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<br />c...' . ... <br /> <br />Client#: 6255 <br /> <br />RBFCONSUL <br /> <br />ACORD.. <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />DATE (MM/DDfYY) <br />11/28/05 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />PRODUCER <br />Dealey, Renton & Associates <br />P. O. Box 10550 <br />Santa Ana, CA 92711-0550 <br />714427 -6810 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />RBF Consulting <br />PO Box 57057 <br />Irvine, CA 92619-7057 <br /> <br />:-'~URER A: Travelers Pro~~I1}'~~sualty Co_()~~Il'1__ <br />INSURER B: Hartford Fire Ins. Co. <br />: INSURER C: Fireman's Fund Insurance Co. <br />I INSURER 0: Underwriters at Lloyd's London <br />1---..----- ---- ---.----- ---~-------- -- ---- --.---------------- <br />i INSURER E: <br /> <br />INSURED <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 />~f: 1-- TYPE OF INSURANCE POLICY NUMBER i Pgk'fl ~'Jg~TI~E <br />A ~ERAL LIABILITY P630500D4092TIL05 111/30/05 <br />i X !COMMERCIALGENERALLlABILlTY ' <br />~ CLAIMS MADE W OCCUR INDP. CONTRACTORS <br />~~~:~~CC~U~~______ INCLUDED <br /> <br /> <br />LIMITS <br /> <br />11/30/06 <br /> <br />EACH OCCURRENCE <br /> <br />$1 000 000 <br /> <br />_. FIRE DAM~<l.E {Any ceo fireLt..1 ,()!)_O,OOC .. <br />, MED EXP (Anyone person) $5,000 <br />I PERSONAL & ADV INJURY $1 000 000 <br /> <br /> <br />1.<l.~ERAL AG-"~.'3~~_ $2,Q.I)I),OOO <br />! PRODUCTS -CO~P/()P..!-_G.G_J_~&()!l,()OO_ <br /> <br />I <br /> <br />B 57UENTL0126 <br /> ALL OWN ED AUTOS <br /> SCHEDULED AUTOS <br /> X HIRED AUTOS <br /> X NON-OWNED AUTOS <br /> -~ <br /> GARAGE LIABILITY <br /> ANY AUTO <br />C , EXCESS LIABILITY IXAEOO087315487 <br /> OCCUR n CLAIMS MADE Professional Liab. <br /> s Excluded <br /> DEDUCTIBLE <br /> RETENTION $ <br /> I WORKERS COMPENSATION AND <br /> EMPLOYERS' LIABILITY <br /> I <br />D OTHER Professional I PI059400 <br /> Liability <br /> <br />11/30/05 <br /> <br />11/30/06 <br /> <br />, COMBINED SINGLE LIMIT <br />(Ea accident) <br /> <br />$1,000,000 <br /> <br />BODILY INJURY <br />(Per person) <br /> <br />$ <br />-------t-------- <br />I $ <br />In <br />1$ <br /> <br />BODILY INJURY <br />(Per accident) <br /> <br />PROPERTY DAMAGE <br />(Per accident) <br /> <br />OTHER THAN <br />AUTO ONLY: <br /> <br />EA ACC <br />AGG <br /> <br />$ <br />$ <br />$ <br />$10000000 <br />$1.9,000,000._ <br />$ <br />$ <br />$ <br /> <br />, AUTO ONLY - EA ACCIDENT <br />.~ --- - -" "-...- <br /> <br />11/30/05 <br /> <br />11/30/06 <br /> <br />EACH OCCURRENCE <br />I AGGREGATE <br /> <br />~--- <br /> <br /> <br />fJH- <br /> <br />i 11/30/05 <br />I <br /> <br />11/30/06 <br /> <br />E.L. EACH ACCIDENT <br />~L. DISEASE -EA EMPLOYEE' $ <br />! E.L. DISEASE - POLICY LIMIT $ <br />: $1,000,000 per claim <br />1 $2,000,000 annl aggr. <br /> <br />DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />General Liability policy excludes claims arising out of the performance of professional <br />services <br />Re: IN 10-103090, On-call Services <br />City of Santa Ana and its officers and employees are additional insured as <br />(See Attached Descriptions) <br /> <br />Y8~ ;/J <br /> <br />CERTIFICATE HOLDER <br /> <br />AD D 1TI0NAL INSURED; INSURER LETTER: <br /> <br />CANCELLATION <br /> <br /> <br />City of Santa Ana <br />Public Works Agency,Att: Zed Kekula <br />20 Civic Center Plaza <br />Mail Station 43 <br />Santa Ana, CA 92701 <br /> <br />SHOULD ANY OF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> <br />DATE THEREOF, THE ISSUING INSURER WI~X!lllll( TO MAIL 30.-.... DAYS WRITTEN <br /> <br />NOTlCETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFT.)QU{X~K <br /> <br />~~.JtXDNI~K~J:J{\OIXDC\108( <br /> <br />l8e!Jt~ <br />AUTHORIZED REPRESENTATIVE <br />~ ....:-- <br />~~ <br /> <br />ACORD 25-S (7/97)1 <br /> <br />of 2 <br /> <br />#M144533 <br /> <br />RLL <br /> <br />@ ACORD CORPORATION 1988 <br /> <br />c-~ , <br /> <br />