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ACORD,. <br />CERTIFICATE OF LIABILI <br />PRODUCER <br />Dealey, Renton & Associates <br />199 S Los Robles Ave Ste 540 <br />Pasadena, CA 91101 <br />626 844-3070 <br />INSURED <br />Elizabeth Moule & Stefanos <br />180 E. California Blvd. <br />Pasadena, CA 91105 <br />HIVE, <br />AUG 2 4 2009 <br />Polyzoides <br />DATE (MMIDDIYY) <br />TY INSURANCE 8 20 2009 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />OR <br />ALOTERT HEHIS CERTIFICATE DOES COVERAGE AFFORDED BY THE MPODLICEOR <br />ES EXTENDLOW. <br />INSURERS AFFORDING COVERAGE <br />ERA:Travelers PrOTDerty Casualty Co of Ameri <br />INSURERB: Hartford Accident & Indemnity <br />INSURER Evanston Insurance Com an <br />INSURER D: <br />IN5UKEK t: <br />COVERAGES <br />BEEN ISSUED TO <br />THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />HE POLICIES OF INSURANCE LISTED BELOW HAVE <br />TERM OR CONDITION OF ANY <br />CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />IS SUBJECT TO ALL THE <br />OTWITHSTANDING ANY REQUIREMENT, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN <br />ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />AGGREGATE <br />SHOWN AY REDUCED BY PAID CLAIMS. <br />ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />POLIC EXPRATIONBEEN <br />POLCYEFFECTIVELIMITS <br />INSR TYPE OF INSURANCE POLICY NUMBER <br />NCE $1 OOO 000 <br />6/30/2009 6/30/2010 EACHDAMAGE <br />�; GENERAL LIABILITY 6802094L798 <br />FIRE ny one fire) $1 OOO 000 <br />MERCIAL GENERAL LIABILITY <br />1F-7-1 <br />�_�CMADE J OCCUR <br />MED EXP (Any one person) $10 0 0 0 <br />CLAIMS <br />PERSONAL & ADV INJURY $1 000 000 <br />— <br />GENERAL AGGREGATE $ nnn <br />PRODUCTS - COMP/OP AGG $ 2 000 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY X PIFCT RO LOC <br />BA4797L672 <br />6/30/2009 6/30/2010 COMBINED SINGLE LIMIT $1, 000, 000 <br />A AUTOMOBILE LIABILITY <br />(Ea accident) <br />ANY AUTO <br />BODILY INJURY $ <br />ALL OWNED AUTOS <br />(Per person) <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />X HIRED AUTOS <br />(Per accident) <br />X NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />(Per accident) <br />AUTO ONLY - EA ACCIDENT $ <br />GARAGE LIABILITY <br />EA ACC $ <br />OTHER THAN <br />ANY AUTO <br />AUTO ONLY: AGG $ <br />CUP6469Y329 <br />6/30/2009 6/30/2010 EACH OCCURRENCE $3 000 000 <br />A EXCESS LIABILITY <br />AGGREGATE $3,000,000 <br />X OCCUR F-1 CLAIMS MADE <br />g <br />DEDUCTIBLE <br />X RETENTION $ 0 <br />WC STATU- OTH- <br />9/1/2009 9/1/2010 X T RYLIMIT R 11 <br />B WORKERS COMPENSATION AND 57WECLP7878 <br />E.L. EACH ACCIDENT $1 000 O O 0— <br />EMPLOYERS' LIABILITY <br />_ <br />E.L. DISEASE - EA EMPLOYEE $1 000 000 <br />E.L. DISEASE - POLICY LIMIT $1 000 0 0 0 <br />6/16/2009 6/16/2010 $2,000,000 Per Claim <br />OTHERAE817470 <br />C <br />$2,000,000 Annl Aggregate <br />Professional Liability <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />20 Civic Center Plaza, Santa Ana, California 92701; its officers, <br />e: All Operations -- The City of Santa Ana, <br />are named as additional insured as respects general liability for <br />mployees, agents, volunteers, and representatives <br />claims arising from the operations of the named insured <br />as required per written contract. <br />CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: <br />CANCELLATION10 Day Notice for Non-paymnL of Prem <br />ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />SHOULD <br />EFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER TO <br />IL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED <br />City Of Santa Ana T r�. 0 THE LEFT, <br />Planning and Bu MPROMM !'cCI V.1 <br />20 Civic Center Plaza <br />­) <br />Santa Ana CA 92701 f <br />�..- _-�• - -- <br />AUTHORIZED REPRESENTATIVE <br />,- <br />O ACORD CORPORATION 1988 <br />ACORD 25-S (7197) <br />