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<br />A'C:ORIJ...
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<br />
<br />II :16AM
<br />
<br />FROM-N,rvlr A"oel,t.,
<br />
<br />CERTIFICATE OF
<br />
<br />LlABIL TY IN~UKAN\,;~r~B~~l I 02126/01
<br />HIS CE:RTlt='ICAiE 15 rssu~o AS A MATTER OF INFORMATION
<br />NlY AND CONFERS NO RIG~TS UPON TH~ CEi'lTlfICATE
<br />OLDER. THIS CERTIFICATE DOES NOT AMEND. EXHND OR
<br />LTER THE COVERAGE AfFORDED BY THE POLICIES BELOW.
<br />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />616 Z9HOI0
<br />
<br />H41
<br />
<br />P OOZ/C03 F-,9Z
<br />
<br />tOOUCtR
<br />arver A$sociatQs, Inc.
<br />41 W. Las Tunas O~iv~
<br />Q Box 1509
<br />an Gabriel CA 91776
<br />'hone:626-943-2200 Fax;626-299-1010
<br />
<br />ISlJl\EO
<br />
<br />Lieber~ C~ss~dy Whitmore
<br />~inda Wil~iams-Acco~n~inq
<br />6033 W. eentufY BLvd., Ste.601
<br />Los Angeles C~ 90045
<br />;OVERAGES
<br />
<br />IU URf!f{A St P3u..! Fire
<br />IN I'lER 5. tJnde;:;wz"i ters
<br />: lrl~-;----'
<br />r;~-
<br />! !N UR~R e,
<br />
<br />& Marine Ins: Co.
<br />at Lloyds
<br />
<br />..-
<br />.-
<br />'--
<br />
<br />THE ?OL1CIGS OJ:" ;NSURANCE I,.ISlED !lE~O"J'I HAV~ iJEEN ISSuED T:J iHE INSUREr) NN~EO A!'lO F"OR THE ...olley PEROQ INo"C...~eo. NonVITHSTANP1MJ
<br />,l"N'( RiOI..;I"EMfr-T, TI;RM OR CONOmO''1 OF ANY C/)NTRACT OR CT"HiR DOCUMENT v..JTH RES fer TO WHICH THIS C5RTIFICAn: tM'Y as ISSUEO CR
<br />MAY PERTAIN. THE INSUMNCE AS=FQf;1.JEe' 6YTHl; PCUCIE~ oeSCRI8ED HERE!N [S SU8J!:cr rc ALL TM!: TERM$, EXCl\"S:vNS AND CONDITIONS OF SUCH
<br />PC\.ICIi;:S. AQG~t::>A"e: LIMITS sMe.....V:-: NA.Y HAY!: eeEN Fl.EDltC!:O I:lY PA!D CL.,c"IMS,
<br />~ "NPtCFINSUMNCE I POL.1C::YNUM13e.~
<br />: GENI;:AAL llASlI.rrV i
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<br />i\ iX, COMMER:;1At GENl;RAlllABJlITY BK00749463
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<br />~~I.. ,J CLAIMS MADE ~ occu~
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<br />i GENlAGGfi!:\1ATe: lIM:'T Ai"PL~=fiS "iR,
<br />r-; r--l PRe. 1'-
<br />I : POl.fCY j I JEer tOC
<br />: AI,JrOMOB1LE l1A.SIL.fT"(
<br />l\ :-/ "'N'( AuiO
<br />C ....Ll ow,",eo AUlas
<br />j-J GC:-l~iJUL;O A'JTC.s
<br />I X : nlRED AUTOS
<br />1- -
<br />~ X j ~ON,OV>iNEO AUTOS
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<br />
<br />BK00749463
<br />
<br />1 fO ;e;"nf;ljrl;;~r~J;
<br />O~T ::~.~MiOO;YYI DATE MM1DOfYY) 1l1,llfTS
<br />.1 EA~H OCCURRENCE I iJ 1,000,000
<br />1 114/00 I 12/14/01 ~DAMAGE[A'1YeMli~~) 1$1,000,000
<br />I ~IiDEXF(A.nYtlnQPl!r$O<'I) !$5,000
<br />I I P',,"RS::'NAL. & ACvlNJURY ($1,000, oog.~
<br />GENi;RAl "GG~EGATE 1$ 2,000, ooe
<br />fi'ROiJUCTS.COMPIOPAM 152,000,000
<br />I'
<br />I
<br />1'1,000,000
<br />
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<br />I COWIl!NEO s!rj~l.e urAIT
<br />I lEe t~~:~Qrl\)
<br />
<br />1 /14/00
<br />
<br />12/14/01
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<br />i 800llY iNJVRY
<br />I r~~r .o~f&C')
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<br />I 90DII".'( INJURY
<br />(?erQ~~id...-;!)
