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acoRO. CERTIFICATE OF LIABILITY INSURANCE OPID J DATE (MMIDWWVY) <br />KOOWA-1 12/09 03 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />6. S. Levine Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3377 Carmel Mountain Road ALTER 7HE COVERAGE AFFORDED 8Y THE POLICIES BELOW. <br />San Diego CA 92121 <br />Phone: 858-481-8692 'INSURERS AFFORDING COVERAGE NAIL # <br />INSURED INSURER A. Greenwich Insurance 22322 <br />msuaER B <br />W. Koo Assocyyiates, Inc INSURER C. <br />OxangeeCA192868rkway, ~31D ~ INSURER D. <br />INSUREaE <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 ANY 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 M1AY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />LTR <br />NSR POLICY NUMRFR <br />TYPE OF INSLRANCE POLICY EFFECTIVE <br />DATE MM/DOflY POLICY %PIRATI N <br />JFiE IMM~DDfYY <br />LIM'TS <br /> GENERAL LIABILT' EACH OCCURRENCE $ <br /> CO4IMERCIAL GENERAL LIABILITY' ~ PREMISES IEa ocWreltce) $ <br /> ._ _._. <br /> SLAIMS MADE OCCUR MED EXP IAOy one person) b <br /> PEP,SONAL 3 AUV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ <br /> POLICY jEo- LOG <br /> AUT OMOBILE LIABILRY <br />COMBINED SINGLE LIMIT <br />$ <br /> ANN AUTO fEa acci0enq <br /> /LLL OWNED AUIDS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Par person) $ <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-OWNED AUTOS IPO~ aco0anq <br /> PROPERTY DNvIAOE <br /> <br />(Per acaaenq $ <br /> DARAGE UA8ILITY AUTO ONLY-EA ACCIDENT $ <br /> PNY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY AGG $ <br /> E%CESS/UMBRELLA LIABILfTY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MPDE AGGREGATE $ <br /> <br />DEDUC ABLE i~/ <br />O Z $ <br /> <br /> RETENTION $ $ <br /> WORKER5 COMPENSATION pNO ~ "A~~r <br />TORY LIMITS ER <br /> EMPLOYERS' LU181LRY <br />i <br /> ANV PROPRIETORIPPRTNERIEXECUTIVE EL EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? ' <br />E.L. UISEASE - EA EMPLOYEE <br />$ <br /> rVas dasr<me unaer <br />SPECIPL PROVISIONS ~elaw <br />EL DISEASE-POLICY LIMIT <br />$ <br /> OTHER <br />A Professional PE00011358 06/01/03 06/01/04 Claim $1,000,000 <br /> Liabilit A $2,000,000 <br />DEBCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES / E%CLUSIONS ADDED BV ENDORSEMENT /SPECIAL PROVISIONS <br />Re: All Operations o£ the Named Insured <br />PROOF OF INSURANCE <br />*10 day notice o£ cancellation applies £or non-payment of premium. <br />city of saata Aaa <br />Public Works Agency <br />Attn: Taig Higgins <br />20 Civic Center Plaza, M-36 <br />saata Ana CA 92707 <br />CITSAN- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CgNCELLED BEFORE THE E%PIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O * DAVE WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BIfI FAILURE TO DO 90 SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANV KIND UPON THE INSURER, ITS AGENTS OR <br />RE/QP.(R.E~SE`NT,AJTIVES ~ ~ ~~ ~ <br />/~^~ f Y"v- -" <br />