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A -o?00 6 - OAS <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE <br />DATE "" 00 ' <br />PRODUCER (949) 851 -8800 FAX: (949) 851 -8802 <br />GSM Insurance Services <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Lic. #OD15612 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Ana, CA 92702 <br />30 Corporate Park #307 <br />Irvine CA 92606 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURER A: Nautilus Ins Co <br />INSURERB:Great Divide Ins Co <br />Curbside, Inc. <br />INSURER C: <br />1160 N. Armando St <br />INSURER D: <br />INSURER E: <br />Anaheim CA 92806 -2609 <br />OVERALGFS <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />kTE LIMITS SHOWN Y HAVE BEE 4 REDUCED BY AIDCLAIMS, <br />T YPE OF INSURANCE <br />POLICY NUMBER <br />DATE( EMf�TNE <br />Pp tY EXPIRATION <br />uRwrts <br />GENERAL LIABILITY <br />H RR N g <br />$ 1, 000, 000 <br />DAMAGE 70 RENTED n <br />$ 10 0 , 0 0 0 <br />r1NSR'ADD'L <br />COMMERCIAL GENERAL LIABILITY <br />CIAIMSMADE ® OCCUR <br />ZCPO 0200181 -10 <br />8/23/2007 <br />8/23/2008 <br />MEDEXp (Any one <br />$ 51000 <br />vl <br />$ 11000,000 <br />EN <br />$ 11000,000 <br />GEN'L AGGREGATE LJMIT APPLIES PER. <br />p _ COMP/ OP <br />$ 1,000,000 <br />X POLICY P T L <br />AUTOMOBILE LABILITY <br />X ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 11000,000 <br />BODILY INJURY <br />(Per Person) <br />$ <br />B <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HAP 0200182 -10 <br />8/23/2007 <br />8/23/2008 <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON-OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LJABRJTY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN <br />$ <br />ANY AUTO <br />-_ <br />AUTO ONLY: A <br />EXCESSAIMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$_ <br />AGGREGATE <br />$ <br />OCCUR FI CLAIMS MADE <br />DEDUCTIBLE <br />RUENTION <br />�f <br />�} <br />$ <br />WORKERS COMPENSATION AND <br />/ <br />Wr <br />LIMITS I O R <br />E.L. EACH ACCIDENT <br />J <br />$ <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORrPARTNERIEXECUTIVE <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />OFFICERIMEMBER EXCLUDED? <br />E.L. DISEASE - ICY LIMIT <br />H yes, describe under <br />SPECIAL PROVISIONS <br />A <br />OTHER Contractor's <br />SCPO 0200181 -10 <br />8/23/2007 <br />8/23/2008 <br />Bach Pollution Cond. $1,000,000 <br />Pollution Liability <br />aggregate $1,000,000 <br />DESCRIPTION OF OPERATIONStLOCATIONSNEMCLES (EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />The general liability policy includes the City of Santa Ana, its officers, employees, agents,volunteers and <br />representatives as additional insured with regard to Mork performed by or on behalf ofthe Named Insured where require <br />by written contract. *Rxcept 10 days for nonpayment of premium. <br />CERTIFICATE HOLDER i i - CAN 6 LATION <br />{.� <br />SHO1IkWANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City of Santa Ana <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL .�IXI�II�il�i MAIL <br />Department of Public Works ZE :6 ;. KY �,{ E' + <br />20 Civic Center Plaza, M -21 <br />AYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />Sandra Dodge /SED <br />ACORD 25 (2001/08) ® ACORD CORPORATION 1988 <br />wcn -ja -- moo., V— I „r 9 <br />