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gC0W. CERTIFICATE OF LIABILITY INSURANCE OP ID DATE6/29I/06 <br />KENJR-1 06 29 06 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />ISU-CPI RISK MANAGEMENT HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2275 South Main St., Ste.101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />O--ona CA 92882 <br />.ie:951-737-2270 Fax:951-735-2755 INSURERS AFFORDING COVERAGE NAIC# <br />KEN THOMPSON INC. <br />Ms. Lisa Per y <br />P.O. Box 77640 <br />Corona CA 92877-0121 <br />INSURFRA rca a Co. _ _. <br />Amar' n xnma weeuranc _ <br />INSURER B. Mercury Insurance Groin 2755_3 - <br />INSURERC ARCH SPECIALTY INS. CO. _ <br />INSURER D. SEABRIGHT INS. CO. _ <br />ULIVtHAUL0 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INUICAf ED. <br />NOTW ITH STANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTT IER DOCUMENT WITH RESPECT TO WHICH THIS LERTIFICATF MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESC A HILL HEREIN IS SUBJECT TO Al I THE TERMS. EXCLUSIONS AND CONDITIONS <br />OF SUCH <br />POI tCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAIMS. <br />CITY OF SANTA ANA <br />��pp LI ID TI L IRATON <br />INSRLTR YNBPE TYPE OF INSURANCE POLICY NUMBER PATE MMlDDIYY DATE MMIDOIYY <br />LIMITS <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT PaMORDTOMO aSHALL <br />EACH OCCURRENCE $1,000,000 <br />GENERAL LIABILITY <br />GL1507144 02/13/06 02/13/07 <br />_ <br />fif1cGETTrRENmU $50,000 <br />PREMISES Eoa..nce) <br />A X X COMM'RCIALGENERALLIABILIIY <br />!CLAIMSMADE L:000UR <br />MLUEXP(Any ono p n) 55,000 <br />X Owner/Cont Prot. <br />PERSONAL B ADV INJURY $1,000 000 <br />GCNERAL AGGREGATE $ Z , OOO, OOO <br />Vicki Rodriquez +G�r <br />PRODUCTS - DOMAGO 5 2 , 000 , 000_ <br />GEML AGGREGATE LIMIT APPLIES PFR <br />_ <br />I PR(1. �LOG <br />POLICY X JECT <br />AUTOMOBILE <br />T <br />B <br />AUTQIAeiuTv <br />AC11074617 <br />02/18/06 <br />02/18/07 <br />NED SINN F I IMIT <br />COMBLIOent) <br />IEa em <br />51,000,000 <br />ALL OWNED AUTOS <br />BOorDIparsonLY INJD) H <br />(EP <br />$ <br />X <br />SCHEN JI ED Auros <br />HIREDAUTOS <br />- <br />BODILY INJURY <br />- - <br />Ig <br />(Per GciEenN <br />e <br />- <br />X <br />NONOWNEDAUTOS <br />**REFER TO BELOW <br />PROPERTY DAMAGE <br />$ <br />j <br />(Per acalbenl) <br />GARAGE LIABILITYAUTOONLV <br />-LAACCIUENT <br />$ <br />OTHER TITAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />-. <br />AUTO ONLY. AGO <br />EXCESSIUMBRELLALIASILITY <br />I <br />I EACH OCCURRENCE _ $ 15, 000'0 00 <br />C <br />OCCUR CLAIMS MADE <br />ULP0004531-01 <br />02/13/06 <br />02/13/07 <br />AGGREGATE315,000,000 <br />_,I <br />�I <br />$ <br />DEDUCTIBLE <br />$ <br />$ <br />P-SLIMITS <br />".X RETENTION $ 10, 000_ <br />WORKERS COMPENSATION AND <br />X TORY FR <br />EL EACHACCIDENT $1,000,000 <br />EMPLOYERS' LIABILITY <br />BB1060689 06/30/06 <br />06/30/07 <br />D <br />ANY PROPRIETORIPARTNETEXECUTIVE <br />EL. DISEASE - EA EMPLOYEE $1,_000,000 <br />OFFICFR/MEMEEREXCLUDLD? <br />Ilyea, I—ibn-dtY <br />EL. DISEASE - POI ICY LIMIT $1,000,0D0 <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OPEMTIONS I LOCATIONS l VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />**This coverage is for the benefit of the Certificate holder only. <br />*Except <br />10 days for non-payment of premium. THE CERTIFICATE HOLDER, ITS OFFICERS, <br />EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL <br />INSURED WITH REGARDS TO JOB 06-3512: RAITT/MCFADDEN SANITARY SEWER <br />IMPROVEMENTS. <br />CERTIFICATE HOLDtK <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHEEXPIRATION <br />CITSANT <br />*3O <br />DATE THEREOF, THE ISSUING INSURER WILL Ra�V=MAIL DAYS WRITTEN <br />CITY OF SANTA ANA <br />PUBLIC WORKS AGENCY <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT PaMORDTOMO aSHALL <br />ROSS ANNEX, M-22 <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />20 CIVIC CENTER PLAZA <br />REPRESENTATIVES. <br />SANTA ANA CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Vicki Rodriquez +G�r <br />10 ACORO C RPO TION 1988 <br />ACORD 25 (2007108) V <br />