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~ACARD CERTIFICATE OF LIABILITY INSURANCE OP ID S DATE (MM/DD/YYYY) <br />TROCOlC OS 14 07 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Nilne & SNC Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />17 SO Sast Glendale Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Phoenix AZ 85020-5505 '' <br />Phone: 602-395-9111 Fax:602-395-0222 (INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A. loin Ciey Hza Inevranca co 0636 <br /> ~ INSURER B'. <br />Troxell COIIIIIIUAi C8tionB, Inc• INSURER C: Kilae z a1aC iaeuzeane Services <br /> <br />4830 South 38th Street <br />40 _ <br />INSURER D'. CA Non Residence Licease <br />Phoenix AZ 850 INSURER E: #0863335 <br />COVERAGES <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 ANV CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBIECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER GATE MMIDDIVV GATE MMIDDM/ LIMITS <br /> ', GENERAL LIABILITY EACH OCCURRENCE i $ SO OOO OO <br />A X ~ COMMERCIALGENERALLIABILITY 59UIINQL2541 05/01/07 05/01/08 PREMISES (Eaoccurence $ 300000 <br /> CLAIMS MADE OCCUR MED EXP (Any ona Pefsan) $SDODO <br /> PERSONAL BADV INJURY $lOOOOOO <br /> _ GENERAL AGGREGATE $ ZOOOOOO <br /> GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGG $2000000 <br /> POLICY X jECOT LOC <br /> AUT OMOBILE LIABILITY ^ r^> <br />T4 <br />`v1~ <br />SINGLE LIMIT <br />D <br />l <br />$ <br /> ANY AUTO ATnTT O`/4..~ <br />1 L` <br />L S <br />-J I <br />Ea ecc <br />iUe <br /> ALL OWNED AUTOS [-jy <br />;) I BODILY INJURY <br /> SCHEDULED AUTOS <br />/// <br />i (Per pefeon) <br />$ <br /> HIRED AUTOS / <br />, .~( it '° may 'i BODILY INJURY <br />I . NON-OWNED AUTOS ` <br />``~ <br />t <br />~ Y ALtoraey, (Par accident) $ <br /> ' psSLSCan <br /> - <br />' ''i PROPERTY DAMAGE $ <br /> (Pet accitlant) <br /> GARAGE LIABILITY AUTO ONLY-Eq ACCIDENT $ <br /> ANY AUTO <br />' EA ACC <br />OTHER THAN $ <br /> AUTO ONLY. AGG $ <br /> EXCESS/UMBRELLA LUIBILITV ,EACH OCCURRENCE I $ <br /> OCCUR C,CLAIMS MADE ~ AGGREGATE $ <br /> _ S <br /> DEDUCTIBLE $ <br />' RETENTION $ g <br /> WORKERS COMPENSATION AND ~ TORY LIMITS ER <br /> EMPLOYERS' LIABILITY '.. -- - <br /> ANVPROPRIE70R/PARTNER/EXECUTIVE I E.LEACH ACCIDENT ~ $ <br /> OFFICERIMEMBER EXCLUDEO4 <br /> <br />d ~ <br />I E.L. DISEASE-EA EMPLOYEE <br />$ <br /> I! s. <br />escnba under <br /> SPECIAL PROVISIONS Oalmv E.L. DISEASE -POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION DF OPERATIONS I LOCATIONS! VEHICLES! E%CLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />IIpon award of bid, The City of Santa Ana and its officers, employees, <br />agents, volunteers and representatives are added as additional insured with <br />respect to General Liability per coverage form CG2010 (7/04) This coverage <br />is primary and non-contributory and cross liability is included per Hartford <br />coverage form 800001 (6/05), attached.*10 days nonpayment. <br />CERTIFICATE HOLDER CANCELLATION <br />n~A~.L+I,l. SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%PIRA710N <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 O * DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />The City Of Sdnt8 AAa <br /> <br />20 Civic Center Plasa IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Santa Ana CA 92701 REPRESENTAT <br />IV <br />ES. <br /> / <br />/ <br />' 7,~ <br />A~a+,C (/~ N///~ <br />ACORD 26 (2001108) ®ACORD CORPORATION 1968 <br />TAC2XELL Gt?MAAUNfCAT10fVS. I1VC <br />