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r ��M CERTIFICATE OF LIABILITY INSURANCE 10/30/2008 <br />PRODUCER (619) 574-6220 FAX (619) 574-6288 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Insurance Office of America, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />DBA IOA Insurance Services ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />1775 Hancock Street, Ste. 180 <br />San Diego, CA 92110 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Gillis & Panichapan Architects, Incorporated INSURERA: Travelers P&C Co. of America 25674 <br />2900 Bristol St. Suite G205 INSURERB Travelers Indemnity Company 25658 <br />Costa Mesa, CA 92626 INSURERc: Travelers Indemnity Co of Ct 25682 <br />Z/ / INSURERD: Ace American Ins. Co. <br />— 206 — L � I 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 />INSR <br />DD' <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />DATE (MMIDD[YY) <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X I COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE a OCCUR <br />6802841L495 <br />07/24/2008 <br />07/24/2009 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE TO RENTED <br />$ 300,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY X PROJECT LOC <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BA9193LO91 <br />1 <br />01/11/2008 <br />01/11/2009 <br />,I <br />—�� 1�j� <br />./ <br />' <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />X <br />BODILY INJURY <br />(Per person) <br />$ <br />BODILY INJURY <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />E <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />A <br />EXCESS/UMBRELLA LIABILITY <br />X OCCUR ❑ CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />CUP6785Y338 <br />07/24/2008 <br />07/24/2009 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />AGGREGATE <br />$ 1,000,000 <br />$ <br />$ <br />$ <br />C <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />If yes, des vibe under <br />SPECIAL PROVISIONS below <br />UB711OY24108 <br />09/01/2008 <br />09/01/2009 <br />X I WC STATU- OTH- <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />----.—_.._ <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />D <br />Proi�essional Liability <br />laims Made <br />EONNO4080506 <br />11/08/2008 <br />11/08/2009 <br />$1,000,000 Claims Made <br />$2,000,000 Aggregate <br />$5,000 Deductible <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />e: All 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 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 --r <br />Kelly Howell/BROWNK 4f� d�QW <br />ACORD 25 (2001/08) ©ACORD CORPORATION 1988 <br />