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ACOHD. CERTIFICATE OF LIABILITY INSURANCE D 6 R)D/VYYY)
<br />o6 /26 /a6 /D7
<br />.PRODUCER 1- 617 - 328 -6555 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />(Amea & Gough, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />1859 Willard Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Suite 320
<br />Quincy, NA 02169
<br />INSURED
<br />rRC Alton Geoscience, Inc.
<br />rRC Solutions, Inc.
<br />it Technology Drive
<br />CA 92618
<br />rnVFRAaFS
<br />INSURERS AFFORDING COVERAGE I NAIC #
<br />INSURPRA-CDmmerce & Industry Insurance COmnanV
<br />MlSURER e:Amerloan Int'1 Spec Lines Ins. Co.
<br />IINSURERC:Rartford Ina Co of the XW
<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 MAY HAVE BEEN REDUCED SY PAID CLAIMS.
<br />INSR
<br />ADIYL
<br />20 Civic Center Plaza - Rose Annex (X -36)
<br />POLICY NUMBER
<br />POLICYEFFECTIVE
<br />POLICY EXPIRATION
<br />LIMNS
<br />•
<br />USA
<br />GENERAL
<br />LIABILITY
<br />GL 7168709
<br />07/01/07
<br />07/01/09
<br />EACH OCCURRENCE
<br />$1,000,000
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS MADE OCCUR
<br />DAMAGETORENTED
<br />PREMISES Ea urence
<br />$ 500,000
<br />MED EXP(Any one person)
<br />$5,000
<br />PERSONAL a AOV INJURY
<br />$ 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />AGGREGATE LIMIT APPLIES
<br />PER
<br />PRODUCTS- COMPIOPAGG
<br />$2,000,000
<br />GENT
<br />POLICY FXI PRO- X
<br />LOC
<br />•
<br />A
<br />Au70MOBILELIABILITY
<br />X
<br />ANYAUTO
<br />CA 7168886 A/O
<br />CA 7168888 NA
<br />07/01/07
<br />07/01/07
<br />07/01/08
<br />07/01/08
<br />Caaccid DSINGLE LIMIT
<br />lEaccitlen0
<br />$1,000,000
<br />80 INJURY
<br />(Per r per person)
<br />$
<br />ALLOWNEDAUTOS
<br />SCHEDULED AUTOS
<br />X
<br />HIREDAUTOS
<br />NON -0WNED AUTOS
<br />B eracci ent)
<br />lPereooitlenl)
<br />$
<br />X
<br />X
<br />Comp. Ded. $1,000
<br />PROPERTY cidwt) DAMAGE
<br />(Peraccitlent)
<br />$
<br />X
<br />Coll. Ded. $1,000
<br />GMAGELIABILITY
<br />AUTO ONLY - EA ACCIDENT
<br />$
<br />OTHER THAN EAACC
<br />$
<br />ANY AUTO
<br />-
<br />$
<br />AUTOONLV: AGG
<br />B
<br />OCCUR CLAIMSMADE
<br />DNB 7168710
<br />07/01/07
<br />07/01/08
<br />EACHOCCURRENCE
<br />$ 11,000,000
<br />AGGREGATE
<br />$ 11,000,000
<br />rESSfUMBRELL.ALIABILITY
<br />DEDUCTIBLE
<br />$
<br />RETENTION $
<br />C
<br />WORKERS COMPENSATION AND
<br />20WN NP5434 A/0
<br />07/01/07
<br />07/01/08
<br />% WC STATU- DTH-
<br />D
<br />EMPLOYERS'LIABILITY
<br />ANY PROPRIETORrPARTNEWEXECUTIVE
<br />20WBRMY5433 WI
<br />07/01/07
<br />07/01/08
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />E,L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />OFFICERMIEMSER EXCLUDED
<br />SPE be antler
<br />yea CIAL 1AL P
<br />S PROVISIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$1,000,000
<br />B
<br />OTHER
<br />Professional Liability
<br />3778255
<br />07/01/07
<br />07/01/08
<br />Per Claim /Agg SON /15N
<br />Liability E &O -
<br />Including Pollution Liab
<br />DESCRIPTION OF OPERATIONS /LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS - -'� �- —' • -> V _74
<br />RE: Alton Geoacience, Inc.
<br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 97201; i /�
<br />its officers, employees, agents, volunteers and representatives are named
<br />_ _ _ ./fin(/
<br />as Additional Insureds on a Primary and Non - Contributory basis with — - --
<br />respect to Liability, where required by written contract.
<br />'11_SlltAt L1i,y ,411 UT',.:v
<br />®ACORD CORPORATION 1988
<br />6512711
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />City of Santa Ana
<br />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 />20 Civic Center Plaza - Rose Annex (X -36)
<br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
<br />REPRESENTATIVES.
<br />Santa Ana, CA 92701
<br />AUTHORD'ED REPRESENTATIVE w
<br />USA
<br />®ACORD CORPORATION 1988
<br />6512711
<br />
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