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<br />ACORD. CERTIFICA ~ OF LIABILITY INSURAN-.c OP 10 l~ DATE (MMlDDIYYYY) <br />HOG5DOl 04/02/03 <br />PRODUCt:R . THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Advanced Insurance Marketing HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 4459 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Orange CA 92863-4459 <br />Phone: 714-997-8100 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: American Casualty Ins. co./e NA <br /> INSURER B: Harbor Specialty <br /> Hogle-Ireland Inc. INSURER c: Scottsdale Insurance Co. <br /> Ms. Scarlett Ball <br /> 42 Corporate Park Dr. Ste. 250 INSURER 0: <br /> Irvine CA 92606 <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, eXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSRD TYPE OF INSURANCE POLICY NUMBER PD~'1'~1MMIDDlYYI DATE MMJDDIYV1" I LIMITS <br /> GENERAL LIABILITY ! EACH OCCURRENCE ,1000000 <br /> ~ <br />A X COMMERCIAL GENERAL LIABILITY BI021321990 04/01/03 04/01/04 PREMISES (Ea occurence) , 100000 <br /> I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) , 5000 <br /> - PERSONAL & ADV INJURY ,1000000 <br /> ~ GENERAL AGGREGATE , 1000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMPIOP AGG , 1000000 <br /> Xl POLICY n j~8T n LOC <br /> AUTOMOBILE UABILITY COMBINED SINGLE LIMIT <br /> ~ , 1000000 <br />A ANY AUTO B1021601621 04/01/03 04/01/04 (Ea accident) <br />- <br /> - ALL OWNED AUTOS APPROVED Ib 10 FO RM BODILY INJURY <br /> , <br /> ~ SCHEDULED AUTOS ~o (Per person) <br /> ~.t <br /> ~ HIRED AUTOS BODILY INJURY <br /> , <br /> ~ NON-OWNED AUTOS Liura Sheedy (Peraccidenl) <br /> icy <br /> - Deputy City Att PROPERTY DAMAGE , <br /> (Peraccidenl) <br /> GARAGE LIABILITY AUTO ONLY- EA ACCIDENT , <br /> =1 ANY AUTO OTHER THAN EAACC , <br /> AUTO ONLY: AGG , <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1000000 <br />A !j . OCCUR D CLAIMS MADE BI077274304 04/01/03 04/01/04 AGGREGATE 1'1000000 <br /> , <br /> ~ DEDUCTIBLE , <br /> X RETENTION $10,000 , <br /> WORKERS COMPENSATION AND X I TORY LIMITS I IUE~- <br />B I EMPLOYERS' UABILlTY HN30629801 04/01/03 04/01/04 E.l. EACH ACCIDENT , 1,000,000 <br />ANY PROPRIETORlPARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYEE , 1,000,000 <br /> If~es, describe under E.l. DISEASE. POLICY LIMIT i $ 1,000,000 <br /> S ECIAL PROVISIONS below <br /> OTHER <br />A Errors & Omissions SESOOOO068 04/01/03 04/01/04 BA Claim 1000000 <br /> ! Claims Made Form Aqqreqate 1000000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />10 day notice of cancellation for non-payment of premium. The City of Santa <br />Ana and its officers, agents, employees and volunteers are named as Primary <br />Additional Insureds Under GL per form CG2010 3-97 attached. City of Santa <br />Ana Endorsement attached also. <br /> <br />CITSANT <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Santa Ana <br />Dept. City Mgr. For Dev <br />Services, Planning & Bldg. <br />PO BOX 1988 <br />Santa Ana, CA 92702 <br /> <br /> <br />ATIVE <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORD CORPORATION 1988 <br />