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. <' A) - ;Zoo 7 . D:'J 1 , ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDfYY) ~ 8/?R/2n08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Rehton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Santa'Ana CA 92711-0550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED INSURER A: Zurich American Insurance Co. Tait & Associates Ine INSURER B: Steadfast Ins. Co. P.O. Box 11118 INSURER c: Santa Ana CA 92711-1118 INSURER 0: I INSURER E: HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. l~:: TYPE OF INSURANCE I POUCY NUMBER POUCY EFFECTIVE I POLICY EXPIRATION UMITS A GENERAL UAB1LITY GL0921171803 ,9/1/2008 9/1/2009 EACH OCCURRENCE $1 000 000 ~:. COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $500 000 G CLAIMS MADE [i] OCCUR MED EXP (Anyone person) $10 000 X CONTRACTUAl PERSONAL & ADV INJURY $1 000 000 ----, $0 nnn nnn lL'B FPD . XCU GENERAL AGGREGATE ~'LAGG:E~E LIMIT APPLIES PER: -,~ loA PRODUCTS - COMP/OP AGG $2 000 000 I POLICY X ~~9.;. Ii LOC ' " iS~MOBILE LIABILITY BAP921171903 19/11~&8~ 9/1/2009 COMBINED SINGLE LIMIT X ANY AUTO '. ~;,jdJC- (Ea accident) $1,000,000 - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) - "I. .' L HIRED AUTOS '- >-i, \ ' BODILY INJURY $ A- NON-OWNED AUTOS -r."W- \" (Per accident) PROPERTY DAMAGE $ , (Per accident) ~~GE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ ; AUTO ONLY: AGG $ B EXCESS LIABILITY :SE0921172003 9/1/2008 9/1/2009 EACH OCCURRENCE $4 000 000 ~'OCCUR D CLAIMS MADE AGGREGATE $4 000 onn Professional '$ ~ DEDUCTIBLE Liabilitv $ RETENTION $ is E '~'"'''n''' $ A WORKERS COMPENSATION AND IWC913114902 '9/1/2008 9/1/2009 X I TVX~~T~I,~~ I IOJbI-' I EMPLOYERS' LIABILITY E.L. EACH ACCIDENT , $1 000 000 E.L. DISEASE - EA EMPLOYEEI $1 000 000 , E.L DISEASE-POLICY LIMIT I $1 noo Don A I OTHER EOC921336603 9/1/2008 9/1/2009 Per Claim $1,000,000 IProfessional Liability Annual Aggregate $1,000,000 :Claims Made I i DESCRIPTION OF OPERATtONSILOCATIONSIVEHICLESlEXCLUSIONS ADDEO BY ENDORSEMENTfSPECIAL PROVISIONS peneral Liability policy excludes claims arising out of the performance of professional services. ~NDPDEPENDENT CONTRACTORS INCLUDED f~: UST Removal next to City Hall. The Certificate Holder is hereby named as Additional Insured as respects General ~iability per the attached endorsement. CERTIFICATE HOLDER I , ADDITIONAL INSURED: INSURER LETTER: CANCELLATION' n n~VQ "~H ~Q "~r "~n nt- ~HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of Santa AnajOffice of the City ~EFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER ~ILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE Attorney FERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO P. Q. Box 1988 ~HALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Santa Ana CA 92702 tHE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTA Ill.. .... .A .. ~ V , r PI.. -Y''''V!:./ I -" ACORD 25-5 7/97 @ACORD CORPOR1l:TION 1988 COVERAGES