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F1UG 26 2005 15:42 FR ISU-R BELL BROKERS 760 631 5983 TO 17146476549 P.01i02 <br />r - •1 <br />ACORD CERTIFICATE OF LIABILITY INSl1RANCE GP ID °ATE(MMID°""") <br />LINAMIl OB 21 5 <br />PRODUCER THIS CERTIFICATE IS ISSUED A$ A MATTER OF INFORMATION ' <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ' <br />ISl7 - RDbart Hell Brokers HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR '~ <br />5256 S. Mission Rd. Suite 301 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Soneall CA 92003 <br />Phone: 800-426-2634 Fax:760-631-5983 INSURERS AFFORDING COVERAGE NAIC I! <br />INbuaeD IN3uRERA Zurich North_America 1.653.5_ <br />INSURER B: <br />THE POLICIES OF INSURANCE LI$TEO tlELOW HAVE BEEN I$$UED TO THE W$URED NAMED ABOVE FOR iT1E FOUCY PERIOD INDICATED. NOTWITFISTANDING <br />ANY REgUIREMENT. l ERM OR CONDRpN OF ANY CONTRACT OR OTHER DOCUMENT WRIT RESPECT TD WHICH TNI$ GERTIFIGTE MAY BE I$$UED OR <br />AMY PERTAIN. THE INSURANCE AFFOPDEO BY THE POLICIES DESCRIBED HEREIN t$ SUBIECT TO ALL iNE TERMS EXCLV910N$ AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LMdITS SHDVYN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />LTR D <br />NBR -_ <br />TYPE OF INSUMNCE <br />PDLICY NUY6FA1 POQCYEFFEZ°IIOE- <br />PATE MIDOIY PD N <br />DATE D _- _- <br />LIMR3 <br /> GENERAL LIABILITY EACH OCCURRENCE S 1 , OOO , 000 <br />A COMMERCIAL GENERA_LLIgBILRV PAS 36068105 PREMI3E$(E.~aSIA9ACe) SSrOOOrODD <br /> CLAIM$MADE ~ OCCUR MEDEXP(MYOnep~rson) S10~ODD <br /> X Business Owners 02/28/05 02/20/06 PERSONAL aAOV INJUar $ <br /> .. - _-„ GENERAL AGGREGATE f 2 OOO r OOO <br /> <br />OEN'LAGGREGATE LIMIT APPLIES PER <br />PR <br />PRODOCTS-COMP/OP AGG <br />.- _ <br />f2r OOO, DOO <br /> O- LOC <br />X POLICY <br />JECT .- .. ~~~ <br /> AUT OMDa1LE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> ANV AUTO (Ea Aeddent) <br /> ALL OWNED AUTOS <br /> <br />' BODILY II•UURY $ <br /> , SCHEDULEDAUTOS (Px pOR00) <br /> HIRED AUTOS -~ -- - - <br /> ~ <br />Da <br />y <br />l a <br />fj~ S <br /> NON-AWNED AUTOS (P <br />y <br />c <br />clC <br />l <br /> -._ - I PROPEFTY DAMAGE S . <br /> (Per eeeidem) <br /> GAR ADE LIABILITY AUTD ONLY-EA ACCIDENT $ <br /> ANY AUTO <br />EA ACC _-- --'- <br />f <br /> OTXERTNAN <br />. _. <br /> ~ <br />AUTO ONLY' .._. <br />S <br /> EXCE$$(UMBRELLA LIABILITY EACH OCCURRENCE f <br /> OCCUR ~ CLAIMS IMDE AGGREGATE $ <br /> La~~ L•i, ~~ 1 ~ 1~ V \1 <br /> DEDUCTIBLE t1i Y .. .- __ _ ...__ <br />S <br /> RETENipN $ 7 f _._. <br /> YYORKERS GOMPENSATON AND Y - <br /> EMPLOYER9'LIA3ILITY <br />d TORY LIMBS ER <br /> LUUTU . Y <br />[:C .11C~ <br /> ANY PROPRIETOWPARTNER/El(ECUTNE . E.L EACH ACCIDENT $ <br /> OFFICER/MEMBER F.XCLUbED? A~y1518:1[ ~lC}/ .`~CLOTIIC}~ - _.- <br /> rcyyeeee deeerme undo. <br />E.L. DISEASE • EA EMPLOY <br />$ <br /> SPECIAL PRDVISpN50elpv - <br /> E.L. DISEASE-POLICY LIMB $ <br /> OTTER <br />DESCRIPOON OF OPERATpNS I LOCATONS / VEFtlCLE$1 FXCLUBIDN9 ADDED 8Y E1mpR5EMENT I SPECIAL PROVISIONS <br />The City of Santa Ana and its elected and appointed boards, officers, agents <br />and employees are additional insured with reap®et to subject project and <br />contract with the city. Thie insurance is primary and any insurance <br />'maintained by the aditipalal insured shall be excess. <br />City of Santa Ana <br />Attn: EMY 714-647-5379 <br />20 Civic C®ntcr Plaza <br />Santa Ana CA 92701 <br />P O Soxa3913 <br />San Clemente CA 92674 <br />INSURER D: <br />C ITYSpN I SHOULD ANy OF THE ABOVE OESCRBIED POUCIE58E CANCELLED BEFORE THE EYPIRA'HD <br />DATE TNEREDF, TKE 133UING IHSUREft WILL b'WOMAIL 3O+ DAYS VVRfI-IEf! <br />NOTCE TO THE CERTIFICATE HOLDER NAMED T07HE LEFT, BUT FAILURE TO DO SO SXAI,L <br />IMPOSE NO OBUOATION OR LIABILITY OF ANT KIND UPON THE INSURER, RS AGENTS OR <br />