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<br />. <br /> <br />t <br /> <br />""-- I <br />J1CORD... CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDD1YYYY) <br />07/14/06 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Ashbrook-Clevidence, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />575 Anton Blvd. #610 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />License #0188788 <br />Costa Mesa, CA 92626 INSURERS AFFORDING COVERAGE NAIC# <br />INS'IRED INSURER A: Philadelphia Insurance Company <br /> Orange County Bar Foundation INSURER B: <br /> P.O. Box 986 INSURER C: <br /> Santa Ana, CA 92702 INSURER 0: <br /> INSURER E: <br /> <br />Cllent#. 12271 <br /> <br />ORAC02 <br /> <br />COVERAGES <br /> <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 BY PAID CLAIMS. <br /> TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR NSR <br />A GENERAL LIA8IUTY PHPK162357 03/15/06 03/15/07 EACH OCCURRENCE $1 000 000 <br /> '-- DAMAGE TO RENTED <br /> X COMMERCIAL GENERAL LIABILITY $50 000 <br /> - -.J CLAIMS MADE [X] OCCUR MED EXP (Any one person) $5.000 <br /> PERSONAL & ADV INJURY $1 000,000 <br /> GENERAL AGGREGATE $2 000 000 <br /> n'LAGG~l~~E LIMIT 7lS PER: PRODUCTS-COMProPAGG $2 000 000 <br /> POLICY .~ LOC <br /> ~OMOBrLE UABIUTY COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> - <br /> - ALL OWNED AUTOS BODILY INJURY <br /> (Par person) $ <br /> - SCHEDULED AUTOS <br /> - HIRED AUTOS BODILY INJURY <br /> (Per accidant) $ <br /> - NON-QWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Par accident) <br /> RGE LIABIUTY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> :3ESSlUMBRELLA UABIUTY EACH OCCURRENCE $ <br /> OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> ==1 DEDUCTIBLE .... .~ - ,) ..~ t $ <br /> -~ I <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND \. ~u...... ~_{!l. I T"J.~r~J~~ I IOJ~ <br /> EMPLOYERS' UABlLITY ~C/ ---.~ '..'.~ E.L. EACH ACCIDENT $ <br /> ANY PROPRIETORIPARTNERlEXECUTIVE .- "-~'.' <br /> OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> If yes. describe undar , l .,-"~ " <br /> SPECIAL PROVISIONS below 'c.-., -. E.L. DISEASE. POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Cancels & supersedes Certificate of Insurance #12123 dated 06/15/06 <br />City of Santa Ana is named as additional insured subject to an Additional Insured <br />Endorsement to be issued by the company. *10 days for non-paymeflt of premium. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa Ana <br />Attn: Frank Hernandez <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR L1ABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br />ACORD 25 (2001/08) 1 of 2 <br /> <br />#12179 <br /> <br /> <br />@ ACORD CORPORATION 1988 <br /> <br />