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,4CORDa CERTIFICATE OF LIABILITY INSURANCE <br />rn o�c7A_6720 FAX (619)574-6288 nuts Ceun rDNF RIS NO RGI <br />Insurance Office of America, Inc. <br />DBA IDA Insurance Services Jmg' � <br />1775 Hancock Street, Ste. 180 A <br />San Diego, CA 92110 <br />Gillis & Panichapan Architects, Incorporated <br />2900 Bristol St. Suite G205 <br />Mnca_ rA 92626 <br />A MATTER OF <br />UPON THE CE <br />:S NOT AMENI <br />INSURERS AFFORDING COVERAGE <br />INSURERA Travelers P&C Co. 01 <br />INsuRERB. Travelers <br />INSURERc. Ace American Ins. Cc <br />INSURER D <br />INSURER E <br />ca <br />DATE(MMIDDNYYY) <br />07/19/2008 <br />(FORMATION <br />TIFICATE <br />EXTEND OR <br />CIES BELOW. <br />NAIC 0 <br />nruere,.InIM(: <br />COVER A - �,,,.,., ,...,._ .. __. _ <br />THE POLICIES OF INSURANCE LISTED 9ELOW HAVE BEEN ISSUED TO THE INSURED NAMED <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAYPOLPERTAIN <br />THE INSURANCE <br />LIMITS SHOWN MAY HAVE BEEN REDES UCED[ <br />SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />CED BY PAID CLAIMS. <br />POLICYEFFECTIVE POLICY EXPIRATION LIMITS <br />POLICY NUMBER T nM 0 <br />INSR 00 TYPE OF INSURANCE <br />6802841L495 <br />07/24/2008 <br />07/24/2009 <br />OCCURRENCE <br />DAMHAGE <br />GENERAL LIABILITY <br />TO RENTED $ <br />X COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one person) $ <br />CLAIMS MADE � OCCUR <br />PERSONAL S ADV INJURY $ <br />A <br />GENERALAGGREGATE $ <br />PRODUCTS - COMPIOP AGG $ <br />GEN'L AGGREGATE LIMIT APPLIES PER'. <br />POLICY X JECT LOC <br />BA9193LO91 <br />01/N1/20D8 <br />01/11/2009 <br />COMBINED SINGLE LIMIT $ <br />AUTOMOBILE LIABILITY <br />�i <br />(Ea accident) <br />X ANY AUTO <br />BODILY INJURY $ <br />ALL OWNED AUTOS <br />(Per person) <br />FYa <br />SCHEDULED AUTOS <br />j <br />BODILY INJURY g <br />B <br />HIRED AUTOS <br />- i_ j s <br />- <br />j7 <br />(Per accident) <br />NON -OWNED AUTOS <br />�'s'� 'CS <br />PROPERTY DAMAGE $ <br />.. <br />(Per accident) <br />`1 <br />AUTO ONLY - EA ACCIDENT $ <br />GARAGE LIABILITY <br />T. <br />� •�'� <br />EA ACC $ <br />OTHER THAN <br />ANY AUTO <br />AUTO ONLY AGG $ <br />CUP6785Y338 <br />07/24/2008 <br />07/24/2009 <br />EACH OCCURRENCE $ <br />EXCESSIUMBRELLA LIABILITY <br />AGGREGATE <br />X OCCUR CLAIMS MADE <br />S <br />A <br />S <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />U67110Y241 09/Ol/2007 <br />09/Ol/2008 <br />WC STATU- OTH- <br />X <br />WORKERSCOMPENSATION AND <br />E L EACH ACCIDENT $ <br />EMPLOYERS' LIAMUTY <br />PROPRIETORIPARTNEWEXECUTIVE <br />E.L. DISEASE - EA EMPLOYEE $ <br />B ANY <br />OFFICERIMEMBER EXCLUDED' <br />E L DISEASE -POLICY LIMIT $ <br />Liability <br />C baims Made <br />1 <br />1 <br />1 <br />1 <br />;1,000,000 each claTn <br />$2,000,000 aggregate <br />S5,000 deductible <br />SCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PKUVIS,una <br />All Operations of the Named Insured <br />e City of Santa Ana is additional insured as respects general liability per the attached endorsement. <br />day notice if cancellation applies for non payment of premium. <br />The City of Santa Ana <br />Attn: Michelle Walker <br />20 Civic Center Plaza M-36 <br />PO Box 1988 <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 � A� JV-& <br />©ACORD CORPORATION 1988 <br />ACORD 25 (2001108) <br />