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<br />ACORD", <br /> <br />,-..:: rrn t= I L"'" l.\ T E fY,;: <br />._.~ <-._ -, " , ~;1 . ',;i:o. iI .."..,.. . <br /> <br />"'3- H i"~->V fi'\.JSURA" . <br />; 'i::""! I l~ , N <br /> <br />OPID <br />MM~-P-l 08/28/07 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY TH;o POLICIES BELOW. <br /> <br /> <br />I INSURERS AFFORDING COVERAGE I NAIC # <br />INSURER A The Hartford Casual ty Ins. Co. 22357 <br /> <br />OA TE (MM/DDll' r'Y) <br /> <br />PRODUCER <br /> <br />THE HAUSER GROUP <br />8260 Northcreek Dr. <br />Cincinnati OR 45236 <br />Phone: 513-745-9200 <br /> <br />Suite 200 <br /> <br />Management Partners, <br />Gerald Newfarmer <br />1730 Madison Road <br />Cincinnati OH 45206 <br /> <br />Fax:513-745-9219 <br />N . ZOOt"]. Of::."J <br /> <br />Inc .N ,2.C)O 'I - 002. <br /> <br />INSURER B <br />INSURER C <br />INSURER 0 <br />INSURER E. <br /> <br />INSURED <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 />1NSR = TYPE OF INSURANCE POLICY NUMBER ~9N~iri~rJ~~E P~k~<iYfij~b~JW LIMITS <br />LTR <br /> GENERAL LIABILITY I EACH OCCURRENCE $$1,000,000 <br /> "--- I <br />A X X COMMERCIAL GENERAL LIABILITY 33SBALU7089 09/28/07 09/28/08 PREMISES (Ea occurence) $ $300,000 <br /> 1 CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $$10,000 <br /> ~ Contractural PERSONAL & ADV INJURY $$1,000,000 <br /> __ Liabili ty GENERAL AGGREGATE $$2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $$2,000,000 <br /> ~ !xl PRO. n Ltd. EPL $5,000 <br /> POLICY X JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $$1,000,000 <br /> - <br />A ~ ANY AUTO 33UECTI2490 09/28/07 09/28/08 (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> - $ <br /> ~ SCHEDULED AUTOS I (Per person) <br /> ~ HIRED AUTOS BODIL Y INJURY <br /> $ <br /> ~ NON.OWNED AUTOS (Per aCCident) <br /> - PROPERTY DAMAGE $ <br /> (Per aCCident) <br /> GARAGE LIABILITY AUTO ONL Y . EA ACCIDENT $ <br /> ==l ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ $2,000,000 <br />A ~ OCCUR o CLAIMS MADE 33SBALU7089 09/28/07 09/28/08 AGGREGATE $ $2,000,000 <br /> $ <br /> R DEDUCTIBLE $ <br /> X RETENTION $10,000 $ <br /> WORKERS COMPENSATION AND I TO'Ry\'IM:f'S I xi cJh1- <br />A EMPLOYERS' LIABILITY 33SBALU7090 09/28/07 09/28/08 $ $1,000,000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? EMPL. LIAB. ONLY E.L. DISEASE - EA EMPLOYEE $$1,000,000 <br /> If yes, describe under E.L. DISEASE - POLICY LIMIT $ $1,000,000 <br /> SPECIAL PROVISIONS below <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />The Certificate Holder is added as an Additional Insured as respects to all <br />projects associated with the Named Insured under normal operations. <br /> .. , <br /> -1".'--,' <br /> -./. / I.. <br /> . 'I" .. / <br /> ./ /' ".. .. - '.f / <br /> / _' / "'~ ___..' c <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />SANTA A <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE QANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br />REPRESENTATIVES. <br />A :LXX:TIVE <br /> <br /> <br />City of Santa Ana <br />Clerk of the City Council <br />#M-30 <br />20 Civic Center Plaza <br />Santa Ana CA 92701-4058 <br /> <br />ACORD 25 (2001/08) <br /> <br />