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<br />Cliem#' 1794 <br /> <br />T'LAVRICH <br /> <br />. <br />CERTIFICA~ OF LIABILITY INSUA7(NCE <br /> <br />I <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWITHSTANDING <br />ANY REQUIREMENT, TEAM OR CONOITION 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />I~~- - TYPE OF INSURANC~- - - POLICY NUMBER POLlCY EFFECTIVE POLICY EXPIRATIO~I <br /> <br />A !,(3ENERAL LIABILITY 57SBALP4948 04}14}02 04}14/03 <br /> <br />"E.l. EACH ACCIDENT $ <br />E,L.DISEASE-EAEM.pLOYEJ $ <br />E.L. DISEASE-POLICY LIMll1 $ <br />$1,000,000 per claim <br />I $1,000,000 annl aggr. <br />i I <br /> <br />DESCRIPTION OF OPEAATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDEO BY ENDORSEMENT/SPECIAL PROVISIO~P PRO V ED AS ,,_ <br />See attachad special add~ional insured endorsement. ~\ / ] 0 FORM <br /> <br />, ,_"I'r:L <br />L ra Sheedy / <br />Deputy City Attorney <br /> <br />ACORD, <br /> <br />PRODUCER <br />Dealey, Renton & Associates <br />P, 0, Box 12675 Attn: GRD <br />Oakland, CA 94604-2675 <br />510 465-3090 <br /> <br />;rfIT ~ <br />~D <br />~-' <br />~ <br /> <br />INSURED <br /> <br />Talavara & Richardson <br />45 Franklin StrBat, Su~e 319 <br />San Francisco, CA 94102 <br /> <br />COVERAGES <br /> <br />: X 'COMMERCIALGENERALLIABILITY <br />!--+--- _------1 I <br />I CLAIMS MADEl X ; OCCUR I <br />+ .~~ I <br />~------- --- ! <br /> <br />GEN'L AGGREGATE ~IMIT APPLIES~ER: I <br />;--------1 POLICY ----~ ~~;2.;:.--: LOC I <br />A l__~~_;OMOBILE LIABILITY IS7SBALP4948 <br />~____j ANY AUTO ! <br />L--j ALL OWNED AuTOS <br />SCHEDULED AUTOS <br /> <br />L_: <br />; X HIRED AUTOS <br />C~--, NON-OWNED AUTOS <br /> <br />, <br />! <br /> <br />~~RAGE LIABILITY <br />i i ANY AUTO <br />-~ <br /> <br />__~?ESS L1ABILI~_1 I <br />" __! OCCUR '___ j CLAIMS MADE: <br /> <br />, <br />~_~ DEDUCTIBLE <br />I : RETENTION $ <br /> <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br /> <br />B . OTHER Professional <br />Liabllrty <br /> <br />I QL01705300 <br /> <br />CERTIFICATE HOLDER <br /> <br />I X I ADomONAllNSURED" INSURER LETTER: A <br /> <br />Crty of Santa Ana <br />Water Resources Division <br />Attn: David Patton <br />220 S Daisy Avenua <br />Santa Ana, CA 92703 <br />, <br /> <br />ACORD 25.S (7/97)1 of 1 <br /> <br />#M7325B <br /> <br />DATE (MMIDD/YY) <br />10}22}02 <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 />INSURER A' Hartford Casualty Insurance Co, <br />INSURER B,Lumbermens Mutual Casualty Co, <br />'I INSURER C: <br />INSURER 0: <br />: INSURER E: <br /> <br />LIMITS <br /> <br />EACH OCCURRENCE <br /> <br />$1000000 <br /> <br />lflRE DAMAGE (Any ono lire $300 000 _u_____ <br />MED EXP{Any one perso~L_;.....~10,OOO <br />~_~?ONAL &. ADV INJURY '$1,OOO~~____ <br />GENERAL AGGREGATE i $2.000,000 <br />.._____...1 <br />~~ODUCTS.COMP/OP AGO $2 OOOLQQ9___~.___ <br /> <br />!.04/14/02 <br /> <br />i 04/14}03 <br /> <br />COMBINED SINGLE LIMIT <br />(Eaaccident) <br />1-- <br /> <br />$1,000,000 <br /> <br />BODIL Y INJURY <br />(Per person) <br /> <br />$ <br />---~ <br />$ <br /> <br />]$ <br /> <br />BODILY INJURY <br />, (PeraCCidenl) <br />I <br />I PROPERTY DAMAGE <br />: (Peraccidenl) <br /> <br />I AUTO ONL Y_ EA ACCIDENJ~~"__ <br /> <br />OTHER THAN ~. <br />AUTO ONL Y: AGG I $ <br /> <br />EACH OCCURRENCE $ <br /> <br />AGGREGATE ! $ <br /> <br />$ <br />$ <br />$ <br />':T~~,;;A~X-~ I IOJ~- <br /> <br />04/14/02 <br /> <br />04/14/03 <br /> <br />CANCELLATION <br />SHOULD AN'fOF THE ABOVE DESCRIBED POUCIES BECANCELLED BEFORE THE EXPRATION <br />DATETHEREOF,THE ISSUING INSURER WILl JeltC~nQ8(l"OMAII..3O..--- DAYS WRITTEN <br />NOTICETOTHE CERTlFICAlE HOLDERNAMEDTOTHE LEFT, ~..,. ! mO'OMX <br />~JlIt4~~BeBtR)1lli"I'DIOR <br />s, <br />~lI.~II',(lIl <br />I"JiA YI <br /> <br />TAC <br /> <br />.. ACORD CORPORATION 1988 <br />