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<br />r-, ACORD," I <br /> CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) <br /> 11102105 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />P. O. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 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 INSURER B: American Automobile Ins. Co. <br /> 1301 Dove Street, #600/670 INSURER c: Evanston Insurance Co. <br /> Newport Beach, CA 92660 1\ - "J.o05 -,;us INSURER D: <br /> INSURER E: <br /> <br />Clienl#' 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 POlleY PERIOD INDICATED. NOTWITHSTANOING <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 />INSR ~~R TYPE OF INSURANCE POLICY NUMBER PD01-~~~J~f,;gsW\E Pg~I.fJ ~~I~~N LIMITS <br />TO <br />A ~NERAL LIABILITY BK01565403 12/08/05 12/08/06 EACH OCCURRENCE $1 000 000 <br /> X COMMERCIAL GENERAL LIABILITY General Liab. DAMAGE TO RENTED $1 000 000 <br /> j CLAIMS MADE LX) OCCUR excludes claims MED EXP (Anyone person) $10000 <br /> arising out of PERSON/\l. & ADV INJURY $1 000 000 <br /> the performance GENERAL AGGREGATE $2 000 000 <br /> ~'~ A.GG~EnE fUMIT APnSIPER: of professional PRODUCTS - COMP/OP AGG $2 000 000 <br /> POLICY ~f,Q,: LOC services. <br />A ~TOMOBILE LIABILITY BA01576048 12108105 12/08/06 COMBINED SINGLE LIMIT <br /> 2L- ANY AUTO (Ea accident) $1,000,000 <br /> - ALL OWNED AUTOS BODILY INJURY <br /> (PerpBrson) $ <br /> - SCHEDULED AUTOS <br /> 2L HIRED AUTOS BODILY INJURY <br /> $ <br /> 2L NON-OWNED AUTOS (PeraccidBnt) <br /> - PROPERTY DAMAGE $ <br /> (Peracc'ldent) <br /> ==iAG'L1ABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br />A ~ESS/UMBRELLA LIABILITY 7BK0156403 12/08/05 12/08/06 EACH OCCURRENCE $2 000 000 <br /> X OCCUR 0 CLAIMS MADE (Not included AGGREGATE .2 000 000 <br /> Professional . <br /> ~ DEDUCTIBLE Liability) . <br /> RETENTION $ $ <br />B WORKERS COMPENSATION AND WZP80933953 09/01/05 09/01/06 X wc STA~';!;:.I IOJ,~- --- <br /> , EMPLOYERS' LIABiLiTY ,_'_ IDBlllMI L <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACCIDENT $1,000000 <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000.000 <br /> If yes, describe under $1,000,000 <br /> SPECIAL PROVISIONS below --~- E.L, DISEASE POliCY liMn <br />C OTHER Professional E0827172 11/01/05 11/01/06 $1,000,000 per claim <br /> Liability $2,000,000 annl aggr. <br /> Claims made $25,000 Deductible <br />DESCRIPTION OF OPERA.TIONS' LOCATIONS /VEH1CLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />*Except 10 days notice of cancellation for non-payment of premium. <br />Re: All Operations as pertains to named insured. j6!7 /!7' <br />City of Santa Ana, its officers. employees, consultants, special council <br />and representatives are Additional Insured on General Liability coverage in <br />(See Attached Descriptions) <br /> v <br /> <br />CERTIFICATE HOLDER <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 ---3.fr'.. DAYS WRITTEN <br />Clerk of the City Council NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, B~KmJ!.lIJloaocxx <br />20 Civic Center Plaza(M-30) l;IDUlBl>>lX.~MDDC.ID..RI(\O(n.:XJ.\1lXll8eO)t~~DXXX <br />P.O. Box 1988 JJX"",V <br />Santa Ana, CA 92702-1988 ~U;;~RlZED REPRESEN~ <br />. - <; <br /> <br />ACORD 25 (2001/0S11 of 2 <br /> <br />#M142087 <br /> <br />THC <br /> <br />@ ACORD CORPORATION 1988 <br />cAt <br />