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<br />Ar.ORD,. <br /> <br /> <br />DATE (MM!DD/YY) <br />04122/02 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA TION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. mls CERTlFICA TE DOES NOT AMEND, EXTEND OR <br />ALTER mE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> <br />PRO.....; t- <br />Aon Risk Services, <br />Insurance Services <br />11213 Davenport <br />Suite 201 <br />Omaha NE 68154 USA <br />PHONE- (402) 697-1400 <br />INSt:RED <br />infoUSA, Inc. <br />P.O. Box 27347 <br />Omaha NE 681270000 USA <br /> <br />Inc. of Nebraska <br />CA License #0871006 <br /> <br />FAX- (402 697-0017 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURER A <br />INSURER B: <br /> <br />St Paul Mercury Ins Co <br />St Paul Fire & Marine Insurance Co. <br /> <br />INSURER C <br /> <br />INSURER D: <br /> <br />INSURERE <br /> <br />. rI1i'" ill'. . m !e "I11V' c lej.. <br /> <br />THE POLICIES OF IN SURANCE U STED BELOW HAVE BEEN ISSUED TO TIlE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED , <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTlH RESPECT TO WHICH TillS CERTIFICATE <br />MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBIECnO ALL TIlE TERMS,EXCLUSIONSAND <br />CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br /> <br />(!\riSR <br />LTR <br /> <br />POLlCYIFFECTIVE POLIC\'iXPIRATION <br />DA1t(MMIDDlV\l DA1t(MM\DD\\:'\) <br /> <br />TYPE OF INSURANCE <br /> <br />POLlCY:-IUMBER <br /> <br />A GENERAL LL.o\BIUTY <br />X COMMERCIAL GENERAL L1AB1LlTY <br />CLAIMS MADE 0 OCCUR <br /> <br />TEQ6303B]Q <br />Modified PI/AI E~dt. Applies <br /> <br />3/22/2002 <br /> <br />3/22120C3 <br /> <br />GENL AGGREGATE LIMIT APPLIES PER <br />O PRO- ~ <br />POLlCY JEeT L2;J LOC <br /> <br />A AUTOMOBILE LIABILITY TE06303830 3/22/'2 003 <br /> X Al\Y AUTO ~~ <br /> X ALL OWJ'l,'ED AUTOS <br /> SCHEDULED AUTOS <br /> X H1RED AUTOS <br /> X NON Ov,o'N"ED AUTOS V;~ <br /> X $250ComIlDed. <br /> X ~~(I(l r"l1 nl'il <br /> GARAGE LIABIUTI' <br /> ANY AUTO <br /> <br />A <br /> <br /> <br />3/2212002 <br /> <br />3/22/2003 <br /> <br />TE06303830 <br /> <br />3/22/20~ <br /> <br />3/22/2003 <br /> <br />OCCUR 0 CLAIMS MADE <br /> <br />DEDUCTIBLE <br />RETENT10N <br /> <br />$10.000 <br /> <br />WVAE309619 <br /> <br />B <br /> <br />WORKERSCOMPENSATlO:ol AND <br />E.\fPLOYERS' UABlLITY <br /> <br />OTHER <br /> <br />LIMITS <br /> <br />EACH OCCURRENCE <br /> <br />81, 000, 000 <br />$250 000 <br />10 000 <br />$1,000,000 <br />$2,000,000 <br /> <br />$2,000,000 <br /> <br />F1RE DAMAGE(Anv one fire) <br /> <br />MED EXP (Anv one person) <br /> <br />PERSONAL & ADV [NJL~Y <br /> <br />GENERAL AGGREGATE <br /> <br />PRODUCTS - COMPIOP AGG <br /> <br />COMBINED SII'\GLE LMT <br />(Eaaccilknt) <br /> <br />$1,000,000 <br /> <br />aODILY INJURY <br />""perSall <br /> <br />AJILY1NJURY <br />lPerll(;(:ident) <br /> <br />PROPERTl' DAMAGE <br />(Perll(;(:ident) <br /> <br />AUTOOl\LY -EA ACCIDENT <br /> <br />OTHER THAN <br />AUTO ONL Y : <br /> <br />EA ACC <br />AGG <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />$10,000,000 <br />$10,000,000 <br /> <br /> <br />$100,000 <br />$500,000 <br />$100,000 <br /> <br />E.L DISEASE-POLICY LIMIT <br /> <br />E.L DlSEASE-EA EMPLOYEE <br /> <br />DESCRIPTION OF OPERATIONSlLOCA llONSfVEHlCLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />The CIty of Santa Ana, its officers, employees, agents, volunteers and respresentatives are Additional Insureds <br />for General Liability coverage only arising from the operations performed by the Named Insured. <br /> <br /> <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 USA <br /> <br />SHOUlDANYOF11-IEABOVE DESaUBED POLICIES BE CANCELLED BEFORE THE EXPIRA nON <br />DATE THEREOF, THE ISSUING COM!>ANYWILL ENDEAVOR TO MAIL <br />60 DAYS WRITTEN NOTICE TO TIlE CERTIFICATE HOLDER NAMED TO THE LErr. <br />BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON TIlE COMPANY. ITS AGENTS OR REPRESENTATIVES <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br /> <br />Certificate No : <br /> <br />570002576776 <br /> <br />Holder Identifier: Liab 02-03 <br />