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<br /> ACORD" CERTIFICA TE OF LIABILITY INSURANCE OP ID P9 DATE (MMIDDfYYYY) <br /> ORANG 9 08/09/07 <br />PRODUCER THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMA TIO" <br />Chapman & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License #0522024 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. o. Box 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Pasadena CA 91117-0455 <br />Phone: 626-405-8031 Fax: 626-405-0585 INSURERS AFFORDING COVERAGE NAIC# <br />-'- ~ - A~ d200~--"Jf.r7- - -- ----_.~_.~._--_._~--- ---- "---- --- -~--- ------ --- --- ----~------ <br />INSURED INSURER A Great American Insurance Co 16691 <br /> A- - ~OOb' dRJ 'T- 0 I INSURER B <br /> - <br /> Orange County Conservation Cor INSURER C <br /> 1853 N. Ra~ond Ave. INSURER D <br /> Anaheim CA 92801 <br /> INSURER E <br /> <br />COVERAGES <br /> <br />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 />'LTR rN~6 TYPE OF INSURANCE POLICY NUMBER PD'1.l;!~iJ~irf~~E ' Pg}fEYI~~b'1'N~N LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE .1,000,000 <br /> - UAMAGt. I U Kl::.N I t:u <br />A i X COMMERCIAL GENERAL LIABILITY PAC515468001 07/20/07 07/20/08 PREMISES (Ea OCGurence; , 100,000 <br /> I ~ - <br /> CLAIMS MADE X OCCUR MED EXP {Anv one person; ; 5,000 <br /> -- - <br /> PERSONAL & ADV INJUR\ 5 1,000,000 <br /> f----' <br /> I GENERAL AGGREGATE 52,000,000 <br /> - <br /> GEN'L AGGREGAE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 1,000,000 <br /> - ~ PRO- - i <br />; POUC"Y JEST I LOC . <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ~ (Ea aCCident) , <br /> AN' ALTC, <br /> - <br /> ALC OWNED AUTOS i BODILY INJURY <br /> -- $ <br /> . SCHEDULEO AUTOS (Per person} <br /> - <br /> HIRED AUTOS BODIL Y INJURY <br /> - $ <br /> ! NO~-OWNED AUTOS {Per accident'1 <br /> ~ <br /> . PROPERTY DAMAGE <br /> - I $ <br /> i (Per accident:, <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ; <br /> r--- . <br /> ANY ~UTC EA ACC $ <br /> ~- OTHER THAN <br /> i AUTO ONL Y AGG ' ; <br />, EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE ; <br /> - - <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> ,- - <br /> '-- , $ <br /> DEDUCTIBLE , i; <br /> I <br /> R::TENTlON $ , $ <br /> ! WORKERS COMPENSATION AND : TORY LIMITS i iUh- <br /> , ER <br /> EMPLOYERS' LIABILITY i --- <br /> , ANY PROPRIETOR/PARTNER/EXECUTIVE : EL EACH ACCIDEW ' $ <br /> I OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE; <br /> If yes. describe under i <br /> SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT S <br /> OTHER , <br />I <br /> I <br /> I <br /> I <br />DESCRIPTION OF OPERA TJONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />The City of Santa Ana, its officers, employees, agents and volunteers are <br />named additional insured with respect to the operations of the named insured <br />per the attached CG 2026 endorsement. Such insurance is primary and <br />non-contributory. 10 days notice of cancellation for non-payment of premi urn. <br />XX <br /> <br />CERTIFICATE HOLDER CANCELLATION <br /> <br />CITYSA1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> <br />DATE THEREOF, THE ISSUING INSURER WILL <br /> <br />TO MAIL 30 <br /> <br />DAYS WRITTEN <br /> <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> <br />ACORD 25 (2001/08) <br /> <br /> <br />@ ACORD CORPORATION 1988 <br /> <br />Lorena aloza <br />Assistant City Attorney <br />