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,ACQRD CERTIFICATE OF LIABILITY INSURANCE OP ID ZDATE(MMIDDNYYY) GILLI-1 X1 12/20/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION G. S. Levine Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Services, Inc. 10505 Sorrento Valley Rd. #200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. DATE MID LIMITS San Diego CA 92121 Phone:856-481-8692 Fax:858-481-7953 INSURERS AFFORDING COVERAGE NAIC# INSURED ty and Guaran ins. Co. INSURER A: Fideli ty INSURER B: St. Paul Protective ma. Co. 19224 Gillis S Associates Architects Inc. INSURER C: INSURER D: 2900 Bristol St. Suite G205 Costa Mesa CA 92626 INSURER E'. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRINSRU NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DATE MID LIMITS Santa Ana CA 92702-1988 GENERAL LIABILITY AU RIZED REPRESE THE EACH OCCURRENCE $ 1,000,000 pREMISES(Eaoccurence) $300,000 A X COMMERCIAL GENERAL LIABILITY BK01616677 07/24/05 07/24/06 CLAIMS MADE L L OCCUR MED EXP (Any one person) $ 10,000 PERSONAL B ADV INJURY $1,000,000 X Owner/Cont Prot. GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 - PRO - POLICY POLICY JEOOC A AUTOMOBILE LIABILITY ANY AUTO BKO1616677 07/24/05 07/24/06 COMBINED SINGLE LIMIT (ESaxrdent) $1,000,000 BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per acdtlent) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE UAJ31UTY A `� - �'. - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGO EXCESSIUMBRELLA LIABILITY _ - — - - - "' - EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLE S RETENTION $ WORKERS CONPENSATION AND WUSIAIU- U111-1 X TORY LIMITS ER BANY EMPLOYERLIABILITY PROPRIETOR/REXELUTIVE WO2147924 09/01/05 09/01/06 E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1, 000, ODO OFFICER/MEMBER EXCLUDED? I(yes, desvibe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $1 000 000 r I OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re: All Operations. Proof of Insurance *10 days notice of cancellation applies for non-payment of premium. CERTIFICATE HOLDER CANCELLATION C.•I,PYSA— SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Clerk of the City Council DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYSWRITTEN City Of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 20 Civic Center Plaza (M-30) IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR P.O. Box 1988 Santa Ana CA 92702-1988 REPRESENTATIVES. AU RIZED REPRESE THE ACQRD 25 (2001108) 10 ACORD CORPORATION 1988