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DATE APGRAM CERTIFICATE OF LIABILITY INSURANCE 1 08/04/2009) PRODUCER (619) 574-6220 FAX (619) 574-6288 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Insurance Office of America, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR DBA IOA Insurance Services ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1775 Hancock Street, Ste. 180 INSURERS AFFORDING COVERAGE NAIC # San Diego, CA 92110 INSURED Gillis & Panichapan Architects, Incorporated INSURER A: Travelers P&C Co. of America 25674 2900 Bristol St. Suite G205 Costa Mesa, CA 92626 k CPWO _o + -2w-b,-1 3 INSURERB: Travelers Cas.Ins Co of Amer. INSURERc: Ace American Ins. Co. 22667 INSURER D: INSURER E: COVERAGE5 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. DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE fMMIDIVYY) LIMITS rA NqRr GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 6802841L495 07/24/2009 07/24/2010 EACHOCCURRENCE $ 1,000,000 PRFMI�FDAMAGES ( RENTED Ea occ $ 300 000 MED EXP (Any one person) $ 10,000 CLAIMS MADE � OCCUR PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PROJECT LOC AUTOMOBILE LIABILITY ANY AUTO BA9193 LO91 01/11/2009 01/11/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS Y�i� �-PPROV 1,�_) /",.S � 0 F'OTflt, 1�1 HIRED AUTOS NON -OWNED AUTOS // ' `-��+/ F� - BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ Sheed GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG $ ANY AUTO $ EXCESS/UMBRELLA LIABILITY X OCCUR FICLAIMS MADE CUP6785Y338 07/24/2009 07/24/2010 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,000 $ A $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? UB711OY24109 09/01/2009 09/01/2010 X I WC STATU- oTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,00 If yes, describe under SPECIAL PROVISIONS below C OTH ro�essional Liability laims Made EONNO4080506 11/08/2008 11/08/2009 $1,000,000 each occurence $2,000,000 aggregate $5,000 deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS e: All Operations of the Named Insured The City of Santa Ana is additional insured as respects general liability per the attached endorsement. *10 Days Notice of Cancellation Applies for Non -Payment of Premium. RTIF T DER �.Ary CLLA I I - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL The City of Santa Ana *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn : Michelle Walker, i 20 Civic Center Plaza M- 36 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 1988 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Santa Ana, CA 92702-1988 AUTHORIZED REPRESENTATIVE _T_ [KellyHowel 1 CABRAS 4{1 tU V a®n �Ck ACORD 25 (2001108) ©ACORD CORPORATION 1988