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ACORD,a CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DDfYYYY]i <br />1 0110312008 <br />PRODUCER (619)574-6220 FAX (619)574-6288 <br />Insurance Office of America, Inc. <br />AAA <br />DBA IDA Insurance Services 7-75 <br />1775 Hancock Street, Ste. 180 <br />San Diego, CA 92110 A-aaOO6-1?a— <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 />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED Gillis & Associates Architects Inc. <br />2900 Bristol St. Suite G205 A-3ooff-011 <br />Costa Mesa, CA 92626 <br />INSURERA Travelers <br />INSURERB: Ace American Ins. Co. <br />INSURER <br />INSURER D'. <br />INSURER E. <br />V 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 />INSft <br />T.GENERAL <br />DD'dif. <br />rypE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POUCY EXPIRATION <br />LIMITS <br />LIABILITY <br />6802841L495 <br />0712412007 <br />0712412008 <br />EACH OCCURRENCE <br />$ 1,000,00C <br />DAMAGE TO RENTED <br />$ 300,006 <br />X COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one pe,aon) <br />$ 5,000 <br />CLAIMS MADE F—X] OCCUR <br />PERSONAL S ADV INJURY <br />$ 1 ' OOQ, OQ <br />A <br />GENERAL AGGREGATE <br />$ 2,000,00( <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,00 <br />POLICY X JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />6802841L495 <br />0712412007 <br />0712412008 <br />COMBINED SINGLE LIMIT <br />$ <br />ANY AUTO <br />(Ea accident) <br />Include <br />BODILY INJURY <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per person) <br />A <br />X <br />BODILY INJURY <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />(Per accident) <br />X <br />PROPERTY DAMAGE <br />$ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: AGO <br />EXCESSIUMBRELLA LIABILITY <br />CVP678SY338 <br />0712412007 <br />0712412008 <br />EACH OCCURRENCE <br />IT 1,000,006 <br />AGGREGATE <br />8 1,000,00 <br />X OCCUR CLAIMS MADE <br />IT <br />A <br />S <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />UB711OY241 <br />0910112007 <br />0910112008 <br />X WCSTATU- OTH- <br />E.L EACH ACCIDENT <br />$ 1, 000, 00 <br />EMPLOYERS' LIABILITY <br />A <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />E L DISEASE - EA EMPLOYEE <br />$ 1' 000' 0Q <br />E. L. DISEASE - POLICY LIMIT <br />S I,000, <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />Professional <br />EONNO4080506 <br />1110812006 <br />1110812008 <br />$1,000,000 each claim <br />B <br />Liability <br />$2,000,000 aggregate <br />Claims Made <br />$5,000 deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />e: A77 Operations of the Named Insured <br />The City of Santa Ana is additional insured as respects general liability per the attached endorsement. <br />*10 day notice if cancellation applies for non payment of premium. <br />The City of Santa AAa <br />Attn: Michelle Walker <br />10 Civic Center Plaza M-36 J <br />PO Box 1988 Y1 / 3 --- <br />Santa Ana, CA 92702-1988 - <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE —T— Ofl,/ ' I� I I <br />Kelly Howell/CASR45 uW Q�p <br />ACORD 25 (2001108) VAI:UKU WKYUKA 111 '11100 <br />