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<br />ACORf)~ CERTIFICATE OF LIABILITY INSURANCE I DATI! IMMIDDNrYY]
<br /> 8/23/2006
<br />"""ODUCER PAX (949) 851 8802 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION
<br /> Services ONLY AND CONFERS NO RIGHTS UPON THE CERl1FICATE
<br /> 1':1 Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />License No: OD15612 ALTER THE COVERAGE AFfORDED BY THE POUCIES BELOW.
<br />3D Corporate: Park #307
<br />Irvine CA 92606 INSURERS AFFORDING COVERAGE NAle.,
<br />INSURED A-:;'OOtp-O/5 INSJRERA: steadfast Insurance
<br />curb~id.e, Inc. IN9JRERB: Zurich Ameri.can In:su:rtmee
<br />1160 N. Armando Street INSURER c:
<br /> lJl,lSURERlJ;
<br />Anaheim CA 92806 INSURER E:
<br />
<br />COVERAGES
<br />
<br />THE POUCIES OF INSURANCE USTED Bt::LOW HAVE BEEN ISSUED TO THE INSuRED NAMED ABOVE FOR THE P01..ICY PERIOD INDICATED. NOTWIlHSTANDlNG ANY
<br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OlliER DOCUMENT'M1'H RESPECT TO \NHICH THIS CERnRCATE MAY aE ISSUED OR MAY PERTAIN.
<br />11:1E INSURANCE AFfORCED BY THE POLICIES CESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXClUSIONS AND CONDSTJONS OF SUCH POUCtES.
<br />AGGREGATE LIMITS SHOWN M~V HAVE ElEEN REDUCED BY PAID CLAIMS. flOLICyeFFECTlVE
<br />"'" "'" POLlCY EXPlMTIOH
<br />n. INAR TYPE OF INSURANCE POLICY NUMBER OATEIMMlOOlYVl DATE IMMlDDNY} LIMIT!!
<br />A ~NERAl LIABilITY GPL 543 5554 02 08/23/2006 08/23/2001 EACH QGClJR:FlENCE , 1,000,000
<br /> X CD'vlt.ERCI..... GENERI'd. L1ABlUTY ~~=JO~tneneel , 100,000
<br /> [ aAlMS MADE [!] OCCUR: MED EXP 1Anv 1I..IIM3111U I 25,000
<br /> - PERSONAL lit ADV INAIFIY I 1.000,000
<br /> - GENERAL AGGREGATE I 1,000,000
<br /> ~~AGG:nELIM6: AnE~ PER: PRODUCTS. COl.lpIOP AGO , 1,000,000
<br /> P0UCY 'lei LOC
<br />B ~TOM0611EUAflILlTY RAP 543 5553-02 08/23/2006 08/23/2001 COfoElNED SlNGLE LIMIT 1,000,000
<br /> J!. PNf AUTO (E"acalllnlj ,
<br /> f---- -
<br /> - ALL OWNED AUTOS BOOlL Y INAJRY
<br /> (P"'-I*"'OIl) ,
<br /> - SCHEDULED AUTOS
<br />I - HIRED AUTOS $1,000 OED COMP BOOIL Y INAJRY
<br /> ,
<br /> -' NON-OWNEO AUTOS (pfl","",ldanl)
<br /> $1.,000 OED COLL PROI'ER1Y DAMAGE
<br /> (Pfl!"...,ld'"ltj ,
<br /> ~~E L1A~IUTY AlJTOON-Y. EAACClOENT ,
<br /> i>l'NAUTO OTliERTl-IAN ...ACe ,
<br /> AUTO ONlY: "'. ,
<br /> :::rSSNMBREL1.A ua.aILlTY EACH OCCURRENCE ,
<br /> OCCUR 0 ClJl,IMS MADE AGGREGATE" ,
<br /> I
<br /> =l ~EDUCTlBLE I
<br /> I<EH,NtlON $ ,
<br /> WORKERS CO"'PEN:3AT~N Af,jO TOR1[f~V"s I IO~
<br /> EMPLOYEOR.S' UAan.1TY
<br /> ANY PROPAl ETORiPAATNERlEXECUTI'v"E: ELEACHACCIDENT ,
<br /> OFACE~EMaEREXCLUDED7 E.L DlSEASE- EAEMf'lOva S
<br /> IfY""'.dua!b.L.I1d~r
<br /> SPECIAL PROVISIONS below EL. DISEASE. POUCY LIMIT S
<br />A OfHEOR Contractor 's GPL 543 .!!!I!14-02 08/23/2006 08/23/2007 $1,000,000 B.ch Lncident
<br /> Po~1.uti(ln Liabili t:y $1,000,000 Policy agrqregate
<br />DESCRll'>nON 01' OflERATIOH5tt.OCAnOHW8"IICLESlEXcLU:;IIONS ADDlOD BY ENDORSEMENT/SPECIAL PROVlSIONS
<br />TIle general. liability po11ey 1nel\1c!,e:ll the Ci.ty at: Santa. Ana, 1 t:ll ott1cer~. emp1oyee:ll, agent~.volunt~s an~
<br />representatives ::LS a.d.d.1tionJ.l inaure4 w1.th regard to WOl:k: performed by or on behilllf ofth.., Named Inaured where requ:l.1:ec1
<br />by llr.itten contract. "]!:xeept. 10 d:l.Yl!I for nonpayment of premi\lll\;
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br />'-".'
<br />
<br />SHOULD ANY OJ' THl: AOOvr: DESCRIBED POLlClEa II!! CAHCELl.ED liEF-DIU! THE
<br />EXF'IAATION DATE THEREOF. THE ISSUING IHSVAER WLL ~ Ml'.lL
<br />30 DAYS WRITTEN NonCE TO THE CtRTIflCATE HOUlER NAMED TO rH! LUT.
<br />)tAt~~~V.y:X~
<br />XNO~~~
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<br />
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<br />
<br />city of Santa Ana
<br />Department of Public Works
<br />20 Civic Center Plaza/ M-21
<br />Santa -Ana, CA 92702
<br />
<br />AUTHORIZED REPRESENTAT....E
<br />
<br />$.af"!P~a:-qodge!SED
<br />
<br />ACORD 23 (2001/Cl6)
<br />
<br />{tfj. . ~ VUpk.l;-:<...."".<:nIoJ'^-71....._nII'lrnXI'.I\<;.I!;
<br />N) ",9,,-( f LI
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<br />0.:.1:"-10 L!f\lt:." ,.
<br />
<br />f4I ACORD CORPORA nON 1988
<br />PMl.lo12
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