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03/'21/2007 09:05 7146338449 LIDGARD AND ASSOC PAGE 03 <br />,�►corrr <br />C.E;�T>fFICTE OF: LIABILITi� 1ISURCE <br />Dace (mMddfyy) <br />3/5/2007 <br />Producer Jennifer FormanaCk <br />Wood Gutmann & Bogart Insurance Brokers <br />15901 Red Hill Ave., Suite 100 <br />Tustin CA 92780 <br />714 505.7000 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />T, UIRERS AM I <br />INSURER CNA <br />www.,wgbib.com <br />License No. 0679263 <br />INSURER <br />A - o20O6 - 6A1 ? <br />INSURER <br />nsured <br />Lidgard & Associates, Inc. <br />INSURER <br />2808 E. Katella Ave. #107 CA 92867 <br />Orange <br />INSURER <br />THE PULICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, 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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY <br />EFFECTIVE <br />DATE <br />POLICY <br />EXPIRATION <br />DATE <br />LIMITS <br />A <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL UAB <br />CLAIMS MADE OCCUR <br />2077135975 <br />3/4/2007 <br />3/4/2008 <br />EACH OCCURRENCE $ <br />FIRE DAMAGE (Any one fire) $ <br />MED EXP (Any one arson S <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ 2.00H <br />LIMITPRODUCTS-COMPIOP <br />POLICY ROJECT Rf LOC <br />AGG $ rw <br />$ <br />A <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />Comp Ded 500 <br />2077135989 <br />3/4/2007 <br />3/4/2008 <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />BODILY INJURY <br />(Per person) $ <br />BODILY INJURY <br />( accidert) S <br />PROPERTY DAMAGE <br />(Per accident) g <br />Coll Ded 1000 <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT S <br />OTHER THAN EA ACC S <br />AUTO ONLY: AGG S <br />EXCESS LIABILITY <br />EACH OCCURRENCE S <br />AGGREGATE S <br />OCCUR DcLAIMS MADE <br />S <br />S <br />DEDUCTIBLE <br />�RETENTJDN $ <br />S <br />A <br />WORKERS' COMPENSATION & <br />EMPLOYERS' LIABILITY <br />2077136009 <br />3/4/2007 <br />3/4/2008 <br />STATUTORY LIMIT THE <br />EL EACH ACCIDENT S 1 <br />EL DISEASE - EA EMPLOYEE s 0 <br />EL DISEASE - POLICY LUMIT Is <br />usiness ncome 0 Incl w a p <br />ALS-12Months <br />DEShIPTION OF OPERA-nZ5NSILDEX�ONSIVEHICLES7FXCLUS175NS A= MIRMSEMENT/SPECIACTIV= vie <br />Certificate Holder is named as additional insured per attached G134844A. <br />CERTIf1CA.Tt HOLDER . . ':'!- CAIIICELLA►i<'IOIt1 ;' <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City of Santa Ana <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />Public Works Agency <br />Attn: Taig Higgins A " -'T) . <br />P.O. Box 1988 ` . J <br />Santa Ana CA 92702 <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br />OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- <br />SENTATIVES. ' 10 Days for Non -Payment of Premium <br />AUTHORIZED <br />REPRESENTATIVE <br />« ^ ,d <br />Peter Barsky <br />ACDRq. 25 S: (.7f97} (F} ACUR6Gf3RROR4T#C3lN 9 988 <br />