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ACORD CERTIFICATE OF LIABILITY INSURANCE silo/ o
<br />PRODUCER (818) 225-6200 FAX: (818) 225-6210 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />Venbrook
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />22801 Ventura Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Third Floor
<br />Woodland Hills CA 91364-5815 INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED INSURER A: Hartford Fire Ins. Co.
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<br />Overland Pacific s Cutler, Inc. ? INSURERS: HiscoX, Inc.
<br />100 West Broadway, Suits 500 INSURER C
<br />:
<br />:
<br /> iii INSURER D:
<br />Long Beach CA 90802 INSURER E:
<br />r:OVERAGES
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
<br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
<br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
<br />AGGREGATE LIMITS SHOWN M HAVE BE N REDUCED BY PAID CLAIMS.
<br />INSR ADM D`
<br />TYPE OF INSURANCE
<br />POLICY NUMBER POLICY EFFECTIVE
<br />DATE IMMIDWYY) POLICY EXPIRATION
<br />DATE (MMIDDIM LIMITS
<br /> GENERAL LIABILITY EACH ICE $ 1,000,000
<br /> X COMMERCIAL GENERAL LIABILITY DAMAGETOa
<br />RENTED
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<br />
<br />$ 300,000
<br />A CLAMS MADE FRIOCCUR 72UUNTR7859 06/01/2007 06/01/2008 MED EXP (Am ona Penon) $ 10,000
<br /> X $10,000 BISPD DEDT PERSONAL& ADV INJURY S 1,000,000
<br /> X PER CLAI$$ GENERAL AGGREGATE S 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: ERQUUCTS-COMPIOPAGG $ 2,000,000
<br /> X POLICY PET LOC
<br />
<br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMB $ 1,000,000
<br /> X ANY AUTO (Ea accident)
<br />A ALL OWNED AUTOS 72UUNTR7859 06/01/2007 06/01/2008 BODILY INJURY
<br /> (Pa Person) $
<br /> SCHEDULED AUTOS
<br />
<br /> HIRED AUTOS BODILY INJURY S
<br /> NON-OWNED AUTOS (Per amdent)
<br />
<br /> X COUP DEDT: $1,000 PROPERTY DAMAGE S
<br /> X COLL DEDT: $1,000 (Per accident)
<br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
<br />
<br /> ANY AUTO OTHER THAN EAACC $
<br /> AUTO ONLY: AGG S
<br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000
<br />
<br /> S
<br />A
<br />DEDUCTIBLE
<br />72RHUTR7849
<br />06/01/2007
<br />06/01/2008
<br />$
<br /> R
<br /> RETENTION
<br />A WORKERS COMPENSATION AND X WC STATU- TORY
<br /> LIABILITY
<br />ANY PROPRIETORIPARTNERIEXECUrIVE
<br />E.L EACH ACCIDENT 1,000,000
<br />$
<br /> OFFICERIMEMBER EXCLUDED? 72WET09133 06/01/2007 06/01/2008 E.L DISEASE-EAEMPLOYEE S 1,000,000
<br /> B yea, tlwaibe udder
<br />
<br />SPECIAL PROVISIONS balm
<br />-
<br />E.L. DISEASE -POLICY LIMB
<br />
<br />$ 1,000,000
<br />B OTHER Errors i Omissions NEOIOO112507 06/01/2007 06/01/2008 E s o $2,000,000
<br /> Professional Liab. SIR $ 50,000
<br />DESCRIPTION OF OPE RATIONSILOCATKHISNEHICLESMXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
<br />The City of Santa Ana, its officers, agents, employees, consultants, Special counsel 6 representatives are named as
<br />Additional Insureds as their interest may appear in the operations of the Named Insured. *10 DAY NOTICE OF
<br />CANCELLATION FOR NON-PAYNENT OF PREMIUM
<br />CERTIFICATE HOLDER Y RI' L L) A T(? FOPJI CELLATION
<br />
<br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
<br />Public Works Agency ?
<br />,L?jy
<br />? DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
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<br />Attn: Cristina Sundstrom, ,
<br />I Iy
<br />/
<br />AI LOfn C
<br />` • '. I'. ? FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE
<br />M-36 .
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<br /> INSURE ITS AGENTS OR REPRESENTATIVES.
<br />P.O. BOX 1988
<br />, CA 92702
<br />Santa Ana AUTHORIZED REPRESENTATIVE
<br />Ag,aAdi&l p
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<br /> Chastity Harry/CH
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<br />ACORD 25 (2001108) 0ACORD CORHORAI ION i988
<br />INS025 (oioo)Caa Pape I W 2
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