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ACORDM CERTIFICATE OF <br />LIABILITY INSURANCEDATE(MM/DDNY) <br />6 30 2009 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates - _ ( (\ �; (53, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />199 South Los Robles Ave. 7 / HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Suite: 540 r -�( t%� " ��-> k" ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Pasadena CA 91101 <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />Elizabeth Moule & Stefanos Polyzoides <br />180 E. California Blvd. <br />$1 000 000 <br />INSURERA: Travelers Prolperty Casualty Cc of Ameri <br />INsuRERB :Travelers Indemnity Co. of Connecticut <br />INSURER c: Evanston Insurance Company <br />Pasadena CA 91105 <br />INSURER D: <br />INSURER E: <br />rnvoo A r_�c <br />HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR INSR TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION <br />POLICY NUMBER LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />MADE aOCCUR <br />6802094L798 <br />6/30/2009 <br />6/30/2010 <br />$1 000 000 <br />MAGE (Ane Tire) $1 0 0 0 0 0 0CLAIMS <br />(Any onrson) $10 0 0 0AL <br />OEAHUOCCURREMtNCFE <br />& ADJURY $1 0 0 0 0 0 0L <br />AGGRTE $GEN'L <br />AGGREGATE LIMIT APPLIES PER:TS <br />POLICY X PRO- LOC <br />-COOP AGG $2,000, 000 <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />BA4797L672 <br />6/30/2009 <br />6/30/2010 <br />COMBINED SINGLE LIMIT <br />(Ea accident) 1, 000, 000 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Per person) <br />}{ <br />HIRED AUTOS <br />X <br />NON -OWNED AUTOS <br />BODILY INJURY $ <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />A <br />EXCESS LIABILITY <br />X OCCUR CLAIMS MADE <br />CUP6469Y329 <br />6/30/2009 <br />6/30/2010 <br />EACH OCCURRENCE $3,000,000 <br />AGGREGATE $ 3 0 0 0 non_ <br />DEDUCTIBLE <br />X RETENTION $ 0 <br />$ <br />B <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />9/ 1/ 2 0 0 8 <br />9/ 1/ 2 0 0 9 <br />vac 'TLA T- OTI <br />X <br />UB 712 4 Y3 74 <br />E.L. EACH ACCIDENT $1 000, 000 <br />E.L. DISEASE - EA EMPLOYEE $1 0 0 0 0 0 0 <br />E.L. DISEASE -POLICY LIMIT $1 000 000 <br />$2, 000, 000 Per Claim <br />$2,000,000 Annl Aggregate <br />C <br />OTHER <br />Professional Liability <br />AE817470 <br />6/16/2009 <br />6 /16/2010 <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />e: All Operations -- The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, <br />mployees, agents, volunteers, and representatives are named as additional insured as respects general liability for <br />laims arising from the operations of the named insured as required per written contract. <br />CFRTIFIRATF unl nGo <br />L)av Nor-iceNor-ice tor Non-Paymnt of Prem <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />City Of Santa Ana BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER TO <br />IL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED <br />Planning and Building A enc - M20 O THE LEFT. <br />20 Civic Center Plazas p116 VED AS TO FORM <br />Santa Ana CA 92701 / <br />f� <br />/411 AUTHORIZED REPRESENTATIV _ _ <br />ACORD 25-S <br />Slgtarlt C;ry AFrnrnnv <br />