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<br />~4-( - <br />/11 ~ 2"07 -I t:J / <br /> <br />ACORD," CERTIFICATE OF LIABILITY INSURANCE I DATE IMMIODNY) <br />07/22/08 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1995 Los Robles Ave Ste 540 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Pasadena, CA 91101 <br />626 844-3070 INSURERS AFFORDING COVERAGE <br />- - - - .-- <br />INSURED INSURER A: Travelers Property Casualty Co of Am <br /> Elizabeth Maule & Stefanos Polyzoides INSURER B: Travelers Indemnity Co. of Connectic <br /> 180 E. California Blvd. . <br /> INSURER c: Evanst<:," Insurance Co",:,pany <br /> Pasadena, CA 91105 -- <br /> INSURER 0: <br /> - <br /> , INSURER E: <br /> <br />Clienl#.12718 <br /> <br />MOULEPOLY <br /> <br />COVERAGES <br /> <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 CONDtTlONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />INSR --p.Olley NUMBER --------rpQLlCY EFF'ECTIVE POLICY EXPIRATION <br />LTR TYPE OF INSURANCE ATE MMIDDIYY OAT MMIDDIYY LIMITS <br /> <br />A GENERAL LIABILITY 6802094L798 <br />tCOM M ERCIAL GENERAL LIAS ILITY <br />L :J CLAIMS MADE W OCCUR <br />, <br />- - <br />-- <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />l POLICY X PRO-r: LaC <br />B AUTOMOBILE LIABILITY BA4797L672 <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON-OWNED AUTOS <br /> <br />06/30/08 <br /> <br />06130109 <br /> <br />EACH OCCURRENCE $1.000,000 <br />FIRE DAr.:~GE (Anyone fire) $300.000 <br />~ED EXP (Anyone person) $5 000 <br />PERSONAL & ADV INJURY $1.000,000 <br />GENERAL AGGREGATE $2 000 000 <br />PRODUCTS -COMP/OP AGG $2.000.000 <br /> <br />06/30/08 <br /> <br />06130109 <br /> <br />fE~~~~~~~I~INGLE LIMIT $1,000,000 <br /> <br />BODILY INJURY <br />(Per person) <br /> <br />$ <br /> <br />::7',11 <br /> <br />BODilY INJURY <br />(Peraccidenl) <br /> <br />, ' <br /> <br /> <br />PROPERTY DAMAGE <br />I (Peraccidenl) <br /> <br />GARAGE LIABILITY <br />ANY AUTO <br /> <br />AUTO 9Nl Y - EA ACCIDENT $ <br />$ <br />$ <br /> <br />EAACC <br /> <br />OTHER THAN <br />AUTO ONLY: <br /> <br />AGG <br /> <br />EXCESS LIABILITY <br />OCCUR D CLAIMS MADE <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />DEDUCTIBLE <br />RETENTION <br />8 WORKERS COMPENSATION AND <br />i EMPLOYERS' LIABILITY <br />I <br /> <br />UB7124Y374 <br /> <br />09/01/07 <br /> <br />09/01/08 <br /> <br />X TWC $T~J~- OTH- <br />EL EACH ACCIDENT ' :" 1 ,OOO,OOC _ <br />E.L~ DISEAS~ EA EMF:.LOYEE $1,000,0_00 <br />E.L. DISEASE _ POLICY LIMIT $1,000,000 <br />$2,000,000 per claim <br />$2,000,000 annl aggr. <br /> <br />C OTHER Professional <br />iability <br /> <br />AE815508 <br /> <br />06116/08 <br /> <br />, 06/16/09 <br /> <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHIClESlEXCLUSIONS ADDED BY ENDORSEMENTlSPECIAL PROVISIONS <br />The City of Santa Ana. 20 Civic Center Plaza, Santa Ana, California 92701; <br />its officers, employees, agents, volunteers, and representatives are named <br />as additional insured as respects general liability for claims arising from <br />the operations olthe named insured. <br /> <br />JUL 2 5 Z008 <br /> <br />... 'L. A <br />~~','''; ':'- ".,' .. .'.. <br /> <br />DEPT <br /> <br />CERTIFICATE HOLDER I N:J DITIONAL INSURED ;INSURER LETTER: CANCELLATION - <br /> SH OULD No4YOF TH E ABOVE DESCRIBED POLICIES BE CANCELL.ED BEFORE THE EXPIRATION <br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WI~xn TOMAIL3.0..--DAYSWRITTEN <br />AUn: Lucy Linnaus NOTICETOTHE CERTIFICATE HOL.OERNAMED TOTHE LEFTJ8UlX~k <br />Planning and Building Agency - M20 ~UIloaxJlItXDUl~K~:l.D.IXD&08( <br />20 Civic Center Plaza l6fJ!K"""""- <br />Santa Ana, CA 92701 AlU.HORIZ~EPRE~TAT1VE <br />~~ <br /> <br />ACORD 25-S (7/97)1 <br /> <br />of 1 <br /> <br />#M232410 <br /> <br />SSP <br /> <br />@ ACORD CORPORATION 1988 <br />