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® DATE (MM /DDIW W ) A� o CERTIFICATE OF LIABILITY INSURANCE 06/23/09 PRODUCER 1- 770 -552 -4225 Ames & Gough, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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. DD'L TYPE OF INSURANCIF Suite 102 Atlanta, GA 30350 Matias ormaza INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Commerce & Industry Insurance Company GENERAL LIABILITY TRC Solutions, Inc. INSURER B: American Int'1 Spec Linea Ins. Co. 07/01/10 INSURERC:Twin City Fire Insurance Company $ 11000,000 21 Technology Drive INSURER D: X COMMERCIAL GENERAL LIABILITY Irvine, CA 92618 INSURER E: DAMAGE TO RENTED PREMISES Ea occurrence COVERAGES 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. DD'L TYPE OF INSURANCIF POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION Yyl LIMITS GENERAL LIABILITY GL 7168709 07/01/09 07/01/10 EACH OCCURRENCE $ 11000,000 rA X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 CLAIMS MADE 5_1 OCCUR 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 A AUTOMOBILE X LIABILITY ANY AUTO CA 7168888 MA CA 7168886 A/O 07/01/09 07/01/09 07/01/10 07/01/10 COMBINED SINGLE LIMIT (Ea accident) $ 11000,000 BODILY INJURY (Per person) $ • • • • ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON - OWNEDAUTOS Comp. Ded. $1,000 D7� Anr r RO V / ^. �' ^� D A" c TO / / FORM BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ Coll. Ded. $1,000 GARAGE LIABILITY ANY AUTO AA Ass1S aIIt liy AtLO IIEV AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ $ AUTO ONLY: AGG 8 EXCESS / UMBRELLA LIABILITY UMB 7168710 07/01/09 07/01/10 EACH OCCURRENCE $ 10,000,000 X I OCCUR CLAIMS MADE AGGREGATE $ 10,000,000 $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE 20WN MF5434 A/O 07/01/09 07/01/10 X WC STATT OTH- S E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N ❑ E.L. DISEASE -EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under 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 8 &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 liability 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. GLK I IrICA I L HULDER CANCELLATION 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 AUTHORIZED REPRESENTATIVE ACUKU 25 (2U09/U1) 7noyola © 1988 -2009 ACORD CORPORATION. All rights reserved. 12313807 The ACORD name and logo are registered marks of ACORD