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01/09/2006 13:27 7143GD4747 VCA CODE GROUP <br />BCOW1. CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER (949)263-0606 FAX (949)263-0906 THIS CERTIFICATE IS ISSUE <br />Complete Insurance, Inc. ONLY AND CONFERS NO Rig <br />HOLDER. THIS CERTIFICATE <br />California DOT #0437762 ALTER THE COVERAGE AFF <br />DO MacArthur Blvd, PH FIE <br />o „ ` 1 <br />PAGE 02 <br />DATE(MMIDUIVYYY) <br />11/zl/zoos <br />AS A MATTER OF INFORMATION <br />ITS UPON THE CERTIFICATE <br />)OES NOT AMEND. EXTEND OR <br />irvinQ, CA 92612-1447, INSURERS AFFORDING COVERAGE <br />INSURED Van orpe C ou Associates, Inc.; RIBURERA Fidelty & Guaranty Ins. LG, <br />The Code Group, Inc.- INSURERS. St- Paul Fire & Marine Ins. Co. <br />VCA Code Group w$URERC, (C/o St. Paul Travelers, MN) <br />Z200 W. Orangewood Aver, Ste. 150 INSURER D <br />Orange, CA 9266E R+$URERE. <br />NAIC N <br />v <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 />^— <br />IN$R <br />DO' <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />UATFIMMOPODCY —EFFECTIVE <br />EXPIRATION <br />ATE PDIMMIDDECID <br />LIMITS <br />GENERAL LIABILITY <br />9KO19OR070 <br />07/01/2005 <br />07/01/2006 <br />EACH OCCURRENCE <br />S 1.000 000 <br />DAMAGE TO RENTED <br />S 300 , ODC <br />J( COMMERCIAL GENC-Rql LIAB0. <br />MED EXP (Any Dnn pendn) <br />S 1O, DO <br />CLAIMB MADE O OCCUR <br />PERSONAL&ADVTWURY <br />S 1 OUO,OOO <br />A <br />- <br />_ <br />GENERAL AGGREGATE <br />S 2,000100 <br />GEN'L AGGREGATE LIMMAPPLIES PER <br />PRODUCTS - COMPIOP AGO <br />S 2,000,00 <br />POLICY X jEO LOC <br />- <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />BA01808062 <br />07/01/2005 <br />07/01/2006 <br />COMBINED SINGLE LIMIT <br />IEA.,wdm) <br />S <br />1,000,000 <br />BODILY INJURY <br />(Pepenon) <br />F <br />A <br />ALL OWNED AUTO$ <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />X <br />BODILY INJURY <br />(Per n¢Idenl) <br />S <br />X <br />PROPERTY DAMAGE <br />(Per PCeldenl) <br />F <br />GARAGE LIANJUTY <br />AUTO ONL Y - EA ACCIDENT <br />S <br />OTHER THAN EA ACC <br />AUTO ONLY, AGO <br />S <br />ANY AUTO <br />S <br />EXCE!SAIMBRELLALIABILITY <br />BKOIS08070 <br />07/01/2005 <br />07/01/2006 <br />EACH OCCURRENCE <br />S 1,000,00 <br />X OCCUR CLAIMS MADE <br />AGGREGATE <br />$ 1.000.000 <br />t <br />A <br />F <br />DEDUCTIBLE <br />8 <br />RETENTION R <br />WORKERS COMPBNSAnON AND <br />OW02113891 <br />07/01/2005 <br />07/01/2006 <br />X w STATu aTH <br />B <br />EMPLOYERS'LIABILITY <br />ANY PROPRIETOR/PARTNEIVEXECUTME <br />OFFICFRIMEMBER EXCLUDED) <br />E.L. EACH ACCIDENT <br />S 1, 000 000 <br />EL. DISEASE - EA EMPLOYEE <br />S 1,000,00 <br />1 W F detu be untie( <br />SPECIAL PROVISIONS Ded <br />E.LDISEASE-POLICYLIMIT <br />S 1,000 0-0-0- <br />OTHER <br />30 day notice applies to <br />non-payment and/or <br />.----- <br />_ _ <br />non -reporting <br />DESCRIPP771ON OP OPERATIONS ( LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMERT9 SPECIAL PROVSIONS <br />ertiticate Holder is Additional Insured as respects General Liability and auto liability but only if <br />required by written contract with the Named Insured prior to an occurrence .and as per coverage <br />form CL/BF26090903 and form CL/CA99090895. Coverage subject to all policy terms and conditions. <br />roj Ref: Building Inspection Services <br />City of Santa Ana, it's officers, employees, <br />agents, volunteers and representatives <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED ROL I LIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE 135VING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NOOBLIOATION OR LIABILITY <br />a <br />ACORD 25 (2001108) <br />(DACORD CORPORATION 1988 <br />