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ACORDM CERTIFICATE OF LIABILITY INSURANCE
<br />-ORP.
<br />08/011/07/07 DATE
<br />PRODUCER LIC #OE67768 1-925-416-7862
<br />ICA Insurance Services
<br />3875 Hopyard Road, Suite 240
<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 />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />EFFECTIVE
<br />DATE (MMIDDI
<br />Pleasanton, CA 94588
<br />Leslie Pancoast, CIC, RPLU
<br />INSURERS AFFORDING COVERAGE
<br />— -
<br />INSUREDg M _
<br />INSURERA. Fidelityand GuarantyInsurance Underwriters, Inc.
<br />INSURER B: ACE American Insurance Company
<br />r
<br />Fehr & Peers O2 W
<br />INSURERC:St. Paul Mercury Insurance Company
<br />100 Pringle Avenue, Suite 600
<br />INSURER D:
<br />Walnut Creek, CA 94596
<br />X COMMERCIAL GENERAL LIABILITY
<br />INSURER E.
<br />CUVtKAUMt
<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 ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES 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 />INSRPOLICY
<br />ITR
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />EFFECTIVE
<br />DATE (MMIDDI
<br />POLICY EXPIRATION
<br />VY)
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />BX01640723
<br />11/01/06
<br />11/01/07
<br />EACH OCCURRENCE $ 1,000,000
<br />FIRE DAMAGE (Any one fire) $ 500,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />MED EXP (Any one person) $ 10,000
<br />CLAIMS MADE LKI OCCUR
<br />PERSONAL & ADV INJURY $ 1,000,000
<br />GENERAL AGGREGATE $2,000,000
<br />GENT AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP/OP AGG $ 2,000,000
<br />PRO LOC
<br />POLICY X JPCIT
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />BX01640723
<br />11/01/06
<br />11/01/07
<br />COMBINED SINGLE LIMIT
<br />(Ea accident) $ 1,000,000
<br />ANY AUTO
<br />ALL OWNED AUTOS
<br />BODILY INJURY $
<br />(Per person)
<br />-
<br />SCHEDULED AUTOS
<br />X
<br />X
<br />HIRED AUTOS
<br />NON -OWNED AUTOS
<br />BODILY INJURY $
<br />(Per accident)
<br />PROPERTY DAMAGE $
<br />(Per accident)
<br />-
<br />GARAGE LIABILITY
<br />AUTO ONLY - EA ACCIDENT $
<br />OTHER THAN EA ACC $
<br />ANY AUTO
<br />AUTO ONLY: AGG $
<br />A
<br />EXCESS LIABILITY
<br />BX01640723
<br />03/28/07
<br />11/01/07
<br />EACH OCCURRENCE $5,000,000
<br />AGGREGATE $ 5,000,000
<br />X OCCUR EICLAIMS MADE
<br />$ --
<br />DEDUCTIBLE
<br />$
<br />RETENTION $
<br />C
<br />WORKERS COMPENSATION AND
<br />BW02198818
<br />09/01/06
<br />09/01/07
<br />X WC STATIT- 'ER -
<br />E.L. EACH ACCIDENT $ 1,000, 000
<br />EMPLOYERS' LIABILITY
<br />E.L. DISEASE - EA EMPLOYEE $ 1, 000, 000
<br />E.L. DISEASE -POLICY LIMIT $1,000,000
<br />B
<br />OTHER
<br />Professional Liability
<br />G21663049004
<br />12/06/06
<br />12/06/07
<br />Per Claim $1,000,000
<br />Annual Aggregate $2,000,000
<br />$
<br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
<br />All operations of the Named Insured, including project referenced below, if any.
<br />General Liability; See Additional Insured endorsement attached.
<br />Professional Services - Santa Ana Bench Contract, P4333
<br />City of Santa Ana, its officers, employees, agents, volunteers & representatives added as additional insureds as per
<br />attached endorsement; Primary/Non-Contributory; Separation of Insureds
<br />! Akl!`CI 1 ATIf1kl R in nAVQ Vn1 Tr•F. Fr1A N()N-PAYMENT OF PREMIUM
<br />ACUKU 25-5 (flVf) caroimurray
<br />6776245
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<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER WILL EM4X4WV4 MAIL 30 DAYS WRITTEN
<br />City of Santa Ana
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, t9iDi7F7LMXKXt1X&19130H=X
<br />/
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<br />20 Civic Center Plaza ..... _..
<br />_.r
<br />x, uarr w74gxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx x
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92702
<br />USA
<br />ACUKU 25-5 (flVf) caroimurray
<br />6776245
<br />XX
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