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ACORDN CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 02 27 04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE PROOUCER AICHER INSURANCE AGENCY 1255 PROSPECT AVENUE HERMOSA BEACH, CA 90254 (310)798-1650 (310)798-1654/FAX OVERLAND PACIFIC & CUTLER, 100 W. Broadway #500 Long Beach, CA 90802 Â- '?'oo3-D3g A'Jo03--0"fD INC INSURER A: GREAT AMliRICAN E&S INSURANCB COMPANY INSURER B. INSURED INSURER c: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~.f: TYPE OF INSURANCE POLICY NUMBER POLICY EfFECTIVE POLICY EXPIRATION A QENERALUABILITY PL 5574310 06/24/03 06/24/04 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 00 OCCUR LIMITS EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ 1000000 100000 exclude 1000000 2000000 exclude lOC A AUTOMOBILE UABILlTY ANY AUTO PL 5574310 06/24/03 06/24/04 COMBINËD SINGLE UMIT (Eaaccident) $ 1000000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY {Per person) $ X HIRED AUTOS X NON-OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (per accident) $ GARAGE LIABiliTY ANY AUTO OTHER THAN AUTO ONLY' AUTO ONLY - EA ACCIDENT $ EA ACC $ AGG $ $ $ $ $ $ DEDUCTIBLE RETENTION ~¿~ EACH OCCURRENCE AGGREGATE EXCESS LIABILITY OCCUR D CLAIMS MADE $ $ E.l. DISEASE. EA EMPLOYEE $ E.l. DISEASE - POUCY LIMIT $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER DESCRIPTION OF OP~RATIONS/LOCATIONSNEHICLES/EXClUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THE CITY, ITS OFFICERS, AGENTSW, EMPLOYEES, CONSULTANTS, SPECIAL COUNSEL & REPRESENTATIVES ARE NAMED AS ADDITIONAL INSURED PER ATTACHED CG8225 *30 DAYS EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUMS CERTIFICATE HOLDER ADDITIONAL INSURED¡ INSURER LETTER: CANCELLATION SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BECANCELLED BEFORETHE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO HE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAll IMPOSE NO ~ON OR LlABILI F "ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENT TIVES. AUTHORI REPRES ATI 1./ , ,,/ / ~- IiJAC CITY OF SANTA ANA PUBLIC WORKS DEPARTMENT 20 CIVIC CENTER PLAZA M-36 SAH'l'A ANA, CA 92701 ACORD 25-S [1/97) RPORAT'ON 1988 rl-'ll (;...