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<br />I' PROPER'!Y C.At.lAGE
<br />(pet!tccia\lI1!J
<br />I' AUT:laNlY-EAAC~_:OiS:l j ~
<br />oTHER THAN ~ $
<br />j AUTO O;"IL. Y: A.GG I $
<br />i iACH OCClJRAEl>lCE J 1;
<br />!,:~GOFl~GATE i $
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<br />:' i OI;;'OJCTfSLE I
<br />n Rf;TeNTION 1 _
<br />I WORKERS COMPEr-lSATI:)1-j A.ND 'I
<br />jE.",oY"S' ""'''UIT I I
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<br />: OTlifR I i
<br />B : :La"y"". Prof. :Liab CX3185800 I l 2/10/00 I 12/10/01 I
<br />
<br />OESCRfPTlOM O~ cP&:RAnoNSll.OCATIOl><SIVe:H1Cl.E$lUc.-LUSIONS ,o,DOIOO BY c,ND?,q5~.MENTIS ECfAI". F'R.O\ftS10NS
<br />The City of Santa Ana is ~ncluded as Additional InsUr@d under the General
<br />Liabi1ity COVerage only. 10-day notice of ~ancQ lation for non-payment of
<br />prQt:\i.uJ'I1,.
<br />
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<br />i J
<br />~?~!\AGE LLABllll)'
<br />I ,I ANY AUTO
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<br />f EXcess LIABILITY
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<br />LI OCCiJ~ I.~ ttAiMS /VADE
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<br />I . TORY uMris ' ,!\.i~~'
<br />i iiJ.. I!:.I\C/1 ACClO(,.,r ~
<br />I e:.l... DtSl<""SE. EA EW,lOYil: $
<br />! E./.. OrSEASI;.'. POLICY LiMIT , $
<br />
<br />.--
<br />
<br />Per Claim
<br />Aaarecate
<br />
<br />2,000,000
<br />2,000 000
<br />
<br />/,?1
<br />
<br />The C~ty of Santa Ana
<br />Fax # 714-647-6930
<br />Jim Stike~~ather
<br />20 C1vic Center Plaza
<br />Santa Ana CA 92702
<br />
<br />II N I AODltlOl'Mt. m:il)/tEC; INSVREFlI.~"tT't~, ANCELLATION
<br />TfiEC.I; -1 I S110UL-tJ AtiYOF THE ABO'Je tESC!:lIBl":O POllelES 91:. CANCELLED aEFORE TH!; EXPlRAT1Q";;11
<br />I o.ne THcREO~, j"S lSS:JII~c; IN$1,I1:lE1t ~Vll EI\DEAVOA 'to MAll ~ DAYS WR:TTE~
<br />. AJOllCE TO THE e'Ri/fICATE HOi.O.;~ NAMED TO THE l.EF", Bur FAILU~E jO CO $0 SHALL
<br />IfAPOSE NO OBLtl',;A "ION OR LIA61~Jry OF A V" "'IND u/f>O,1J TNE INSURER, ITS A~NTS OR.
<br />~SENTATIVE6 I I' T'
<br />I fV'~
<br />arolc1 Havnaek f
<br />( <1>ACORDCOFlPOflATION 19M
<br />APPROVED Irs TO l"ORM
<br />.
<br />
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<br />
<br />CERTIFICATE HOLDER
<br />
<br />ACORD 25.$ (7/g7)
<br />
<br />Michael Vigliotta
<br />Deputy City A rtorney
<br />
<br />
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