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<br />Certificate of Insurance <br /> <br />k1- c.uc52 -l5(o <br />t./ <br /> <br /> Agency NlIII'I9 and Address: THIS CERTIFICATE IS ISSUED AS A MATTER OF <br />Professional Practice INFORMATION ONLY AND CONFERS NO RIGHTS UPON <br />Insurance Brokers, Inc. THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES <br />10 California Street NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />Redwood City, CA 94063-1513 AFFORDED THE POUCIES USTED BELOW. <br /> Insureds Name and Address: les Affording Policies: <br />Brown and Caldwell A.Greenwich Insurance Comp~ <br />201 North Civic Drive B. **Lwnbennens Mutual Casu ly Co. <br />c. <br />Walnut Creek, CA 94596 D. <br /> E. <br /> F. <br /> <br />1 of <br /> <br />2 #S59417~50874 <br /> <br />COVERAGES: THIS IS TO CERTIFY THAT POLICIES OF INSURANCE L.ISTED BELOW HAVE BEEN ISSueD TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br />NOTWllliSTANDING ANi REQUIREMENT, TERM OR CONomON OF ANY CONTRACT OR oniER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN THE INSUAANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES <br /> <br /> TYPE OF INSURANCE POLICY NUMBER EFF.DATE EXP.DATE POLICY LIMITS <br />A GENERAL UABILITY GECoool66202 03/26/02 03/26103 General Aggregate: $2,000,000 <br /> IKI Ccrmllll'ClaJ General Uebllity Pmducls-CcnVOps <br /> o Claims Made Aggregate: $2,000,000 <br /> I&J Occurrence Pan;onal and Adv. Injury: $1,000.000 <br /> o Owne~s and Contractol1l Each Occurrence: $1,000,000 <br /> Protective Fire Dmg. (anyone fire): $1,000.000 <br /> 0 <br />A AUTO UABIUTY AECOOOI66302 03126/02 03126/03 Combined Single Umlt: $1,000,000 <br /> Jjg Any Automoblle Bodily Injury/person: $0 <br /> o All Owned Autos Bodily InJury/accident: $0 <br /> o Scheduled Autos , ,) Property Damaga: $0 <br /> Jjg Hired Autos Al'r~V, J:.;..u t....;:, , ' <br /> Jjg Non-owned Autos ~ n./~ <br /> o Garago Uebllity <br /> 0 A. / <br /> EXCESS UABIUTY ;;';,UlY Ci y A ttn1'l1ey Each Occurrence: <br /> o Umbrelia Form <br /> o Other lI1an Umbrella Form Aggregate: <br />B WORKERS' 2BAI4873700 03/26/02 03126/03 Statutory LinI1B <br /> COMPENSATION Each Accident: $1,000.000 <br /> AND EMPLOYER'S DlseeseIPoIq Umit $1,000,000 <br /> LIABILITY <br /> Dlsease/Employee: $1,000,000 <br />A PROFESSIONAL 05/31102 05131103 Per Claim $1.000,000 <br /> UABILlTY' PECOOOOOO501 . Aoarecate $1,000,000 <br /> $0 <br /> <br />Description of OperationslLocationsNehiclaslRestrictionslSpacial items: <br />ALL OPERATIONS OF THE NAMED INSURED. GENERAL LIABILITY ONLY: CITY OF SANTA ANA, ITS OFFICERS. EMPLOYEES, AGENTS, VOLUNTEERS, AND <br />REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS BUT ONLY AS RESPECTS LIABILITY ARISING OUT OF THE NAMED INSUREDS' OPERATIONS IN <br />AS-NEEDED ASSISTANCE IN STORMWATER PLANNING, COMPliANCE SERVICES. AND PRESENTATIONS OF SUCH MATERIAL TO THE CITY UPON REQUEST. SEE <br />(Sse Attached Descriptions) <br /> <br />'Written at <br /> <br /> <br />tl <br /> <br />th <br /> <br />sh wn. <br />THE AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABlE FOR CLAIMS PRESENTED <br />WITHIN THE POLICY FOR AI.L OPERATIONS OF THE INSURED. <br />CANCELLATION: <br />SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING COMPANY, ITS AGENTS OR REPRESENTATIVes WILL MAIl. 30 <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, EXCEPT IN <br />THE EVENT OF CANCELlATION FOR NON-PAYMENT OF PREMIUM IN WHICH CASe 10 DAYS <br />NOTICE WILL BE GIVEN. <br />Auth""''' .......- 03104/03 <br /> <br /> <br />S-04 <br />City of Santa <br />Public Works Ageocy <br />20 Civic Ceoter Plaza- M36 <br />Santa ADa, CA 92701 <br /> <br />C<" <br />