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T)N CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER (949)756 -5730 FAX (949)756 -5740 THIS CERTIFICATE IS ISSUE <br />Spectrum Risk Mgmt. & Insurance Services ONLY AND CONFERS NO RI, <br />ia- HOLDER. THIS CERTIFICATI <br />CA Lic. #OC77485 <br />�o 0 $ -2(0 S' ALTER THE COVERAGE AFF <br />74 Discovery A-, ;oo(,o23 <br />DATE (MMIDDNYYY) <br />I AS A MATTER OF INFORMATION <br />HTS UPON THE CERTIFICATE <br />DOES NOT AMEND, EXTEND OR <br />Irvine, CA 92618 A- ioo,6 -3a5 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED TS <br />18281 Gothard St.,Ste.109 N_1gg9_211 <br />Huntington Beach, CA 92648 <br />A-_-:oo3_;L_3g <br />A- -10 O4 -0 <br />INSURER A'. Navigators Ins. Co. <br />42307 <br />INSURERS General Ins. Co. of America <br />LIMITS <br />INSURER St.Paul Fire & Marine Ins. Co. <br />hm <br />INSURER Cypress Insurance Company <br />10855 <br />1 INSURER E. <br />01/01/2009 <br />GOVtKAOtS <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 />INSR <br />DD' <br />OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />Community Development Agency <br />Santa Ana, CA 92701 <br />hm <br />GE <br />06CGL000481 -02 <br />01/01/2008 <br />01/01/2009 <br />EACH OCCURRENCE <br />$ 1,QD0,000 <br />PREMISES ETORENTED <br />$ 50,000 <br />X GENERAL LIABILITY <br />MED EXP (Any one person) <br />$ 5 , 00 <br />MADE � OCCUR <br />PERSONAL &A.OVINJUR; <br />$ 1,000,000 <br />A <br />KY <br />ENERAL AGGREGATE <br />$ 2,000,000 <br />GE LIMIT APPLIES PER' <br />PRODUCTS COMPIOPAGG <br />$ 1,000,000 <br />PRO LOD <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />24- CC- 153067 -2 <br />0110112008 <br />01101/2009 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />1,000,000 <br />X <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />B <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON OWNED AUTOS <br />BODILY INJURY <br />(Per accdent) <br />$ <br />X <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY ADS <br />$ <br />ANY AUTO <br />$ <br />EXCESSIUMBRELLA LIABILITY <br />X OCCUR ❑ CLAIMS MADE <br />QK04500369 <br />01/01/2008 <br />01/01/2009 <br />EACH OCCURRENCE <br />$ 4,000,000 <br />AGGREGATE <br />S 4,000,000 <br />IS <br />C <br />$ <br />DEDUCTIBLE <br />$ <br />X RETENTION $ 10,00 <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />3310010909 -071 <br />07/01/2007 <br />07/01/2008 <br />X WC STATU- 0TH <br />E EACH ACCIDENT <br />$ 1, 000 , 0oo <br />D <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,00 <br />E . DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />If yes describe under <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES) EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Re: Parking lot sweeping services. <br />The City its officers, agents, employees are named additional insureds with resepect to the GL and auto <br />liability per the attached forms. <br />Re: Notice below: 10 days notice for non - payment of premium and /or non - reporting of payroll. <br />CERTIFICATE HO DtK - - <br />/�� <br />- - -- -- • •_ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL NNBEAVOR O MAIL <br />The City of Santa Ana _7 J _JJ <br />_ <br />�30 DAYS WRITTEN NOTICE TD THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Attn: Carolyn Fullerton <br />20 Civic Center Plaza M -25 <br />Community Development Agency <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE 9'.'M /Uddlib ^ <br />]im Waterhouse /GINNIE <br />ACORD 25 (2001108) tEAGORD CORPORAT ION 1988 <br />