br />@ACORDCORPORATION 1988 <br /> <br />City of Santa Ana <br />City Managers Office <br />Attn: Alma Flor..s <br />P. O. Box 1988 <br />Santa Ana CA 92702 <br /> <br />ACORD 25 (2001/08) <br />