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I ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDA," PRODUCER (619) 574-6220 FAX (619) 574-6288 07/17/2009 Insurance Office of America, Inc. DBA IOA Insurance THIS CERTIFICATE IS ISSUED ASAMATTEROFINFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, 1775 Hancock Street, Ste. 180 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Diego, CA 92110 INSURED Gillis & Panichapan Architects, Incorporated INSURERS AFFORDING COVERAGE INSURERA #2900 Bristol St. Suite G205 Travelers P&C Co. of Am4Costa Mesa, CA 92626 Travelers Indemnit Co y2Ace A INSURER C American Ins. Co.7 INSURER D INSURERE: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION GENERAL LIABILITY 680284IL495 07/24/2009 07/24/2010 EACH OCCURRENCE LIMITS X COMMERCIAL GENERAL LIABILITY I $ 1 000 I CLAIMS MADE T OCCUR DAMAGE TO RENTED $ AMP, GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- JECT PLOC AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS A SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY 7 ANY AUTO )193LO91 Ol/11/200! APPR V i i ��, �, �Y EXP (Any one person) $ 10 PERSONAL & ADV INJURY $ 1 000 GENERAL AGGREGATE $ 2,000 PRODUCTS - COMP/OP AGG $ 2,000 _ _-- __ _ I COMBINED SINGLE LIMIT 1 4� (, � � � I (Ea accident) 1 $ k�at;r� Sritt� / ssistant CityF'0131G;l' EXCESSIUMBRELLALIABILITY A CUP6785Y338, 07 X 70 CCUR ❑ CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND UB 7110Y24108 09, EMPLOYERS' LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below C Professional Liability EONNO4080506 11/ laims Made 21PTION OF OPERATIONS 1 LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS All Operations of the Named Insured f of Insurance 10 Days Notice of Cancellation Applies for Non -Payment of Premium. City of Santa Ana Clerk of the City Council 20 Civic Center Plaza (11i PO Box 1988 Santa Ana, CA 92702 ACORD 25 (2001/08) 24 /I BODILY INJURY BODILY $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY AGG $ EACH OCCURRENCE $ AGGREGATE $ 1,000 1,000 1,000 E.L. EACH ACCIDENT $ 1,000 EE,L,DISEASE EASE - EA EMPLOYE $ 1 000 - POLICY LIMIT $ 1,000 $1,000,000 Each Claim $2,000,000 Aggregate $5,000 Deductible SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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 Kel l y HOWel l /SMTTAK OACORD CORPORATION 1988