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ACCRA CERTIFICATE OF LIABILITY INSURANCE01/06/2010 <br />DATE(MM/DD/YYYY) <br />PRI,-DUCER (619) 574-6220 FAX (619) 574-6288 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Insurance Office of America, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />DBA IDA Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1775 Hancock Street, Ste. 180 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Diego, CA 92110 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Gillis & Panichapan Architects, Incorporated INSURERA: Travelers P&C Co. of America 25674 <br />2900 Bristol St. Suite G205 / INSURERS: OneBeacon America Ins. Co. <br />Costa Mesa, CA 92626�/� J INSURERc. Ace American Ins. Co. 22667 <br />— 'o <br />/ � Q ` / I J/ <br />INSURER D <br />A <br />A �, INSURER E: <br />UUVERAGES QIP — I -(--QL S <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NSURED NAMED ABOVE FC 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 RFFm RFni ir1=n DV DArn ri -1 <br />INSR <br />DD' <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />07/24/2009 <br />POLICY EXPIRATION <br />07/24/2010 <br />LIMITS <br />GENERAL LIABILITY <br />6802841L495 <br />EACH OCCURRENCE $ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED $ 300,000 <br />CLAIMS MADEOCCUR <br />A <br />MED EXP (Any one person) $ 10,000 <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />POLPRO- <br />ICY X <br />El <br />JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />BA9193LO91 <br />01/1k,/24�y <br />1/2011 <br />X <br />ANY AUTO <br />1� as <br />' U <br />COMBINED SINGLE LIMIT <br />(Ea accident) $ <br />11000,000 <br />' 000' 000AppgOV <br />ALL OWNED AUTOS <br />1-3 <br />A <br />SCHEDULED AUTOS <br />14 <br />BODILY INJURY $ <br />(Per person) <br />HIRED AUTOS <br />stl tt <br />BODILY <br />NON -OWNED AUTOS <br />�uTo, AtC <br />City <br />Tl1C� <br />INJURY $ <br />(Per accident) <br />A,s <br />istant <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />ANY AUTO <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />EXCESS/UMBRELLA LIABILITY <br />CUP6785Y338 <br />07/24/2009 <br />07/24/2010 <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />X OCCUR CLAIMS MADE <br />AGGREGATE $ 1,000,000 <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />WORKERS COMPENSATION AND 406030061 09/01/2009 09/01/2010 X I WC STATU- 0TH- <br />EMPLOYERS'LIABILITY <br />B ANY PROYRIETOR/PAR'rN'ER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 11000,000 <br />SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 <br />ro G23638319004 11/08/2009 <br />essional Liability 11/08/2010 $1,000,000 each occurence <br />C Claims Made $2,000,000 aggregate <br />$5,000 deductible <br />IESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />e: All Operations of the Named Insured <br />he City of Santa Ana is additional insured as respects general liability per the attached endorsement. <br />10 Days Notice of Cancellation Applies for Non -Payment of Premium. <br />'MD'r1M^A- 11 1 --ems <br />The City of Santa Ana <br />Attn: Michelle Walker <br />20 Civic Center Plaza M-36 <br />PO Box 1988 <br />Santa Ana, CA 92702-1988 <br />4ORD 25 (2001108) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING 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 SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES <br />AUTHORIZED REPRESENTATIVE –7— <br />Kelly Howell/CABRAS AYf�C� <br />©ACORD CORPORATION 1988 <br />