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DATE CERTIFICATE F LIABILITY INSURANC-070/2010) PRODUCER (619) S74-6220 FAX (619)S74-6288 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Insurance Office of America, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DBA IOA Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1775 Hancock Street, Ste. San Diego, CA 92110 180 ADDT INSR INSURERS AFFORDING COVERAGE NAIC # INSURED Gillis & Panichapan Architects, 2900 Bristol St. Su't 6205 Costa Mesa, CA 92626 --�Z'��^/�-b�� ^�--�. ut, Incorporated – 11-12— INSURER A: Travelers P&C Co. of America 25674 INSURERB: OneBeacon America Ins. Co. INSURERc: Ace American Ins. Co. 22667 INSURER D: INSURER E: rnVFRARFS 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. INSR ADDT INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 07/24/2010 POLICY EXPIRATIONLTR 07/24/2011 LIMITS GENERAL LIABILITY 6802841L495 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE M OCCUR DAMAGE TO RENTED $ 300,000 PRFMISF.9 (F, MED EXP (Any one person) $ 10,000 A PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY X ANY AUTO BA9193 LO91 01/11/2010 01/11/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY $ (Per person) A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ^��r l i _0 V E pp4 T ! �J A ® ®»1` M BODILY INJURY $ (Per accident) tiL't Speedy PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY( [ `AttOr]1 AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ ANY AUTO EXCESS/UMBRELLA LIABILITY X OCCUR F] CLAIMS MADE CUP678SY338 07/24/2010 07/24/2011 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND 406030061 09/01/2009 09/01/2010 X WC sTATU oTH- B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C ro essional Liability laims Made 623638319004 11/08/2009 11/08/2010 $1,000,000 each occurence $2,000,000 aggregate $5,000 deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Re: All Operations of the Named Insured The City of Santa Ana is additional insured as respects general liability per the attached endorsement. '°10 Days Notice of Cancellation Applies for Non -Payment of Premium. The City of Santa Ana Attn: Michelle Walker 20 Civic Center Plaza M-36 PO Box 1988 Santa Ana, CA 92702-1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE —T— Kelly Howell/CABRAS ACORD 25 (2001108) ©ACORD CORPORATION 1988