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<br />.. I <br /> <br />~ <br /> <br />< -- <br /> <br />. <br /> <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 .~ DATE (MMIDDIYVYY) <br />ADVAN-6 11/23/05 <br />PRODUCER THIS CERTifiCATE IS ISSUED AS A MATTER OF INFORMATION <br />Bolton & company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />CA License #0008309 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />245 S. Los Robles Ave, Ste 105 ALTER THE COVERAGE AFFORDED 8Y THE POLICIES 8ELOW. <br />Pasadena CA 91101 <br />~hone:626-199-10DO Fax: 626-441-3233 INSURERS AFfORDING COVERAGE NAIC# <br />iillfuRED N - ;}J)LJt. - 1:3- '-f INSURER A ~..tp01:t I.~w:an<:e C:01:pI)n,tJ..en <br /> INSURER B Fireman's Fund Insurance 21813 <br /> Advanced Automated systems Inc INSURER C peerless Insuzance Company <br /> 23691 Via Del Rio I_~SURERD__.____~__..~___ <br /> Yorba Linda CA 92881 ~--~ <br /> INGURER E <br /> <br />COVERAGES <br /> <br />THE POLICIES OF I~JSIJR/l.NCE USTED BELOW HAVE BEEN ISSUED TOl'rlE INSURED I~ED ABOVE FOR THE POLICY PERIOD INDICATED NOTVVITrlSTANDING <br />AJ\JY REQUIREMENT, TERM OR COND;TION OF p-,NY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO \I'v1-1ICH THIS CERTIFICII,TE w'Y BE ISSUED OR <br />MAS PERTfI,IN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO.t\lL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />PClUClCS AGGREGATE LIMITS SHOWN WoAY HAVE BEEN REDUCED 81' PAID CLAIMS <br />LTR NS" TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDNYj DATE (MMlDDNYj LIMITS <br /> GENERAl. l.IABILITY EACH OCCURRENCE $1,000,000 <br />A ex COMMERCIAL GENERAL LIABILITY WCPll1003565200 01/18/05 01/18/06 PREMISES IEEl \lCCI..Ir\l\1C>'l) !G 100 ,000 <br /> ,----::-J CLAIMS MADE [!J OCCUR MED ExP (Ally one lJersorT) .!10,~00 <br /> - --'-~ <br /> ~ $1,000 ro Oed PERSONAL & f.,D'J INJUPi .1,000,000 <br /> GENEPAL AGGREGATE .2,000,000 <br /> I- $2,000,000 <br /> GENt AGGREGf,TE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG <br /> n, IXlPRO n, <br /> POLICY X JEeT LaC <br /> AUTOMOBILE llABIUl'( COMBINED SINGLE: LIMIT <br /> f-- $1,000,000 <br />C X ANY AUTO BA9891367 11/13/05 11/13/06 (EaaCCldelll) <br /> c=- <br /> All OWNED AUTOS 80D:L Y INJURY <br /> f-- I <br /> SCHWULED AUTOS (P8rpersonj <br /> f-- <br /> HIRED AUTJS t:JOO!LYINJIJRY <br /> f-- , <br /> NON-OWNI:D AUTOe:; (peraccidenll <br /> - <br /> f---- J .. "'".' PROPERTY DAMAGE I <br /> I (Per accident) <br /> GARAGE LIABILITY .(/:C 1\....0 ,,/. AlJTa ONLY - EAACCIDE'NT . <br /> R ANY AUTO - =)t - - '- OTHEi:1 THAN EA ACC I <br /> .- <br /> AUTO aNL Y A.GG . <br /> EXCESSIUMBRELLA LJABIUTY / EACH OCCURR.~NCE __ !-~, OO~~~O __ <br />B ~ OCCUR o CLAIMS MADE XSM86680410 01/18/05 01/18/06 AGGr'iEGATE $ 2 ,000 ,000 <br /> . <br /> ~ OEDUCT'8LE , <br /> X RETENTION $0 , <br /> WORKERS COMPENSATION AND h6~ly i!~IITUS ( ILlER- <br /> EMPLOYERS' UABlllTY <br /> flNY PROPRIETORiPAATNcR/EXECUTIVE E L EACH ACCIDENT , <br /> OFfiCER/MEMBER EXCLUDED? ~~" DISEASE - EA EMPLOYEE , <br /> ll\les,ooscnoo\,f1der -"--------..---- --._.~-. <br /> SPECIAL PROVISIONS bel<..Jw F ~ OI:=;[ASI'~ - r-:0LICY ,1";1IT j <br /> OTHER <br />DESCRIPTION OF OPERATIONS Il.OCATlONS (VEHICl.ES I EXCl,.USIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />GL Additional insured per CG20l0 11/85.Primary wording per attached End't. <br />Job: city of Santa Ana.20 Civic Center Pla:a,santa Ana,CA. <br />*10 day notice for non payment. @ <br /> <br />SANTAA2 <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEl.LED BEFORE TJ-lE EXPIRATION <br />DATE THEREOF, THEISSUINGINSURER.WlLI MML 30* OAYSWR\'t1'EIi <br />NOTlCE TO THE CERTlFrCATE HOLDER NAMED TO THE l.EFT, <br /> <br />CERTIfiCATE HOLDER <br /> <br />City of Santa Ana <br />Attn: Bruce Perret <br />20 Civic Center Pla%a <br />Santa Ana CA 92102 <br /> <br /> <br />@ACORDCORPORATION 1988 <br /> <br />ACORD 25 (2001/08) <br />