<br />ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 n I DAT1!jMlOllIlII'\'YYl
<br />IIIITBGH OS/21/DS
<br />....UCER THIS CERTlFICATE IS ISSUED NS A MATTER OF INFORMATION
<br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTlFICATE
<br />(PAl 11effernan Insurance 'Brkra HOLDER. THIS CERT1fICATIi DOES NOT AMEND. EXTEND OR
<br />lS0SA BllbarcaderO Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />palO Alto CA 94303
<br />phone, 650-S42-5200 Pa,tl650-S42-52D1 INSURERS AFFORDING cOVERAGE NAlC'
<br />......, -'" redera1 Insurance C 202S1
<br /> ~e Billi~ Resource INBURER Ii: ~ ~. Co. of caUf.
<br /> Iuaate Cal ing Solutions LLC .........'" GRBAT _ICAH DlsllRANCB 16691
<br /> Bvan ~r
<br /> 5SS3 JlU I'err~ri INSuRER D:
<br /> San Jose CA 9 13S
<br /> .........e
<br />
<br />rJ - ~7-D(Q \
<br />
<br />THE POUaES OF INSURANCE usreDBELOW ~VE BEEN I8BUED TOlHE INSURED NAMeDABOYE FORl11E POUCY PeRIOD INDtCAlED. NC)1WllHSTANDloNG
<br />PM'f ReQl.lR!MeNT. T!RM OR CONomON 01 NlYCONTRACT OR OTHeR OOCuM!NTWrrH Re8PECTTO WHICH nlISCERT\f\CAlC MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURAMCE AFFORDED DYniE POlICIES DESCRIBED HEREIN IS SUBJECT TO ALL 1HE TERMS. EXCLUSIONSAND CONDITIONS OF SUCH
<br />PQJCIES.IGGREGATE LUTS 6ttOWfII MAY HAYEaeEN REDUCED BY PAID CLAIMS. ,~ EACHOCCURAENCe
<br />~ TYP.OF~ pCJI.IGYNUMII&A LMT8
<br /> ~......urt .1,000,000
<br />A X X CONMERCIAI.. GENERAL l.IIlBIU1'Y 35760215 04/24/0S OS/01/0S ........ -' s 1,000,000
<br /> ~ClAlUS.....m"""'" MED EXP (My one penon) . 10,000
<br /> - .500,000
<br /> - PSSOfW.. & KJV INJURV
<br /> GENERALAGGREGATE .2.000.000
<br /> n~AG~f!I.lMfr APP~~tlPER: PRODUCTS- COMPKJP AGG '2.000.000
<br /> POLICY ~ 1..OC
<br /> ~UA8lUTY eoM1INED BlNQLE UrAT . 1000000
<br />A .!. "'" Al1TO 73502325 04/24/0S OS/01/0S (l!a-
<br /> - ALl CMlNEC HJTOS BOOLVIN.I.IRV
<br /> (""""'" .
<br /> - sa-lEDOLEDAUTOS
<br /> ~ HlRS> AUTOS BODLV"","""
<br /> .
<br /> ~ NON-()\oVNED AUTO& (PwIlCddMd)
<br /> PROI'ER1Y- .
<br /> (PerKddenl)
<br /> ~~ AIJl'O otL y . EAN:X:lDENT .
<br /> ""'OR THH< ......., .
<br /> AUTO Qtl,.V: "'" .
<br /> II!XCII!IIWIII!IIlIElJ.,A UA8tUt'Y EICH OCCURRENCE .4.000.000
<br />A tJOCCUR 0 (UIl.tS..... 93631979 04/24/0S OS/01/0S """REGAT1! '4,000.000
<br /> .
<br /> ~ ~etKJCTBLE .
<br /> X RETENTiON .0 X hCRVuumi I m .
<br /> WORKERS c:oMPEJISATIOM AND
<br /> ""'""""""- 16565304 05/11/0S OS/10/0S
<br />B Nt( PIO'RIETQRIPARI'NERIE)CB:U1NE .....EACH.o<:<:IllI!I<T .1000000
<br /> Ofr.cER/IAEl~OCWDeo'l EJ.. otSEASE . EA. e .1000000
<br /> ~....=..-- E.L.I:KSEA8E. POUCYUMlT . 1000000
<br /> or_
<br />C work Ccap WC617417303 05/11/0S OS/10/0S Ba.Aco.st 1000000
<br /> Out of state Pol Limit 1000000
<br />~TIDN or OPBtATtoJIII r LOCATlOfiIlrViiiCUlrEiCCLUllONS ADDED aveNt'OR IT IIPICIALPRO.-DMI
<br />Rea Per contract on file.
<br />Tbe City of Santa Ana, Its officers. employess, agents, volunteers &:
<br />repres_tatives ara ad4itionel insured for CcaMrciaJ. G_araJ. Liability ODly
<br />for operatione of the insured. coverage is consic!ere.s priIIIarY &
<br />non-cO:D.tributory , subject to the policy terma, COJ1d1 tiOD8 &: .. .Cont...
<br />
<br />COVERAGES
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<br />CERT1fICATE HOLDER
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<br />SAllTAN3
<br />
<br />CANCELLATION
<br />stOUl..D MY OF THi AW:NE lESCRIBSJ pDLIC1E8 B& CANCI!UID BeFORE tHE EXPlRATlCJtII
<br />DAn.,....". nta1alUltGlIilauRWtWLLIDIDMVORTOMAL ~ DAVSWRI'TT&N
<br />tIO'I'1C'&TO ntE csmFlCATE HOLDER NAMED TO THE LEFT,BUT FALURE TO DO so SHALL
<br />..-olE NO Q8IJIliA1lON OR UNlLITY OF Nf'( KIND UPON 1116 1NSURIR. ITS N31!HT& OR
<br />.........,.~
<br />AUTHD
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<br />@ACORDCORPORATlON 1988
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<br />City of San~a Ana
<br />City Attorney
<br />20 Civic Center P1(K-29)
<br />Santa Ana, CA 92702
<br />
<br />ACORO 25 (2001108)
<br />
<br />!k1/!J
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