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ACC>R& CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYY YY' F 0 6/23/09 PRODUCER 1-770-552-4225 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ames & Gough, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 450 Northridge Parkway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 102 Atlanta, GA 30350 Matias Ormaza INSURERS AFFORDING COVERAGE NAIC # INSURED TRC S l ti I INSURERA:Commerce & Industry Insurance Company o u ons, nc. INSURER B: American Int'1 Spec Lines Ins. Co. 21 Technology Drive INSURERC:Twin City Fire Insurance Company Irvine, CA 92618 INSURER D: INSURER E: UUVtKAUtS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR .LM DD'L INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PODATE (MM/DDNYYY) LICY EXPIRATION LIMITS A GENERAL LIABILITY GL 7168709 07/01/09 07/01/10 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE RENTED PREMISES Ea occurrence $ 500,000 CLAIMS MADE FXIOCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO X LOC A AUT OMOBILE LIABILITY CA 7168888 MA 07/01/09 07/01/10 A X ANY AUTO CA 7168886 A/O 07/01/09 07/01/10 COMBINED SINGLE LIMIT (Ea accident) $ 11000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS E (Per person) X HIRED AUTOS APPRO V C st) AS TO FORM BODILY INJURY X NON-OWNED AUTOS (Per accident) X Comp. Ded. $1,000 1. PROPERTY DAMAGE $ X Coll. Ded. $1,000 (Per accident) GARAGE LIABILITY Ld 11 Au0 L AUTO ONLY - EA ACCIDENT $ Assts y ant 1 H ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ B EXCESS I UMBRELLA LIABILITY UMB 7168710 07/01/09 07/01/10 EACH OCCURRENCE $ 10,000,000 X OCCUR 71 CLAIMS MADE AGGREGATE $ 10,000,000 DEDUCTIBLE RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N 20WN MF5434 A/O 07 /01/09 07/01/10 X WCSTATU- CET'_ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) If describe es d E.L. DISEASE - EA EMPLOYE $ 110001000 y , un er SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER B Professional Liability 3778255 07/01/09 07/01/10 Per Claim 10,000,000 E&O-Including Pollution Liab. Aggregate 15,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS The City of Santa Ana, 20 Civic Center Plaza, Santa Ana CA 92701, its officers, employees, agents, volunteers & representatives are named as Additional Insureds under the General Liability & Automobile Liability where required by written contract. This insurance is primary & non-contributory over any exisiting insurance & is limited to liabilit y arising out of the operations of the named insured & where required by written contract. Waiver of Subrogation is applicable where required by written contract & allowed by law. CERTIFICATE HOLDER CANCFLLATinN City of Santa Ana 20 Civic Center Plaza - Ross Annex (M-36) Santa Ana, CA 92701 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE V 1988-2009 ACORD CORPORATION. All rights reserved. 12313807 The ACORD name and logo are registered marks of ACORD