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<br />-1CORU I CERTIFICATE OF LIABILITY INSURANCE Date (mmlckllyy) <br /> 10/28/2005 <br />Producer Darlene Martinez THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br /> Wood Gutmann & Bogart Insurance Brokers THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br /> 15901 Red Hill Ave., uite 100 COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Tustin CA 92780 JRE~S ~oVE <br /> 714 505.7000 INSURER U. S. Fidelity & Guaranty <br /> www.wgbib.com <br /> License No. 0679263 A <br /> INSURER SI. Paul Travelers <br />Insured A-()..oo5-1d. IS B <br /> INSURER Continental Casualty <br /> FPL and Associates, Inc. C <br /> 10 Corporate Park, Ste 310 INSURER National liability & Fire <br /> Irvine CA 92606 D <br />COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br /> NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br /> TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> POLICY POLICY <br />INSR EFFECTIVE EXPIRATION <br />LTR TYPE Of INSURANCE POLICY NUMBER DATE DATE LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ I <br />"' ~ :J'7MERCIAl GENERAL L1AB BK01883824 9/1/2005 9/1/2006 FIRE DAMAGE (Any 1 rife) $ <br /> CLAIMS MADE [lJOCCUR MED EXP (An one 0' $ <br /> PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'l AGG LIMIT APPLIES PER PRQOUCTS-COMPIOP AGG $ <br /> tlPOLlCY nPROJECT nLOC $ <br />~ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br />ANY AUTO BK01883824 9/1/2005 9/1/2006 $ 1 000 00 <br /> All OWNED AUTOS BODIL V INJURY <br /> SCHEDULED AUTOS (PerpersOIl) $ <br /> HIRED AUTOS ..t_:" P AS TO ':'Oi<.l\-l BODILY INJURY <br /> NON-OWNED AUTOS (Peracclclent) $ <br /> '/ 2) t.,I f /.c- PROPERTY DAMAGE <br /> (Peraccloollt) $ <br /> ~ARAGE lIABIUTY t/' AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO -. . " "Cyj! OTHER THAN EAACC S <br /> ., ;.' ,h.....- AUTO ONLY: <br /> AGG $ ~~ <br /> EXCESS LIABILITY . 9/1/2005"'~' -9/1/2006 EACH OCCURRENCE $ <br />3 !tJOCCUR 0 CLAIMS MADE BK01883824 AGGREGATE $ <br /> $ <br /> R~EDUCTIBlE $ <br /> RETENTION S $ <br /> WORKERS' COMPENSATION & -'" I STATUTORY LIMIT THER =- <br /> EMPLOYERS' LIABILITY EL EACH ACCIDENT $ <br />) 0100008167051 5/1/2005 5/1/2006 EL DISEASE - EA EMPLOYEE $ <br /> EL DISEASE - POLICY LIMIT $ <br />IC Professional L1ab MCA114132312 9/1/2005 9/1/2006 $5,000,000 <br />DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Certificate holder is named as Additional Insured per attached CUBF 26 09 09 03 along with Primary wording, as their <br />interest may appear. <br />THIS CERTIFICATE SUPERCEDES ALL OTHERS PREVIOUSLY ISSUED. <br />CERTIFICATE HOLDER CANCELLATION <br />xxx SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> City of Santa Ana Public Works Agcy EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> .....3..O......DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br /> OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- <br /> 20 Civic Center Plaza, M43 SENTATIVES. *10 Davs for Non.Pavment of Premium <br /> Santa Ana CA 92701 AUTHORIZED <br /> REPRESENTATIVE <br /> ~ ~. ~- <br /> James E. Gutmann <br />ACORD 25-5 (7/97) cnI8ted at WWw.eeart.DNlINE.com o ACORD CORPORATION 1988 <br />