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. ACORD. CERTIFICA T OF LIABILITY INSU NC~Ig8~cLI DA~E~~~~D;;)2 THIS CERTIFICATE IS ED AS A MATTER OF INFORMATION ONLY AND CONFERS N RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER Dodge Warren & Peters - ORANGE 765 The City Drive, Suite #300 Orange CA 92868- Phone: 714-748-0464 Fax:714-748-0474 INSURERS AFFORDING COVERAGE INSURED Orion Scientific Systems, Inc. ATTN: Elizabeth Conley 20401 S W Birch STA STE 250 Newport Beach CA 9~660 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWITHSTAND1NG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTQ 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. ~ TYPE OF INSURANCE POUCYNUMBER OATE''t'MMJDDIYY DATE~~r~~,:p,?N LIMITS INSURER A: INSURER B: INSURER c: INSURER D: INSURER E: Chubb Custom Insurance Co. Re ublic Indemnit ~RAGE LIABILITY ! ANY AUTO . EACH OCCURRENCE $1,000,000 OS/24/02 OS/24/03 FIRE DAMAGE (Anyone Ore) $ Included MEO EXP (Any ona person) $ 10.000 PERSONAL & ADV INJURY $ Excluded GENERAL AGGREGATE $1,000,000 PRODUCTS.COM~OPAGG $2,000,000 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) BODILY INJURY $ (Per person) OS/24/02 OS/24/03 BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Peraccldent) AUTO ONLY. EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ 5,000,000 OS/24/02 OS/24/03 AGGREGATE $ 5 000,000 ~NERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY 3579-74-25 l CLAIMS MADE ~ OCCUR - - ~'LAGGR~E LIMIT AP~S PER: I POLICY I ! ~:8i I I LOC ~OMOBILE LIABILITY _ ANY AUTO - - A~ ~ - ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.()WNED AUTOS 7498-62-04 EXCESS LIABILITY A fj'OCCUR 0 CLAIMS MADE 7982-21-52 1 DEDUCTIBLE xl RETENTION $10.000 WORKERS COMPENSATION AND EMPLOYERS'L1ABILlTY $ $ $ B 15464301 02/15/02 X I TORY LIMITS I lOJ~' 02/15/03 E.L.EACHACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1, 000 , 000 E.L. DISEASE. POLICY LIMIT $ 1, 000 , 000 OTHER DESCRIPTION OF OPERATlONSlLOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS *10 day notice IF cancelled for nonpayment of premium. Additional Insured in favor of: City of Santa Ana, its officers, employees, agents, volunteers an d representatives BUT only as respects operations of the insured. CERTIFICATE HOLDER I y I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION The City of Santa Ana Public Works Office of the City. Attorney 20 Civic Center P1'~4PI':R70rVED AS TO Santa Ana CA 92701, r iJ , 'j, /' (l1-,j ACORD 25-5 (7/97) I' BE.'NJAMIN KA'UFMAN Chief Asslsta nt City Attorney c- SANTA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPfRATIO DATE THEREOF, THE ISSUING INSURER WILL 1nI"~~1Z MAIL ..J..O.!. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL [:Ir n~:OSE NO OBLIGATION OR LIABILITY OF At KIND UPON TH~NSURER, ITS AGENTS OR F RESENTATlVES. I I J AUTHORIZED REPRESENTATIVE.J { If./. .. _. ...... - Greaorv Pena ~ AClORD CORPORATION 1988