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COVERAGES Ar-k- l rV 1 IJL. INSURERS AU 1 MUKIGell 1[CrMIRE. 1 •� •- — - — " - NOTWITHSTANDING LI Y THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION INSR ADD'L NUMBER DATE (MM /DD/YY) DATE (MM /DD/YY) LTR INSRD TYPE OF INSURANCE POLICY NU LIMITS EACH OCCURRENCE $ XXXXXXX GENERAL LIABILITY DAMAGE RENTED $ XXXXXXX COMMERCIAL GENERAL LIABILITY PREMISES S ( Ea occurence MED EXP (Any one person) $ XXXXXXX CLAIMS MADE 1-1 OCCUR NOT APPLICABLE PERSONAL & ADV INJURY $ XXXXXXX GENERAL AGGREGATE $ XXXXXXX PRODUCTS - COMP /OP AGG $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: —] PRO - POLICY JECT MLOC. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ XXXXXXX (Ea accident) ANYAUTO ALL OWNED AUTOS BODILY INJURY $ XXXXXXX (Per person) SCHEDULED AUTOS NOT APPLICABLE HIRED AUTOS BODILY INJURY $ XXXXXXX (Per accident) NON -OWNED AUTOS PROPERTY DAMAGE $ XXXXXXX (Per accident) AUTO ONLY - EA ACCIDENT $ XXXXXXX GARAGE LIABILITY NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX ANY AUTO AUTO ONLY: AGG $ XXXXXXX EACH OCCURRENCE $ XXXXXXX EXCESSIUMBRELIA LIABILITY AGGREGATE $ XXXXXXX I OCCUR ❑CLAIMS MADE NOT APPLICABLE $ XXXXXXX ❑ UMBRELLA $ XXXXXXX DEDUCTIBLE FORM $ XXXXXXX RETENTION $ -,__ -- --._.. -_ --- - WC1929178(AOS) _- --_ -. -- -- .__ -_- 4/1/2008 -- -- - - --. 4/l/2009 WC STATU- OTH- X TORY LIMITS I ER A E.L. EACH ACCIDENT $ 1,000,000 !1 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC1929179 (CA) 4/1/2008 4/1/2009 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? WC1929181 (FL) 4/1/2008 4/1/2009 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, descrbeunder NO WC1929182(OR) 4/1/2008 4/1/2009 A SPECIAL PROVISIONS below A OTHER WC1929184 (OH WA,WI,WV,WY 4/l/2008 4/1/2009 Statutory Limits - See Above A Worker's Compensation WC1929183 CXj WC1929180 (MA) 4/1/2008 4/1/2008 4/1/2009 4/1/2009 B DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Re: West Station Facilities Upgrade / 3500368 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Pu lic Works Agencyy NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: Steve Worrall, P.E Sr. Civil Engineer 220 S. Daisy Avenue, M85 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR P.O. Box 1988 REPRESENTATIVES. — Santa Ana CA 92702 AUTHORIZED REPRES I � ____ -,-------- :__ ..:_ mb, nm,d in the •Prod —ee section above ands city the cIi cod AECTE0r. © ACORD CORPORATION 1988