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<br />v <br /> <br /> Cllent#' 1794 TALAVRICH <br />ACl1Rll. CERTIFICA...IE OF LIABILITY INSU~NCE I DATE (MM/DDfYY) <br />04/01/03 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />p. O. Box 12675 Attn: GRD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Oakland, CA 94604-2675 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />. I II <br />510465-3090 INSURERS AFFORDING COVERAGE <br />INSURED '1I~\f1 INSUAEA., Hartford Casualty Insurance Co. <br /> Telavera & Richardson INSUAEA B,Lumbermens Mutual Casualty Co." <br /> 45 Franklin Street, Suite 319 ~/O ._-~ <br /> INSURER c: <br /> San Francisco, CA 94102 INSURER 0: <br /> INSURER E: <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONorrtONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />IIN~I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />A ! GENEAAL LIABILITY 115'7SBALP4948 04/14/03 04/14/04 <br />!Xi COMMERCIAL GENER.o.L~IABILITY Policy Excludes <br />~ CLAIMSMADEW OCCUR Claims Arslng <br />---j out of the <br />~ Performance of <br />Professional <br />Services <br />57SBALP4948 <br /> <br />COVERAGES <br /> <br />. c"='; GEN'l., AGGRE~ ~IMIT AP~SPER: <br />! I POLICY I I ~~~.; I I LaC <br />A I AUTOMOBILE LIABILITY <br />I-----~ <br />! ; ANY AUTO <br />~- ALL OWNE D AUTOS <br />1----' <br />f------- SCHEDULED AUTOS <br />~ HIRED AUTOS <br />~ NON-OWNED AUTOS <br />~~~ <br /> <br />RGARAGE liABILITY <br />ANY AUTO <br />i <br /> <br />EXCESS LIABILITY <br />;=J OCCUR l_J CLAIMS MADE <br /> <br />b OEDUCTIBLE <br />IL--I ~ETENTlON $ <br />i WORKERS COMPE"ISATIDN AND <br />I EMPLOYERS' LIABIliTY <br /> <br />B OTHER Professional <br />Llabllny <br /> <br />, <br />DESCRIPTION OF OPERATIONSfLOCATIOI <br />" The Insurer's policy payment at <br />National Indemnity Company, an <br />Cut~ Through Agreement Is attach. <br /> <br />(See Attached Descriptions) <br />CERTIFICATE HOLDER I X I AD <br /> <br />City of Santa Ana <br />Water Resources Dlvll <br />Attn: David Patton <br />220 S Daisy Avenue <br />Santa Ana, CA 92703 <br />I <br />ACORD 25-S (7/97)1 of 2 <br /> <br /><( <br />Z <br /><( <br /><( <br />I- <br />Z <br /><( <br />(/) <br />LL <br />o <br />~ <br />() <br /> <br />'" <br />a: <br />Zw <br />OW <br />t::~ <br />c(Z <br />Q.w <br />t- <br />WZ <br />~~ <br />c!!2 <br />(f) <br />~ <br /> <br />a <br /> <br />z <br />o <br />Uj <br />'> <br />(5 <br />(f) <br />W <br />o <br />a: <br />:::> <br />o <br />(f) <br />w <br />a: <br />a: <br />w <br />!;( <br />;:: <br /> <br />m",~ <br />~~~ <br />~85 <br />~~~ <br />;Z~C <br />-~% <br />~~- <br />~~ c <br />~~~ <br />-~.ti <br />~@J <br />.. <br />\il <br />0- <br />'0 <br />~ <br /><( <br />,. <br />w <br /> <br />M <br />"' 0 <br />ro ~ <br />,. m <br />t .. <br />z Z <br />w a: <br />'" 0 <br />.. .~ <br />~~5 <br />~?;;..{ <br />3:~~ <br />guj;:: <br />~l'J~ <br /> <br />04/14/03 <br /> <br />04/14/04 <br /> <br />04/14/01 <br /> <br />04/14/04 <br /> <br />)RSEMENT/SPECIAL PROVISIONS <br />lh Agreement to <br />sldlary. A summary of the <br /> <br />CANCELLATION <br /> <br />liMITS <br /> <br />EACH OCCURRENCE $1 000 000 <br />FIRE DAMAGE (Anyone lire $300 000 <br />MED EXP(Any one person) $10000 <br />PERSONAL & ADV INJURY $1 000 000 <br />GENERAL AGGREGATE $2000000 <br />PRODUCTS-COMP/QP AGG s2 000 000 <br /> <br />COMBINED SINGLE LIMIT i $1 000 000 <br />(Eaaccldent) i I . <br /> <br />BODIL Y INJURY <br />(per person) <br /> <br />! <br />,$ <br /> <br />BODILY INJURY <br />(Per accident) <br /> <br />. <br /> <br />PROPEATY DAMAGE <br />(Per accIdent) <br /> <br />. <br /> <br />AUTO ONL Y_ EAACCIDENT $ <br /> <br />OTHER THAN <br />AUTO ONL Y: <br /> <br />EA ACC $ <br />. <br />. <br />. <br /> <br />AGG <br />! EACH OCCURRENCE <br />i AGGREGATE ' <br /> <br />$ <br />. <br />. <br /> <br />l.weSTATU.,! IOJ:;' <br /> <br />E.L. EACH ACCIDENT $ <br />E.L.DISEASE-EA EMPLOYE $ <br />E.L.DISEASE-POLICY lIMI $ <br />$1 ,000,000 per "Ielm <br />$1,000,000 annl aggr. <br /> <br />f"i'iZOvE0 AS TO FORM <br /> <br />'L~ <br /> <br />Deputy City Attorney <br /> <br />. <br /> <br />SHOULD AflV OFTHEABOVE DESCRIBED POUClES BE CANCELLED BEFOFE THE EXPIRATION <br />DATETHEREOF,THE ISSUING INSURER WILl at!" 8'108(1"0 MAII..3O.--.- DAYS WRITTEN <br />NOTICETOlHE CEFmACATE HOLOERNAMEDTOlHELEFT, ~'UIl J ma'rJetX <br />~,.__~B'(h-r~BB8CftJIlll'eli1tcOR <br />s. <br /> <br />A~HO ~ <br />...Vl .". <br /> <br />.'")..,... <br /> <br />AI> <br />JEH <br /> <br />.*'" <br /> <br />.. ACORD CORPORATION 1985 <br />