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GILLB.PA-01 CABRALS CERTIFICATE OF LIABILITY INSURANCE -TIE 8124120120, 1"'' s/2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER IOA Insurance Services L1cOOE67768 4350 La Jolla Village Drive, Suite 900 San Diego, CA 92, 22 NTACT N ME: Sara Cabral ADME PHONE FAX - 619) 574-6220 AIc No : 019) 574-6288 'MIL ; Sara.Cabral ioausa.com " i INSURERS AFFORDING COVERAGE NAIC e I NSURER.:RU Ins Co 13056 INSURED INSURER B : One Beacon America Ins CO 20621 INSURER c Gillis S Panichapan Architects, incorporated INSURER D 2900 Bristol St. Suite G205 Costa Mesa, CA 92626 INSURER E INSURER F : � COVERAGES CERTIFICATE NUMRE Re RFVIRInN Nm IMIReo- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER MM Y E POLICY P LIMITS GENERAL UABILITY EACH OCCURRENCE S 1.000,000 A X COMMERCIAL GENERAL LIABILITY LAM... [X] OCCUR PSB0001119 7/24/2011 7/24/2012 PREMISES Ea —.1 1.000.000 MED EXP An one P— i 10,000 PERSONAL 6 ADV INJURY S 1,000.000 _ GENERAL AGGREGATE S 2.000,00 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ 2,000.000 POLICY X PRO- LOG S AUTO__" I.JABILRY EeMBMEEDISINIGLE LIMIT S 1.000.000 A ANY AUTO PSAOOOI116 6/1/2011 6/1/2012 Der BOILY INJURY tPParson) S JX ALL AUTOS JED _. AUTOS CEO SCHED HIRED AUTOS ANUTOSYNIED BODILY INJURY (Par e¢idargJ S _PR.O ERTY DAMAGE scdent S S X UMBRELLA IJAB X OCCUR EACH OCCURRENCE S 1,000,000 A EXCESS LIAR CLAIMS-NIADE PSE0001038 7/24/2011 7/24/2012 AGGREGATE S 1,000.00 DIED I X J RETENTION S A �VOAKERS COMPEN S'no" AND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE Y I N OFFICER/MEMBER EXCLUDED? (YanWtory In NH] OE SCRIPTION OF OPERATIONS Eelow NIA PSW0001177 9/1/2011 9/1/2012 X YVCSTATL-OTH- E.L. EACH ACCIDENT S 1.000.000 E.L. DSSEASE -EA EMPLOYC- S 1,000, 000 E.L. DISEASE -POLICY LIMIT 5 1.000,000 B Professional Llab OPLO3310 11/8/2010 11/8/2011 1.000.000 �P.rClalm B Ded.-$5.000 DPLO33:10 11/8/2010 11/8012011 Aggregate 2,000,000 DES MPT N OF OPERATIONS I LOCATIONS I VEHICLES IAn.CN ACORD t01, Addabnel RemerMe SrJutluh, a more ePeee le r�gWre - Re: All Operations of the Named tnsured PRO V E0 AS T� FORM The City of Santa Ana is additional Insured as respects genaml liability per the attached endorsement aura Stitt Sh ed Assistant City A torney SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED SH ACCORDANCE WITH THE POLICY PROVISIONS. The City of Santa Ana Attn: Michelle Walker AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza M-36 _r „ 1 1 � a 1 O 20 Box 1988 '^^"'vJr, Santa Ana CA 92702-1988 ® 1988-2010 ACORD CORPORATION. All riahts reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD