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To: City of Santa Ana From: Blanca Roque 5-18-01 2:59pm p, 2 of 1 <br />ACORN <br />�Nt <br />��:�_ >a ,p <br />i� 3 Daze (mm tldyy] <br />.I+ ,IFP vn 007 <br />�ti - ; 5/18/2, <br />�ISSUEDJ <br />Producer Blanca Roque <br />THIS CERTIFICATE IS AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />Wood -Gutmann & Boq art/IIIB <br />910 S. EI Camino Real, Ste B. <br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Clemente CA 92672 <br />INSURER Hartford Casualty Insurance Company <br />(949) 542-7800 <br />www.integrityint.com <br />INSURER Oak River Insurance Company <br />4_200'5-223 <br />(� �p <br />Insured <br />INSURER <br />Feldman, Rolapp & Associates <br />INSURER <br />19900 MacArthur Blvd, #1100 <br />Irvine CA 92612 <br />INSURER <br />E <br />'Ita 1F 1 <br />THE POLICIES F INSURA CE ISTE BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICY <br />POLICY <br />NSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />EFFECTIVE <br />DATE <br />EXPIRATION <br />DATE <br />LIMITS <br />A <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIAB <br />CLAIMS MADE MOCGUR <br />72SBAAF9892 <br />4/1/2007 <br />4/1/2008 <br />EACH OCCURRENCE $ <br />DRE DAMAGE one fire $ <br />MED EXP one arson $ <br />PERSONAL & AOV INJURY $ <br />GENERAL AGGREGATE $ <br />GEN'L AGG "Mfr APPLIES PER <br />PROOUCTS-COMPIOP AGG $ 2,000,000 <br />$ <br />POLICY RMECT LOC <br />AUTOMOBILE LIABILITY <br />A <br />ANY AUTO <br />72UECTQ4293 <br />4/1/2007 <br />4/1/2008 <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(Per person) S <br />BODILY INJURY <br />HIRED AUTOS <br />NON -OWNED AU T)S <br />(Per aecltlent) $ <br />PROPERTY DAMAGE <br />(Per eccltlera) $ <br />GARAGE LIABILITY <br />AUTO MY -EA ACCIDENT $ <br />ANY AUTO <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG$ <br />A <br />E CESS LIABILITY <br />OCCUR F1 CLAIMS MADE <br />72SBAAF9892 <br />4/1/2007 <br />4/1/2008 <br />EACH OCCURRENCE $ 3000000 <br />AGGREGATE $ <br />OEOJLTIBLE <br />$ <br />$ <br />REFENTION $ <br />B <br />EMPLOYERS'' LIgg�NSYTION& <br />2200050519071 <br />4/1/207 <br />4/1/208 <br />STATUTORY LIMIT TH \\e'I, 1-- <br />EL EACH ACCIDENT $ <br />EL DISEASE - EA EMPLOYEE $1000 00 <br />EL DISEASE - POLICY "MIT $ <br />DIERIPTI N OF OPERAI N L ATI VEHILE EX LU I N ADDEDBYEND EM Ni PE IALPR VI y T = <br />City of Santa Ana is named as additional insured per attached SS 00 08 04 05 <br />n <br />—A <br />_ <br />A,,:c„ atLur�;ev <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City of Santa Ana <br />Attn: City Clerk <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />30_� DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br />OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- <br />20 Civic Center Plaza <br />SENTATWES. 10 Days for Non -Payment ofPremlum <br />AUTHORIZED <br />REPRESENTATIVE lid. <br />Dan Gorman <br />Santa Ana CA 92702 <br />AtitC�S'��}FJ 7777777_777;vv <br />I ry n <br />