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ACORPN CERTIFICATE OF LIABILITY INSURANCE 01/06/2010 DATE(MM/DD/YYYY) PR(.-DUCER (619) 574-6220 FAX (619) 574-6288 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Insurance Office of America, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DBA IOA Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1775 Hancock Street, Ste. 180 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Diego, CA 92110 INSURERS AFFORDING COVERAGE NAIC # INSURED Gillis & Panichapan Architects, Incorporated INSURERA: Travelers P&C Co. of America 25674 2900 Bristol St. Suite G205 / iNSURERB: OneBeacon America Ins. Co. Costa Mesa, CA 92626 J INSURERc. Ace American Ins. Co. 22667 INSURER D: W� ` V/ INSURER E: rnVFDAr_`CQ �� uva�r�nrv� c ua I to atIUVV NAVE BEEN ISSUED TO THEANSURED NAMED ABOVE FCK THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 4BULTYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDIYYJ 07/24/2009 POLICY EXPIRATION DATE fMM1DDjYYj 07/24/2010 LIMITS GENERAL LIABILITY 68028411-495 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 CLAIMS MADE OCCUR A II MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 1 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRO- PRODUCTS -COMP/OP AGG $ 2,000,000 POLICY X JECT LOC AUTOMOBILE LIABILITY BA9193LO91 01/1�,/290 1/2011 X ANY AUTO ALL OWNED AUTOS 11 V v !"> as f 3 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 'QQQ'QQQ AppR� A SCHEDULED AUTOS BODIerson) LY INJURY (Per p $ HIRED AUTOS �JL'1 Ct��V BODILY NON -OWNED AUTOS OI2 p,it C�iy INJURY (Per accident) $ S 1SCanC PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY CUP6785Y338 07/24/2009 07/24/2010 -EACH $ 1,000,000 A X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND 406030061 09/01/2009 09/01/2010 X WC STATU- OTH- EMPLOYERS' LIABILITY TOBY LIMITS I FIR B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L FACH ACCIDENT $ 1 , QOO, QQQ OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 1,000,000 SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 roVessional G23638319004 11/08/2009 Liability 11/08/2010 $1,000,000 each occurence C lqaims Made $2,000,000 aggregate $5,000 deductible IESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS e: All Operations of the Named Insured he City of Santa Ana is additional insured as respects general liability per the attached endorsement. 10 Days Notice of Cancellation Applies for Non -Payment of Premium. The City of Santa Ana Attn: Michelle Walker 20 Civic Center Plaza M-36 PO Box 1988 Santa Ana, CA 92702-1988 ,CORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL '' 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Kelly Howell/CABRAS ©ACORD CORPORATION 1988