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<br />A -~oo6 -0/5 <br />Ai -" ,).(xY7~D;r h <br /> <br />ACORD... CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) <br /> 872il2007 <br />PRODUCER (949)851-8800 PAX: (949)851-8802 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />GSM Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />Lie. #001.561.2 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br />30 Corporate Park #307 <br />Irvine CA 92606 INSURERS AFFORDING COVERAGE NAlCI <br />INSURED INSURERA:Nautilus Ins Co <br />Curbside, Inc. INSURERB:Great Divide Ins Co <br />11.60 N. Armando St INSURER c: <br /> INSURER D: <br />Anaheim CA 92806-2609 INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br /> Y ''';'''':_. .~.:;- -.. OA'O 1"" A'lA'" <br />I~~ ~'!:~ TYPE OF INSURANCE ~l--liY':=~ POLICY EXPIRATION UMlTS <br /> POUCY HUMBER DATE <br /> ~NERAL LIABILITY F'Ar.H""''''''U>'''''Nr.", $ 1,000,000 <br /> DAMAGE TO RENTED 100,000 <br /> X COMMERCIAL GENERAL UABIUTY I $ <br />A I CLAIMS MADE [i] OCCUR BCPO 0200181~10 8/23/2007 8/23/2008 MED EXP {Anv one """""" $ 5,000 <br /> o .nVINIIIDV $ 1,000,000 <br /> <>EN~'" . $ 1,000,000 <br /> I-- 1,000,000 <br /> 1il'L AGGRnE UMlT AnS PER: p......n' "..,T<: _ I'-"""P/OP AI'..r. $ <br /> X I>OIICY ~~i Lor. <br /> ~OMOBlLE UA8lUTY COMBINED SINGLE LIMIT $ 1,000.000 <br /> ~ ANY AUTO (Ea accldent) <br />B ALL OWNED AUTOS SAP 0200182-10 8/23/2007 8/23/2008 BODILY INJURY <br /> f-- (Per person) $ <br /> f-- SCHEDULED AUTOS <br /> f-- HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> - <br /> PROPERTY DAMAGE $ <br /> (1'<3< accKIenI) <br /> ~RAGE UABLITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN F'AACr. $ <br /> AUTO ONLY: N= $ <br /> EXCE8SlUMBRELLA UABlUTY $ <br /> ~ OCCUR 0 CLAIMS MADE AI'..r.REGATI: $ <br /> // I)) $ <br /> ==i DEDUCTIBLE 'R);f - ,-::Jj / $ <br /> RF'n:NTIOOJ ~ ; I( ;.. _ .~_~ . ._-r .",) tr~l:rf'J,';!..T 's <br /> WORKERS COMPENSATlON AND r :/f (l OJbl- <br /> EMPLOYERS' UA8lUTY / <br /> ANY PROPRIETORIPARTNERlEXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFlCERlMEMBER EXCLUDeD? E.L. DISEASE - EA EMPLOYEE $ <br /> If yes. _be under E.I , OlS"A<:E - "'" ICY UM1T 1$ <br /> sPi=C1A' PROVI <br />A OTHER Contractor I s SCPO 0200181-10 8/23/2007 8/23/2008 Bach PQllution Cond. $1,000,000 <br /> Pollution Liability Aggregate $1,000,000 <br />DESCRIPTION OF OPERATlON8lLOCATIONSIVEHlCLESlEXCLUSlONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />The general liability policy includes the City of Santa Ana, its officers, employees, agents,volunteers and <br />representatives as additional insured with regard to work performed by or on behalf of the Named Insured where required <br />by written contract. *Bxcept 10 days for nonpayment of premium. <br />CERTIFICATE HOLDER Ii,,;, ' CANf:B.LATlON <br /> 'tJ ~1 . "" <br /> , I ~ 'j Atr't OF THE ABOVE DESCRIBED POLICIES BE CANCEU.ED BEFORE THE <br /> City of Santa Ana EXPIRATION DATE THEREOF, THE ISSUING IMS\JRER WILL )E~'\(~ MAIL <br /> Department of Public Works Ze: :6 WV (I d BAYS WRITTEN NOTICE TO THE CERTIACATE HOLDER NAMED TO THE LEFT,~ <br /> 20 Civic Center Plaza, M-21 <br /> Santa Ana, CA 92702 ., <br /> AUTHORIZED REPRESENTAl1VE ......, .e::' _ ~ <br /> Sandra DOdge/SED --- c:::::;;.-' <br /> <br />ACORD 25 (2001108) <br />tUctR")c; ""'4nD~ nD... <br /> <br />C ACORD CORPORATION 1988 <br /> <br />P:::.no1 r4? <br />