ELIZABETH MOULE & STEFANOS POLYZOIDES ARCHITECTS AND URBANISTS - MOULE & POLYZIODES

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ACORDM CERTIFICATE OF LIABILITY INSURANCE UATE(MM/°°!YY) 6 30 2009 PRODUCER :~ ~~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION D l ~ \ ~ '~ ea ey, Renton & Associates ~ - _~ ( ( ~;- ~` ` " ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 199 South Los Robles Ave. 7 / HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite: 540 r'~ -~(,t%~- " ~~-> k" ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena CA 91101 n i_. ~/ - ~= G~' % ~~` / INSURERS AFF , ORDING COVERAGE INSURED Elizabeth Moule & St f l INSURER A: TraVelerS Pro ert Casualt CO Of Ameri e anos Po yzoides 180 E. California Blvd INSURER B: Travelers Indemnit Co. of Connecticut . Pasadena CA 91105 INSURERC:Evanston Insurance Com an INSURER D: INSURER E: COVERAGES HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED . OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . INSR TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER LIMITS i ~ ~ GENERAL LIABILITY 6802094L798 6/30/2009 6/30/2010 EACH OCCURRENCE $1 ~QQ 00~ X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one Tire) $1 Q ~ ~ ~ 0 0 CLAIMS MADE a OCCUR MED EXP (Any one person) $1 ~ Q 0 0 PERSONAL & ADV INJURY $1 ~ Q ~ ~ ~ ~ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- PRODUCTS -COMP/OP AGG $ 2 O O ~ O 0 ~ POLICY }{ LOC A AUT OMOBILE LIABILITY BA4797L672 6/30/2009 6/30/2010 ANY AUTO COMBINED SINGLE LIMIT (Ea accident) 1 0 0 0 0 0 0 , , ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ }{ HIRED AUTOS X NON-OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) GAR AGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC OTHER THAN $ AUTO ONLY: AGG $ A EXCESS LIABILITY CUP6469Y329 6/30/2009 6/30/2010 EACH OCCURRENCE $3 pQ~ 00~ X OCCUR ~ CLAIMS MADE AGGREGATE $ 3 0 p ~ 0 0 ~ DEDUCTIBLE $ }~ RETENTION $ ~ '-'- $ $ WORKERS COMPENSATION AND UB 712 4 Y3 74 9/ 1/ 2 0 0 8 9/ 1/ 2 0 0 9 vvc srATU- OTI ~- EMPLOYERS' LIABILITY X E.L. EACH ACCIDENT $1 Q Q Q ~ 0 ~ E.L. DISEASE - EA EMPLOYEE $1 Q Q Q Q ~ ~ C OTHER E.L. DISEASE -POLICY LIMIT $1 0 0 0 Q ~ Q Professional Liability AE817470 6/16/2009 6 /16/2010 $2, 000, 000 Per Claim $2,000,000 Annl Aggregate DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS e: All Operations -- The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, mployees, agents, volunteers, and representatives are named as additi l i ona nsured as respects general liability for laims arising from the operations of the named insured as required per written contract. CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION D N i f N r n-P n of Pr m SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City Of Santa Ana EFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER TO Planning and Building A enc - M20 ~ IL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED O THE LEFT 20 civic center P1azaF,.p p~~ V£D AS TO F . RM Santa Ana CA 92701 / r~ . ~ f / ~ j ~~ ti ~ AUTHORIZED REPRESENTATIV """"" `"-" ~"" ~ Chier assi ,tent City '~ttorne~ O ACORD CORPORATION 1988