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A CORD,. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY) 7t20t2004 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Venbrook Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 22801 Ventura Blvd, Third Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Woodland Hills, CA 91364 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone 818.225-8200 Fax 818-225-6210 INSURERS AFFORDING COVERAGE NAIC. INSURED Overland, Pacific & Cutler, Inc. INSURER A: Great American E & S Company 100 West Broadway INSURER B: The Hartford Insurance Company Suite 500 INSURER c: Everest National Insurance Long Beach, CA 90802 illinois Union Insurance Company INSURER D: , INSURER E: RSUllndemnltv Comnanv 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. INSft DO POUCY NUMBER POUCY EFFECTIVE POLICY EXPIRATION UMITS , 1,000,000 $ 50,000 $ Excluded $ 1,000,000 $ 2,000,000 PRODUCTS. COMP/OP AGG $ Excluded AUTO aNL Y . EA ACCIDENT $ EA Ace $ AGG $ $ 1,000,000 $ 1,000,000 $ $ $ E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE. EA EMPLOYEE $ 1,000,000 E.L. DISEASE. POLICY LIMIT $ 1,000,000 EPL: $1,000,000 - $15,000 Retention E & 0: $2,000,000 - $50,000 Retention GENERAL LIABIUTY X COMMERCIAL GENERAL LIABILITY PL 5574310-01 A CLAIMS MADE [!] OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: PRQ- Loe AUTOMOBILE UABIUTY ANY AUTO 72 UECUM6536 ALL OWNED AUTOS B SCHEDULED AUTOS X HIRED AUTOS X NON-QWNED AUTOS GARAGE UABIUTY ANY AUTO EXCESSJUMBRELLA UABIUTY X OCCUR D CLAIMS MADE NHA212256 E EACH OCCURRENCE 6t24t2004 6t1t2005 PREMI ES urence MED EXP An one erson) PERSONAL & ADV INJURY GENERAL AGGREGATE 6/24/2004 6/24/2005 COMBINED SINGLE LIMIT (Eaaccldent) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per aCCident) OTHER THAN AUTO ONLY: 6/1/2005 EACH OCCURRENCE AGGREGATE 1 t9t2004 Utuu\..:,ïBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LlABIUTY C ANY PROPRIETORlPARTNERlEXECUTIVE OFFICERlMEMBER EXCLUDED? YES ~~~I~f~~bÖvÏs1óNS below D ~:::groyment Practices Llab & Errors & Omissions Prof Llab x we STATU- 3900048305-041 6/1/2004 6t1t2005 BMI20010437 6/24/2004 6/1/2005 DESCRIPTJON Of OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PR '10 Days Notice of Cancellation for Non-Payment of Premium' AS TO FORM dditlona nsured CERTIFICATE HOLDER City of Santa Ana Public Works Department Altn: Talg Higgins 20 Civic Center Plaza Santa Ana, CA 92701- CANCELLATION $ 1,000,000 $ $ $ OTH- SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE .sSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHALL IMPOSE NO OBUGAnDN OR LIABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE \..-1 1--1. @ACORD CORPORATION 1988 ACORD 25 (2001/08) e 0 e