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<br />ACORQ. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDNYYY)
<br />12/09/2005
<br />PRODUCER (949)263-0606 FAX (949)263-0906 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Complete Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />California DOl #0437762 ALTER THE COVERAGE AFFORDED BY THE POliCIES BELOW.
<br />19000 MacArthur Blvd., PH Fl r
<br />Irvine, CA 92612-1447 INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED Albert Grover & Associates, Inc. INSURER A: Fidelity & Guaranty Underwr.
<br /> 211 E Imperial Hwy., Ste. 208 INSURER B: St. Paul Fire & Marine Ins. Co.
<br /> Fullerton, CA 92835 INSURER c: (c/o St. Paul Travelers, MN)
<br /> H:i6D5 -;:>:::,4- INSURER 0:
<br /> INSURER E:
<br />
<br />COVERAGES
<br />
<br />THE POLICIES OF INSURANCE LISTED BElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 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 BEEN REDUCED BY PAID CLAIMS.
<br />I~i': ~~~;: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
<br /> GENERAL LIABILITY BK01809121 07/01/2005 07/01/2006 EACH OCCURRENCE $ 1,000,000
<br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 500,000
<br /> I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) , 10,000
<br />A PERSONAL & ADV INJURY , 1,000,000
<br /> - 2,000,000
<br /> GENERAL AGGREGATE ,
<br /> - 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG ,
<br /> 1 POLICY rxl ~r8T n LOC
<br /> AUTOMOBILE LIABILITY BK01809121 07/01/2005 07/01/2006 COMBINED SINGLE LIMIT
<br /> - (Eaaccident) , 1,000,000
<br /> ANY AUTO
<br /> -
<br /> ALL OWNED AUTOS BODILY INJURY
<br /> - ,
<br /> SCHEDULED AUTOS (Per person)
<br />A X
<br /> HIRED AUTOS BODILY INJURY
<br /> Y ,
<br /> NON-OWNED AUTOS (Peraccidenl)
<br /> t--
<br /> t-- PROPERTY DAMAGE ,
<br /> (Per accident)
<br /> ~RAGE LIABILITY AUTO ONLY - EA ACCIDENT ,
<br /> ANY AUTO OTHER THAN EA ACC ,
<br /> AUTO ONLY: AGG ,
<br /> EXCESSIUMBRELLA LIABILITY BK01809121 07/01/2005 07/01/2006 EACH OCCURRENCE , 2,OOO,OOC
<br /> IJ OCCUR D CLAIMS MADE AGGREGATE , 2,000,000
<br />A ,
<br /> ~ ~EDUCTIBlE ,
<br /> RETENTION , $
<br /> WORKERS COMPENSATION AND BW02115525 07/01/2005 07/01/2006 I. WC STATU- IOJ);"
<br /> EMPLOYERS' LIABILITY 1,OOO,OQ!l
<br />B ANY PROPRIETORlPARTNERlEXECUTIVE E.L EACH .\CClDENT ,
<br /> OFFICERJMEMBER EXCLUDED? ~- SJ -/,,/1/& E.l. DISEASE - EA EMPLOYEE $ 1,000,000
<br /> If yes, describe under A.^. -- ./}, 1,000,000
<br /> SPECIAL PROVISIONS below -~ E.l. DISEASE - POLICY LIMIT $
<br /> OTHER (/ 7 10 day notice applies to
<br /> " non-payment and/or
<br /> non-reporting
<br />~..,ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES J EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS only if required by written
<br />~ertificate Holder ;s Additional Insured as respects General Liability but
<br />Fontract with the Named Insured prior to an occurrence and as per coverage form CL/BF26090903. Coverage
<br />ubject to all policy terms and conditions.
<br />roj Ref: Citywide Speed Limit Study Project
<br />
<br />CERTlFICAT H LDER
<br />
<br />AN ELLATI N
<br />
<br />City of Santa Ana, its officers, employees,
<br />agents, volunteers and representatives
<br />Monica Suter, Transp.jTraffic Engineering
<br />P. O. Box 1988
<br />Santa Ana, CA 92702
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL~~ MAIL
<br />~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />~K)(_lIilIlOOllXlIIl{lIIJll(~JOtXXX
<br />lOOOO0OO<>>Jll(lIIllJOOOOlil(lilllOOilt](lIIK)(IOOl~XXXXXXXX
<br />
<br />~~
<br />
<br />AUTHORIZED REPRESENTATIVE
<br />
<br />Alicia I ram/MICHMA
<br />
<br />ACORD 25 (2001/08)
<br />
<br />@ACORDCORPORATION 1988
<br />
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