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<br />PRODUCER (949)263-0606 <br />Complete Insurance, Inc. <br />CalifDrnia DOl #0437762 <br />19000 MacArthur Blvd., PH Flr <br />Irvine, CA 92612-1447 <br />INSURED Albert Grover & Assoclates, Inc. <br />211 E. Imperial Hwy., Ste. 208 <br />Fullerton, CA 92835 <br /> <br />FAX (949)263-0906 <br /> <br />I DATE (MMlDONYYY) <br /> <br />12/09/2005 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />ACORQ, <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURER A: ACE American Insurance Company <br />INSURERB, (c/o New Markets Insurance Agenc ) <br /> <br />NAIC# <br /> <br />INSURER C <br />INSURER D: <br />INSURER E: <br /> <br />COVERJl.GE" <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 REOUCED BY PAID CLAIMS. <br /> <br />11~~B- ~!?~ TYPE OF INSURANCE POLICY NUMBER POLlCY EFFECTIVE POLICY EXPIRATION LIMITS <br /> <br />GENERAL LIABILITY <br />>- <br /> <br />COMMERCIAL GENERAL LIABILITY <br />I CLAIMS MADE 0 OCCUR <br /> <br />EACH OCCURRENCE $ <br />DAMAGE TO RENTED $ <br />MED EXP (Anyone person) $ <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />PRODUCTS - COMP/OP AGG $ <br />COMBINED SINGLE LIMIT $ <br />(Eaaccidenl) <br />BODilY INJURY , <br />(Per person) <br />BODILY INJURY , <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Peraccidenl) <br />AUTO ONLY - EA ACCIDENT , <br />OTHER THAN EAACC , <br />AUTO aNL Y: AGG $ <br />EACH OCCURRENCE $ <br />AGGREGATE , <br /> , <br /> $ <br /> , <br />T:'X~~~;,~~ I IOJ,!" <br /> <br />f- <br /> <br />f- <br />nGEN'L AGGRrEFGATfE LIMIT APPLIES PER: <br />PRO. n <br />POLICY JECT LOC <br /> <br />~TOMOBILe LIABILITY <br /> <br />ANY AUTO <br /> <br />>- <br />~ ALL OWNED AUTOS <br /> <br />~ SCHEDULED AUTOS <br /> <br />~ HIRED AUTOS <br /> <br />_ NON-OWNED AUTOS <br /> <br />';~GE LIABILITY <br />I ANY AUTO <br /> <br />~ESSlUMBRELlA LIABILITY <br />---1 OCCUR D CLAIMS MADE <br /> <br />I DEDUCTIBLE <br />I RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNERlEXECUTlVE <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />LOTH,", l' <br />proressiona llability <br />A <br /> <br />E.L. EACH ACCIDENT $ <br />E.L DISEASE. EA EMPLOYE $ <br />E.L. DISEASE. POLICY LIMIT $ <br />EONN00916006 07/09/2005 07/01/2006 $2,000,000 Per Claim <br />$2,000,000 Aggregate <br /> <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS <br />~O day notice Endt. PF-12798 included - 10 day notice applies to non-payment <br /> <br />Proj Ref: Citywide Speed limit Study Project <br /> <br />~ ;;/?- <br /> <br />rERTIFICAT'" HOLDER <br /> <br />City of Santa Ana, its officers, employees, <br />agents, volunteers and representatives <br />Monica Suter, Transp./Traffic Engineering <br />P. O. Box 1988 <br />Santa Ana, CA 92702 <br /> <br />"AN"ELLATlnN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />--12- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOL.DER NAMED TO THE lEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE IN5URER,ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE ~ ~~ J <br />Alicia Iaram/MICHMA /0- 7'~'-- <br /> <br />ACORD 25 (2001/08) <br /> <br />@)ACORDCORPORATION 1988 <br />