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ACORO,. CERTIFICATE OF LIABILITY INSURANCE OPID J <br />- KOOWA-1 Ogre lMwoomvvl <br />12/09/03 <br />PRODUCER AA l1 f) Cy <br />tl. S. Levine Insurance ,it _I 7 96 - /S 8 <br />Services, Inc. ,I -7 ~ <br />3377 Carmel Mountain Road !T - c71.~~ G ~ ~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Diego CA 92121 A Z !, <br />Phone: 858-481-8692 /~ - ~~'3 ~ 13C! I <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED INSUREkA FiGel ity and Guacanty inc. Ca. <br /> NSIIRERB 9L. Papl FlC! Apd Mai3I1G II16. <br />W. Koo Asso <br />iates <br />Inc INSURER C. <br />, <br />cY <br />OrangeeCAl92868rkway, 310 wsukER D. <br /> WSURER E <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES.AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />3 C T" - --- PCLICV EFFECTIVE Pi~'_C-EXPIRATION - __- - -- ------ _ <br />LTR NSR TYPE OF INSURANCE POLICY NUidBER OgIE (MMIDU/YY) DATE IM1IN~DO/YY) LIfAlTS <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br />A X coMMERaAL GENERAL UneluTY BK01544826 12/21/03 12/21/04 PREMISESIEe occurenaal 5300,000 <br /> CLAIMS MADE ~ GCCUR MED CXP (My one peRVn) S 1O , OOO <br /> PERSONALagov INJURY 51,000,000 <br /> sENERAL AGGREGATE 52,000,000 <br /> GEN'L AGGREGATE LIMIT FWPLIEG PER'. PRODUCTS-COMPIOP AGG $2,000,000 <br /> POLICY JECaT LOC <br /> AUT OMOBILE 4A81LRY COMBINED SINGLE LIMIT <br />da <br />s 1 <br />000 <br />000 <br />A aNY nuro BK01544826 12/21/03 12/21/09 IE3 ac <br />errc) , <br />, <br /> ~ <br />AI I OWNED AUTOo' BODILY' INJURY <br />$ <br /> SCHEDULED AUTCS ~ ~ Per person) <br /> ]{ HIRED AIfTOS // <br />~ <br />~~~ ~~ ~ <br />1 BODILY INJURY <br />5 <br /> NON-OWNED AUTOS ~ <br />iC <br />/ (Par ecoaenq <br /> PROPERTY DPMAGE <br /> <br />(Per acciaanq 5 <br /> GAR AGE LIABILITY AUTO ONEI-EAACCIDENT R <br /> AfIY AUTO EA nCC <br />OTHER THAN B <br /> AUTO ONLY AGG $ <br /> EXCE36/UMBRELLALIABILf1Y EACH OCNRRENCE B Q,000,OOO <br />A X occuR ~cwMS ruroE BK01544826 12/21/03 12/21/04 AGGREGATE $4,000,000 <br /> _ S <br /> DEDUCTIBLE $ <br /> }[ RETEMION $ O 5 <br /> <br />~- <br />-~ A/I-° A L L µ _ <br /> WORKEk6 COMPEN6ATION AIJO ' <br />K iORV LIMITS ER <br /> <br />H EMPLOYERS' LIABILItt <br />.wdY PROPRIErOWPARTNEk1ExLCUnvE WVA7726935 <br />09/01/03 <br />09/01/04 <br />E.L. EACH gcaDENT <br />61000000 <br /> OFHCER/MEMBER EHCWDED4 EL. DISEASE-EA EMPLOYEE S SO DD DDD <br /> I Ves desaibo under <br />aYECIAL PROVISIONS below <br />EL DISEASE-POLICY LIMIT <br />61DDDDDD <br />OTHER <br />DESCRIPTION OF OPERATIONS (LOCATIONS / VEHICLES I E%CLUSIONS ADDED BV ENODRSEMEM /SPECIAL PROVISIONS <br />Re: 1st, 5th Street 6 McFadea Avenue Bridge <br />City of Santa Ana, Public Works and City of Oranqe is named as Additional <br />Insured per the attached endorsement. <br />*10 day notice of cancellation applies fox non-payment of premium. xxxp <br />CERTIFICATE <br />City of Santa Ana <br />Public Works Agency <br />Attn: Taig Higgins <br />20 Civic Center Plaza, M-36 <br />Santa Ana CA 92707 <br />CITYOSA I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAl10N <br />DATE THEREOF, THE ISSUING INSURER WILLl11!l11~l1l10 MAIL 3O * DAYS WRRTEN <br />OTI <br />T <br />N <br />CE TO <br />HE CERTIFICATE HOLDER NAMED TO THE LEFT, 11lL <br />wee <br />~ ~Q <br />