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<br />ACORD," CERTIFICATE OF LIABILITY INSURANCE 1 DATE (MMIODfYYVY}
<br />10/19/05
<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />P. O. Box 10550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Santa Ana, CA 92711-0550
<br />714427-6810 INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED INSURER A: United States Fidelity & Guaranty
<br /> David Taussig & Associates ,4-X:OS -'>>-5 INSURER B: American Automobile Ins. Co.
<br /> 1301 Dove Street, #6001670 INSURER c: Evanston Insurance Co.
<br /> Newport Beach, CA 92660 INSURER D:
<br /> INSURER E:
<br />
<br />Client#. 5341
<br />
<br />DAVIDTAUS
<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 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 />LTR NSR TYPE OF INSURANCE POLICY NUMBER "t?.ki~~ri~68~E P%~fl,~~IX~N L.IMITS
<br />A ~NERAL. LIABILITY BK01565403 12/08/04 12/08/05 EACH OCCURRENCE '1 000000
<br /> X COMMERCIAL GENERAL LIABILITY General Liab. DAMAGE TO RENTEDn"", '1 000000
<br /> I CLAIMS MADE [!J OCCUR excludes claims MED EXP (Anyone person) .10000
<br /> - arising out of PERSONAL & ADV INJURY .1 000000
<br /> - the performance GENERAL AGGREGATE .2 000 000
<br /> ~'L AGG~EnE LIMIT APPlSIPER: of prOfessional PRODUCTS - COM PlOP AGG .2 000 000
<br /> POLICY j~gT LOC services.
<br />A ~TOMOBILE LIABILITY BA01576048 12/08104 12/08105 COMBINED SINGLE LIMIT
<br /> 1L ANY AUTO (Ellilcddent) '1,000,000
<br /> - ALL OWNED AUTOS BODlL Y INJURY
<br /> ,
<br /> - SCHEDULED AUTOS (Per person)
<br /> .1L HIRED AUTOS BODILY INJURY
<br /> ,
<br /> .1L NON-OWNED AUTOS (Per accident)
<br /> - PROPERTY DAMAGE .
<br /> (per accident)
<br /> ~RAGE UABILITY AUTO ONLY - EA ACCIDENT .
<br /> ANY AUTO OTHER THAN EAACC .
<br /> AUTO ONLY AGG ,
<br />A ~ESSIUMBRELLA LIABILITY 7BK0156403 12/08/04 12108/05 EACH OCCURRENCE .2 000 000
<br /> X OCCUR 0 CLAIMS MADE (Not included AGGREGATE .2 000 000
<br /> Professional .
<br /> =i DEDUCTIBLE Liability) .
<br /> RETENTION . ,
<br />B WORKERS COMPENSATION AND WZP80933953 09/01105 09/01/06 X I -r"J2vS"!,~I~~ I 10!!;!-
<br /> EMPLOYERS' UABIUTY .1,000000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E,L. EACH ACCIDENT
<br /> OFFICER/MEMBER EXCLUDED? E,L, DISEASE - EA EMPLOYEE ,1,000,000
<br /> If yes, describe under ,1,000000
<br /> SPECIAL PROVISIONS below E.L, DISEASE. POLICY LIMIT
<br />C OTHER Professional E0822435 11/01104 11/01105 $1,000,000 per claim
<br /> Liability $1,000,000 annl a99r.
<br /> Claims made $25,000 Deductible
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT} SPECIAL. PROVISIONS ';, r7~xjVeD AS TO II()ltM
<br />*Except 10 days notice of cancellation for non-payment of premium.
<br />Re: All Operations as pertains to named insured. ',/L). .l ~
<br />City of Santa Ana, its officers, employees, consultants, special council 7dt~-l.r
<br />and representatives are Additional Insured on General Liability coverage in ;' ,j U SL~l;Jy
<br />(See Attached Descriptions) ,', ,...,'" . C;, y 1-\ tlil\":,..:\
<br />
<br />CERTIFICATE HOLOER
<br />
<br />CANCELLATION
<br />
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENJt~IL ~ DAYS WRITTEN
<br />Clerk of the City Council NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BIJI)6NUdItU:JIJlU:8!lO(Xx
<br />20 Civic Center Plaza(M-30) _Jlaao:.~_IOOlXJlIl:.DnC"'JlllR\W:lleOI)(~n:lXtUXSXXX
<br />P.O. Box 1988 __~..x
<br />Santa Ana, CA 92702-1988 ~U~~R~Z~D. ~EPRE~N~
<br />
<br />x
<br />
<br />ACORD 25(2001/08) 1 of 2
<br />
<br />#S140945/M136911
<br />
<br />TMN
<br />
<br />@ ACORD CORPORATION 1988
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