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'�C",C'KO CERTIFICATE OF LIABILITY INSUKANCE DATE (MM /DD /WYY)
<br />`� 06/07/10
<br />PRODUCER 1 -770- 552 -4225 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Amax & Gough, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />450 xorthridge Parkway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Suite 102
<br />Atlanta, GA 30350
<br />Mati ae ormaza INSURERS AFFORDING COVERAGE NAIC #
<br />INSURED � _� �1\ I _ \ � � ` Q� INSURER A: Comm9rca 6e Indus tr Inaur anca COm an
<br />TRC Solutions, Inc. ��J—� v J
<br />123 Technology Drives \ INSURER B: Chartia S ecialt Insurance Com an
<br />�, -7 � � �� INSURER G: Twin City Fire Insurance Company
<br />2 rvine, CA 92618 INSURER D:
<br />INSURER E:
<br />COVERAGES
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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 CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />DD'L
<br />POLICY NUMBER
<br />POLICY EFFECTIVE
<br />POLICY EXPIRATION
<br />07/01/11
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />GL 7168709
<br />07/01/10
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS MADE �X OCCUR
<br />DAMA E TO REN ED
<br />PREMISES Ea occurrence
<br />$ 500, 000
<br />MED EXP (Any one person)
<br />$ 5, 000
<br />PERSONAL 8 ADV INJURY
<br />$ 1, 000, 000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP /OP AGG
<br />$ 2 , 000, 000
<br />POLICY X PRO- X LOC
<br />A
<br />A
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />CA 7168886 A/O
<br />CA 7168888 MA
<br />07/01/10
<br />07/01/10
<br />07/01/11
<br />07/01��/g/1�1
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />$ 1,000,000
<br />BODILY INJURY
<br />(Per parson)
<br />$
<br />ALL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />NON -OWNED AUTOS
<br />�
<br />�
<br />A p
<br /><' � L� AS TO
<br />V `
<br />/
<br />FpK,v1
<br />/
<br />X
<br />BODILY INJURY
<br />(Per accitlenl)
<br />$
<br />X
<br />X
<br />ParOa citlenlDAMAGE
<br />$
<br />Comp. Dad_ $2,000
<br />/
<br />[/
<br />1LC S
<br />es✓vy
<br />X
<br />Coll. Dad. $2, 000
<br />GARAGE LIABILITY
<br />ANY AUTO
<br />yg�St &a C•,Cy
<br />AUTO ONLY - EA ACCIDENT
<br />$
<br />OTHER THAN EA ACC
<br />$
<br />$
<br />AUTO ONLY: qGG
<br />8
<br />EXCESS /UMBRELLA LIABILITY
<br />X OCCUR � CLAIMS MADE
<br />LiMH 7168710
<br />07/01/10
<br />07/01/11
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />AGGREGATE
<br />$ 10,000,000
<br />DEDUCTIBLE
<br />$
<br />RETENTION $
<br />C
<br />C
<br />AND EMPLOYERSENSAABT OIY Y/N
<br />ANY PROPRIETOR /PARTNER /EXECUTIVE
<br />OFFICER /MEMBER EXCLUDED?
<br />20 WN MF5434 A/O
<br />20 WHR MF5433 WI
<br />07/01/10
<br />07/01/10
<br />07/01/11
<br />07/01/11
<br />X WC STATU- OTH-
<br />E. L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE -EA EMPLOYE
<br />$ 1, 000, 000
<br />(Man tlatory in NH)
<br />If yes, tlescribe untler
<br />EL DISEASE - POLICY LIMIT
<br />$ 1, 000, 000
<br />SPECIAL PROVISIONS below
<br />OTHER
<br />H
<br />Professional Liability
<br />3778255
<br />07/01/10
<br />07/01/11
<br />per Claim 10,000,000
<br />EF�O- Including Pollution Liab.
<br />Aggregate 15,000,000
<br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
<br />Tha City of Santa Ana, 20 Civic Canter Plaza, Santa Ana CA 92701, its officers, employees, agents, volunteers 6
<br />reprasantativea are named as Additional Insureds under the General Liability 8 Automobile Liability where required by
<br />written contract. This insurance is primary � non - contributory over any exieiting insurance 6 is limited to liability
<br />arising out of the operations of the named insured � where required by written contract. Waiver of Subrogation is
<br />applicable where required by written contract � allowed by law_
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOV E DESCRIBED POL ICIES B E GANC EL LED B EFORE THE EXPIRATION
<br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
<br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
<br />20 Civic Canter Plaza - Roas Annex (M -36)
<br />REPRESENTATIVES.
<br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE � v � %%�
<br />USA ��i
<br />ACORD 25 (2009 /01) jnoyola ©'1988 -2009 ACORD CORPORATION. All riGhts reserved.
<br />16100243 The ACORD name and logo are registered marks of ACORD
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