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<br />ACORD. CERTIFICATE OF LIABILITY INSURANCE OP to R9 OATE (MM/ODJYYYYj <br />RBFCQ-l OS/23/06 <br />PROOUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATlO <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />United Captive Ins. Brokers HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />17151 Newhope St., Ste 211 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Fountain Valley CA 92708 <br />Phone: 714-70S-4370 Fax:714-708-2300 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: U.S. Fidelity and Guaranty Co. 25887 <br /> INSURER B <br /> RBF Consulting, Inc. INSURER c: <br /> 14725 ~ton Parkway INSURER 0: <br /> Irvine CA 92718 <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWfTHST ANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERT AtN, 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 />LTR NSR TYPE OF INSURANCE POLICY NUMBER PD'1.~~TJ~rJ~!yE P8k~1Y{~~':b'h"N~~N LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE , <br /> - PREMISES (E~IO~~~~r~rlce \ <br /> - pM~ERCIAL GENERAL LIABILITY , <br /> - CLAIMS MAOE 0 OCCUR MED EXP (Anyone person) , <br /> - PERSONAL & ADV INJURY , <br /> GENERAL AGGREGATE , <br /> .- <br /> GEN'L AGGn LIMIT APAS PER: PRODUCTS. COMPIOP AGG , <br /> I PRO- <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> I-- , <br /> ANY AUTO (Ea accident) <br /> I-- <br /> r ALL OWNED AUTOS BODILY INJURY <br /> , <br /> SCHEOULED AUTOS (Perpersorl) <br /> I-- <br /> HIRED AUTOS BODILY INJURY <br /> I-- , <br /> NON-OWNED AUTOS (Per accident) <br /> r <br /> I-- PROPERTY DAMAGE , <br /> (Peracclderlt) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT , <br /> R ANY AUTO OTHER THAN EA ACC , <br /> AUTO ONLY AGO , <br /> EXCESSfUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> P OCCUR D CLAIMS MADE AGGREGATE , <br /> $ <br /> R ~EDUCTI"E , <br /> RETENTION , $ <br /> WORKERS COMPENSATION AND X IT6'R;tTQir's I I'-ER' <br />A EMPLOYERS' LIABILITY D123WOO118 07/01/05 07/01/06 <br />ANY PROPRIETOR/PARTN ER/EXECUTIV E E.l. EACH ACCIDENT , 1000000 <br /> OFFICER/MEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYE $ 1000000 <br /> If yes, describe under <br /> SPECtAL PROVISIONS below E.L. DISEASE - POLICY LIMIT , 1000000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS <br />*10 days notice of cance~lation for non-payment of premium. 1-- <br /> / , , <br />Re: Design Guidelines, IN 10-104231 <br /> <br />CERTIFICATE HOLDER CANCELLATION <br /> <br />CITSAN2 SHOULD ANY OF THE: ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> <br />City of Santa Ana <br />Planning Division <br />20 Civic Center P~aza <br />Santa Ana CA 92702 <br /> <br />DATE THEREOF, THE ISSUING INSURER WILL _u__. <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, -. <br />_n Ii <br /> <br />IL *30 DAYS WRITTEN <br /> <br />- .. ..~ <br /> <br />!'t _ <br />'J"'''-~ <br /> <br />ACORD 25 (2001/08) <br /> <br />AUTHORIZED REPRESENTATIVE <br />Mark Barrie <br /> <br />f} <br /> <br />