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<br />Client#: 6540
<br />
<br />WILLDGROU
<br />
<br />'ACrJR[J,"
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />DATE (MMIDDlYY)
<br />11/11/2003
<br />
<br />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 />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />PRODUCER
<br />Dealey, Renton & Associates
<br />P. O. Box 10550
<br />Santa Ana, CA 92711-0550
<br />714427-6B10
<br />
<br />'NSURED
<br />
<br />-4 -~O()3 - ow'1
<br />Willdan
<br />2125 E. Katella Avenue, Ste. 200
<br />Anaheim, CA 92B06
<br />
<br />'NSUAEA A Hartford Fire Ins. CO.
<br />'NSUAEA B, American Automobile Ins. CO.
<br />INSUAER c. S_ecurity.lns. Co. of Hartford
<br />, 'NSUAEAD
<br />
<br />INSUAER E.
<br />
<br />COVERAGES
<br />
<br />THE POLICIES OF INSURANCE LlsrEO BELOW HAVE BEEN ISSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br />ANY REOUIREMENr, rERM OR CONDlrlON OF ANY CONTRAcr OR OTHER DOCUMENr WlrH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDEO BY rHE POLICIES DESCRIBED HEREIN IS SUBJEcr TO ALL rHE rERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES AGGREGAfE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLAIMS
<br />INS A ! POLICHFFECTI".
<br />LTR TYPEOF'NSURANCE POLICY NUMBER DATE MMlDDIYY
<br />
<br />A GENERALL'AB'LITV
<br />
<br />57CESOA1661
<br />
<br />11/09/03
<br />
<br />IP~fl ~'g;~~'i'N .
<br />111/09/04
<br />
<br />LIMITS
<br />EACH OCCUAAENCE . --'.1 ,QQ.Q,Oj)_O
<br />1 F'AE DAMAGE (Aoyoo,-"rn)l.'1,0.Q.OßQQ
<br />i MED EX~ (Aor",,' p"",ol-I$1Q,QOQ.-
<br />I PEASONAL &ADV'i'<JUAY_, $1,.000,-000 .
<br />1 GENEAAL AGGAEGATE '$;z,900,Q.00
<br />i"AOD_UCTS .COM."'OPAGG j$;Z,OQQ,OOO
<br />
<br />X COMMEAC'ALGENEAALLIABIL'TY
<br />CLA'MS MADE X OCCUA IINDP. CONTRACTORS
<br />X CONTRACTUAL ,INCLUDED.
<br />X ,BFPD, XCU, OCP
<br />GEN'L AGGAEGATE LlM'TAPPLIESPER.
<br />POLICY X ~AOT X : LOG
<br />A AUTOMOB'LE LIABILITY ,57UENUL9643
<br />
<br />, 11/09/03
<br />
<br />111/09/04
<br />
<br />, COMB'NEO S'NGLE LlM'T
<br />, (E.."",",)
<br />
<br />1 $1,000,000
<br />
<br />X ANV AUTO
<br />ALL OWNED AUTOS
<br />
<br />, BODILY 'NJUAY
<br />(pocp'~o"1
<br />
<br />SCHEDULED AUTOS
<br />X H'AED AUTOS
<br />X NON.OWNED AUTOS
<br />
<br />, BODILV INJUAY
<br />, {Poc"';""'1
<br />
<br />! $
<br />
<br />ANV AUTO
<br />
<br />
<br />AGG 1$
<br />
<br />GAAAGE LlAB'LlTY
<br />
<br />B WOAKEAS COMPENSATtON AND
<br />EMPLOYERS' LIABILITY
<br />
<br />, WZPB0917259
<br />
<br />
<br />, EACH OCCUAAENCE
<br />1 AGG~EGATE
<br />i.-. .
<br />,
<br />
<br />1$
<br />
<br />EXCESS LIAB'LITV
<br />OCCUR
<br />
<br />CLA'MS MADE
<br />
<br />DEDUCTIBLE
<br />RETENT'ON
<br />
<br />C OTHEA Professional
<br />Liability
<br />
<br />AEE0700906
<br />
<br />11/09/02
<br />
<br />"
<br />, 12/09/03
<br />
<br />LxJiØ~il~,JNß 1- :Ol~:,
<br />: E.L. EACH ACC'DENT . $1,000,000
<br />iEI {)'SE~SE ."AE""LOYEE[$1,OOO,000
<br />'E.L. D'SEASE . POLICY LIMIT, $1,000,000
<br />$1,000,000 Per Claim
<br />$2,000,000 Annl Aggr.
<br />
<br />DESCAIPTtON OF OPERAT'ONSILOCATtONSlYEHICLESlEXCLUSIONS ADDED BV ENDORSEMENTISPEC'AL PROVISIONS
<br />General Liab. policy excludes claims arising out of the performance of prof. services.
<br />
<br />Re: Building Inspection Services. - City of Santa Ana, its officials,
<br />agnets, volunteers and employees are Additional Insured as respects to
<br />(See Attached Descriptions)
<br />
<br />CERTIFICATE HOLDER
<br />
<br />ADDITIONAL INSURED ;INSUAER LETTER;
<br />
<br />CANCELLATION
<br />SHOULD ANYOFTHEABOVE DESCR'BED POLiCIESBE CANCELLEO BEFOAE THE EXPlAATtON
<br />DATE THEREOF. THE ISSUING 'NSURER WILL;CX_XJCMAIL30 DAYSWAITTEN
<br />NOTtCETOTHE CERTIFICATE HOLDERNAMEDTOTH"EFT, B~JlJlJllJllJlUÞtlUJ(x
<br />IOOCIIJI_~J<1 (X."'_Þt"'JØJI.þ(ntO(_JlJI~xn: .",x
<br />...- x
<br />AUTHOA'ZED REPRESENT T'VE
<br />
<br />
<br />City of Santa Ana
<br />Attn: City Clerk of the City Council
<br />20 Civic Center Plaza (M-30)
<br />PO Box 19B8
<br />Santa Ana, CA 92702-198B
<br />
<br />ACORD 25-$ (7/97) 1
<br />
<br />of 2
<br />
<br />#MB1151
<br />
<br />
<br />'" ACORD CORPORATtON 1988
<br />Iv;!X,
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