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ACORD CERTIFICATE OF LIABILITY INSURANCE OP IDP2 <br />DATE (MMIDDNYYY) <br />1 <br />GILLI-1 <br />08/29/07 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />G. S. Levine Insurance A - zoo6 472 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Services, Inc.2. <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />10505 Sorrento valley Rd. #200 'Z�S <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />NBRD <br />TYPE OF INSURANCE <br />San Diego CA 92121 <br />Phone: 858-481-8692 Fax: 858-481-7953 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INBURED <br />I INSUPERA ....>.... T.Ao.Lar �..e cr. <br />25682 <br />INSURER B. ........ <br />19046 <br />Gillis & Associates <br />— ---- — <br />A <br />Architects Inc. <br />INSUERC. — -- ---- _ -- --- <br />-- - - <br />2900 Bristol St. Suite G205 <br />RZUREiD: <br />oAMNGETORENMD <br />%EMISESI��.ap <br />Costa Mesa CA 92626 <br />IASUPFA E <br />COVERAGES <br />TLIE POLICIES OF INSU AJ CE LISTED BELOW HOVE BEEN ISSUED TO TLE NSIFIED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOIWRISTMDNG <br />ANY REOUIRE.ENT, TERM OR CONDITION OF ANY CONTRACT OR OTTER DOCUMENT WRH RESPECT TO VMCH THS CERTIRCATE MAY BE ISSUED OR <br />MAY PERTAIN, TIE INSLFAA AFFORDED BY TLE POLICIES DESCRIBED l 8146 SUBJECT TO ALL TIE TERMS, EXCLUSIONS MD CONDRIDNS OF SUCH <br />P CJES. AGGREGATE LIMITS SHDVM MAY HAVE BMJ REDUCED BY PAID CLAMS. <br />I <br />D'L <br />I <br />POLICY EFFECTIVE <br />POLICY DN <br />LTR <br />LTR <br />NBRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE IMN/OD/W) <br />(MMIDD <br />DATE INMIDD/Y'7 <br />LLM78 <br />GENERAL LIABILITY <br />EACH OC ENCE <br />S 1,000,000 <br />A <br />X COMAERcwLGEFIEALUABILm <br />6802841L495 <br />07/24/07 <br />07/24/08 <br />oAMNGETORENMD <br />%EMISESI��.ap <br />: 300,000 <br />- - <br />FX <br />--- --- <br />----- <br />C1NM5M1pE OCCIFI <br />AED EXP ImY mePeRePN <br />$ 5,000 <br />PE soN1_AADelwum <br />s 1,000,000 <br />x Owner/Coat Prot. <br />--- -- <br />- <br />s 2,000,000 <br />CENERALAGGREGATE <br />FRCOUCTS- COMPYOP AGO <br />s 2,000,000 <br />GENL AGGREGATE UNIT APPIJES PER <br />rX <br />POLICY JEOT LOC <br />AUTOMOBILE <br />UABLITY <br />COMBINEp SKG(iE LIMT <br />i 1,000,000 <br />A <br />MIVAUTO <br />68028411,495 <br />07/24/07 <br />07/24/08 <br />(a—pro <br />ALL OATiED AUTC6 <br />BODILY IWIFTY <br />_ <br />SCFIEDIAED AUTOS <br />(FW Prem) <br />s <br />BOpLVIwLFry <br />X <br />-AUTOS <br />X <br />NONOWTEO AUTOS <br />I�SO�) <br />i <br />PROPERTY DAMAGE <br />I <br />GARAGE LIABILITY <br />'4N ONLY-EAACCIDO,M <br />i <br />ANY AUTO <br />OiFBiTIAN EAACC <br />—_ <br />i <br />G_. <br />AUTOIX Y: <br />EXCESSNMBRELLA LIABILITY <br />CLAIM. MADE <br />EACH OCCURRENCE <br />i <br />i <br />� <br />RETENTION i <br />s <br />WORKERS COMPENSATION AND <br />x;TOWCRY UM75 STATLL OTH <br />Ei <br />B <br />EMPLOYERS' LIABILITY <br />ANY PRDPHIETORPARRTRERYEKEDUTNE <br />UB711OY241 <br />09/01/07 <br />09/01/08 <br />_ <br />1 EL.EAaRACODa <br />$ 1000000 <br />----__..--- <br />- — <br />$ 1000000 <br />OIIFymRC,AEwME.BER EXCLUDED? <br />�ELpt-7.Y-T <br />-- <br />$1000000 <br />SPCIAL <br />OTHER <br />DESCRPTIONOFOPEMMMS/LOCAMMSIVEHICLES/EXCLUMONSADDEDBYENDORSEMENT/SMCMLPROVNiIONS <br />Re: All Operations. <br />Proof of Insurance <br />*10 days notice of cancellation applies for non-payment of premium. <br />CERTIFICATE HOLDER CANCELLATION <br />Clerk of the City Council <br />City of Santa Ana <br />20 Civic Center Plaza (M-30) <br />P.O. Box 1988 <br />Santa Ana CA 92702-1988 <br />CITYS•A— SHOULDANYOFTMABOVEDESCRIBEDPOLICIESBECANCEUMBEF ETNEEX%RATION <br />DATE THEREOF, THE IB.SUING INSURER WILL ENDEAVOR TO MNL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBIJGATION OR LIABILITY OF ANY KIND UPON THE INSURER In AGENTS OR <br />REPRUIDITATNES. <br />ACORD 25 (2001/08) 0 ACORD CORPORATION 1988 <br />