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<br /> MARSH CERTIFICATE OF SURANCE CERTIFICATE NUMBER <br /> . lOS-000203859-04 <br /> ... . "- <br />PRC!OUCER THIS CERTIFICATE IS ISSUED MATTER OF' INFORMATION ONLY AND CONFERS <br /> Marsh Risk & Insurance Services NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br /> 4695 MacArthur Court, Suite 700 POLlCY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br /> (949) 399-5800 AFFORDED BY THE POLICIES DESCRIBED HEREIN. <br /> License #0437153 COMPANIES AFFORDING COVERAGE <br /> Newport Beach, CA 92660 <br />( COMPANY <br />40"80-01-01- A Hartford Fire Insurance Company <br />INSURED COMPANY <br /> (teris, Inc. & Meyer Mohaddes 8 St. Paul Fire & Marine Insurance Company <br /> Associates Inc. <br /> 1515 S. Manchester Avenue COMPANY <br /> Anaheim, CA 92802 C Royal Insurance Company of America <br /> N -;;;"001- ;Llf COMPANY <br /> 0 N/A <br />COVERAGES This certificate supersedes.and.replaces any. previously issued certificate for the. policy.period noted below. 9 <br /> THIS IS TO CERTIFY THAT PQUCJES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POUCV PERIOD INDICATED <br /> NOTV'JITHSTANDING ANY REQUIREMENT, TERM OR CONDIT\ON OF ANY CONTRACT OR OTHER DOCUMENT VVlTH RESPECT TO INHICH THE CERTIFICATE MAY BE ISSUED OR MAY <br /> PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREiN IS SUBJECT TO ALL THE TERMS, CONDJTlONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br /> LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />CO TYPE OF INSURANCE POLICY NUMBER POL.ICY EFfECTIVE POLICY EXPIRATION L.IMITS <br />LTR OA TE {MM/DDfYY} DATE fMM/DDIVY) <br /> Gt'NERAL LJABJUTY GENERAL AGGREGATE $ 2,000,000 <br />A X COMMERCIAL GENERAL LIABILITY 72CESOA 1989 04101103 04101104 PRODUCTS - COMPIOP AGG $ 2,000,000 <br /> I CLAIMS MADE [KJ OCCUR PERSONAL & ADV INJURY $ 1,000,000 <br /> OVl/NER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 <br /> - <br /> FIRE DAMAGE (An.,. one fire) $ 300,000 <br /> MED EXP (An ane personl $ <br /> AUTOMOBILE L.IABIL.ITY $ 1,000,000 <br /> fx COMBINED SINGLE UMIT <br />8 ANY AUTO TE06101251 04/01103 04101104 <br /> C- <br /> C- ALL O\NNED AUTOS BOD\L Y INJURY $ <br /> (Per person) <br /> ex SCHEDULED AUTOS <br /> HIRED AUTOS eODll Y JNJURY $ <br /> X NON-OVVNED AUTOS (Per accident) <br /> 'X 1,000 Camp/Call Oed PROPERTY DAMAGE $ <br /> GARAGE L1ABIL.ITY AUTO ONLY - fA ACCIDENT $ <br /> - <br /> - ANY AUTO OTHER THAN AUTO ONLY <br /> - EACH ACCIDENT $ <br /> AGGREGATE $ <br /> EXCESS UABIL.ITY EACH OCCURRENC E $ 10,000,000 <br />C ~ UMBRELLA FORM 2PHA208680 04/01103 04101104 AGGREGATE $ 10,000,000 <br /> OTHER THAN UMBREl!A FORM $ <br /> WQRKE~_::?OMPENSATION AND I T~,mJ,~S I I vER <br /> EMPLOYERS'L.IABILlTY <br /> () ( I El EACH ACCIDENT $ <br /> L. .'<"" , <br /> THE PROPRIETOR! R:NCl EL DISEASE-POLICY LIMIT $ <br /> PARTNERSJEXECUTJVE <br /> OFFICERS ARE: EXCL .7/', El DJSEASE-EACH EMPLOYEE $ <br /> ,V""" IJ7' ::-'~ "t ----.-- - .h'~ <br /> , <br />DESCRIPTION OF OPERATIONS/L.OCATION SNEHICL.ES/SPECIAlITEM S <br />Re: Project #03~J02-0711 (all contracts & projects). The City of Santa Ana, its officers, employees, agents; representatives & volunteers are named as <br />additional insured as respects general liability. This coverage is primary and non-contributory. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOlJLO ANY O~ THE POLICIES DESCRIBED HEREIN BE CANCELLED 13EFORE THE EXi"lRATION DATE THEREOF <br /> Tf-IE INSURER AFFORD/!I:G COVERAGE WllL E~ MAIL -3D DAYS """ITTEN NOTICE TO THE <br /> Santa Ana, City of CERTIFICATE HOLDER NAMEO HEREIN, - <br /> Public ,Works Agency <br /> 20 CiVIC Center Plaza ^""~ ~E <br /> PO. 80x 1988, M-21 ~~XXXXXXXXXXXXXXXxxxxxx.xxxxx.xxxxxxxxxxxxxxx <br /> Santa Ana, CA 92701-1988 MARSH USA INC. <br /> BY: Stephen Flynn kiL+ <br /> MM1(3102) VALID AS OF: 05/06103 <br /> <br />/J.;.,,~" <br />./ <br />