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<br />ACORDTII CERTIFICATE OF LIABILITY INSURANCE I DATE (MPNllDIYYYY) <br />-'.. 10/2912007 <br />PRODUCER THIS CERTIACATE IS ISSUEO AS A MATTER OF INFORMATION <br />Hull & Company, Inc. - Newport Beach ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />1600 Dove Street, Suite 315 HOLDER. THIS CERTIFICATE DOES NOT AMEND, exTEND OR <br />Newport Beach. CA 92660 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE HAIC# <br />t1SURED INSURER,\; NAUTILUS INSURANCE COMPANY <br />I W~er, Inc. INSURERB: <br />11-A Marroni A -/<OO?-/~i <br />Irvine. CA 92618 INSURERC: <br /> INSURER 0: <br />I INSURER E: <br /> <br />COVERAGES <br /> <br />THE POlICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING <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 POUCIES 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 />TR IM_~ POLICY NlJIIBER POLICY EfFECTlIIE POLICY EXPIRATION uwrrs <br /> ~EIW. LWIILrrY EACH OCCURRENCE 1$ 1000000 <br /> ~ 311MERCIAl GENERAl LIABILITY OAMAI!E1~~~? 1$ 100000 <br /> PREMISES n oc;wn,nc"l <br />A c-- CLAIMS MADE [8] OCCUR BN697479 10127/2007 10127/2008 MED EJCP (Anv on" p"""",) $ 2500 <br /> ONners & Cortractors PERSONAl & PCN INJURY $ 1000000 <br /> GENERAl AGGREGATE $ 2000000 <br /> nLAOOREnLIMIT Af'nSPER; PRODUCTS-COMPK>PAGG $ 2000000 <br /> POlICY ~~~ LOC <br /> ~OM06R..EUABLllY COMBINED SINGLE LIMIT $ <br /> ANY AUTO (En accident) <br /> c-- <br /> '-- All OV\IIIED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (per person) $ <br /> f- <br /> I-- HIRED AUTOS SODIL Y INJURY <br /> NON-OWNED AUTOS (per nccil....O $ <br /> - <br /> - PROPERTY DAMAGE $ <br /> (per nccilenl) <br /> GARAGE lIAIIILITY AUTO ON.. Y - EA ACCIDENl" $ <br /> ~-ANY AUTO OTtER THAN EAIICC $ <br /> AUTO ONLY; AGO $ <br /> EXCeSSllJll~LU. UA.BLlTY EACH OCCURRENCE $ <br /> :::J-OCCUR 0 CLAIMS MAIlE AGGREGATE $ <br /> $ <br /> ~ DEDUCTiBlE $ <br /> RETENTION $ $ <br /> WOIlKERS COMPENSATION MID I.WCSTATU-, I . ro&,- <br /> E.....LOYERS. LWIIUTY TORY';'MITS <br /> ANY PROPRlElORlPARTN:Ri!'XEamVE E.L.EACHACCIOENT $ <br /> OFFICERlMEMBEREXCLLOElJ? E.L DISEASE-EAEMPLOYEE $ <br /> I.v....d_under <br /> SPECIAL PROVISIONS beIaw E.L, DISEASE - POliCY LIMIT $ <br /> OlllER <br /> ,,--n ~3 <br /> . A~ _"4 <br />DESCRIPTION Of OPERATIONS ILOCAlIONS I \/BiICLES/EXCLUSIONS ADDED BY ENDORSe.EMT I SPl:C1A/.. PROVISIONS _..~, <br /> -::-, '.-.- <br />CERTlACATE HOLDER IS NAMED AS ADDITIONAL INSURED PER FORM 5114 <br />.10 DAY NOTICE APPLIES FOR NON-PAYMENT OF PRMEIUM <br /> I <br /> -..c <br /> :r.> <br /> ::x <br /> <br />CERTIFICATE HOLDER <br /> <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA - ROSS ANNEX(M-) <br />SANTA ANA. CA, 92701- ", . " <br />it "L ~ J : <br /> <br />CANCELLA lION <br /> <br />~ <br /> <br />"-'i : ~ ~..j (~!v1 <br /> <br />SHOILD ANY(lF nE ABOVE DESCIlIIIED POLICIES BE CA~g!.EF~ EXPIRATION <br />DATE THEREOF, TIE ISSUtlG tlSURER WIlL ENDEAVOR TO MAi?' .....::Jll...Mya WRITTEN <br />NoncE TO THE Q:KI1FICATl: HOLDER NAIlED TO 1lIE LEFT, BIIT fAUlRl: TD 00 SO SIIAU. <br />NPOSE NO OBUGATION OR LMUTY OF mt KIlt) UPON ntE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />MmlCIIIZED REPRESENTATIVE <br /> <br /> <br />_~ /Il <br /> <br />ACORD 25 (2001/08) <br />