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DATE (MM/DDlYY) <br />ACORDM CERTIFICATE OF LIABILITY INSURANCE ~, f <br />PRODUCER ~,>~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates ~ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />199 S Los Robles Ave Ste 540 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Pasadena, CA 91101 AUG 2 4 2009 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />626 844-3070 <br />SA INSURERS AFFORDING COVERAGE <br />INSURED <br />Elizabeth Moule & Stefanos Polyzoides ER A: Travelers Pro erty Casualty Co of Ameri_ <br />180 E. California Blvd. INSURER B: Hartford Accident & Indemnity <br />Pasadena, CA 91105 INSURERC:Evanston Insurance Company <br />INSURER D: <br />INSURER E: <br />COVERAGES <br />CHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />SOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />:ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />'ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NSR <br />TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />LIMITS <br />GENERAL LIABILITY 6802094L798 6/30/2009 6/30/2010 EACH OCCURRENCE <br />L~, COMMERCIAL GENERAL LIABILITY $1 ~ 0 ~ ~ ~ 0 <br />~~ ~~ FIRE DAMAGE (Any one fire) $1 ~ ~ ~ ~ ~ ~ <br />r--~-~ CLAIMS MADE ~J OCCUR j i <br />-- <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY }{ PRO- LOC <br />AUTOMOBILE LIABILITY BA4797L672 <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />~ HIRED AUTOS <br />NON-OWNED AUTOS <br />GARAGE LIABILITY <br />ANY AUTO <br />EXCESS LIABILITY^ ICUP 6 4 6 9 Y3 2 9 <br />OCCUR CLAIMS MADE <br />I DEDUCTIBLE <br />?~ RETENTION $ ~ <br />WORKERS COMPENSATION AND 57WE CLP7878 <br />EMPLOYERS' LIABILITY I <br />6/30/2009 6/30/2010 <br />MED EXP (Any one person) $1 ~ ~ ~ ~ <br />PERSONAL & ADV INJURY $1 0 0 0 ~ ~ ~ <br />GENERAL AGGREGATE $ <br />PRODUCTS -COMP/OP AGG $ ~_ (1 n n n n n <br />COMBINED SINGLE LIMIT <br />(Ea accident) $1 , 0 0 0, 0 0 0 <br />BODILY INJURY <br />(Per person) $ <br />BODILY INJURY <br />(Per accident) $ <br />PROPERTY DAMAGE <br /> <br />(Per accident) $ <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />AUTO ONLY: qGG $ <br />6/30/2009 I6/3O/2OlO EACH OCCURRENCE $3 OOO <br />AGGREGATE ~ ~ n n n <br />9/1/2009 19/1/2010 <br /> <br />E.L. EP.CH ACCIDENT $1 0 0 0 0 0 0_ <br />E.L. DISEASE - EA EMPLOYEE $1 0 0 0 ~ ~ ~ <br />C OTHER E.L. DISEASE -POLICY LIMIT $ ]- 0 0 0 ~ ~ ~ <br />Professional Liability AE817470 6/16/2009 6/16/2010 $2, 000, o0o Per Claim <br />$2,000,000 Annl Aggregate <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESlEXCLUSIONSRDDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />te: All Operations -- The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, <br />employees, agents, volunteers, and representatives are named as additional insured as respects general liability for <br />:laims arising from the operations of the named insured as required per written contract. <br />TE <br />City of Santa Ana <br />Planning and Bu~IB'1~Y~c~M~~ I'r'^~'~ <br />20 Civic Center Plaza <br />Santa Ana CA 92701 F~ f <br />,» <br />~~ <br />ACORD 25-S (7/97) <br />~ANCELLATIONIO Dav Notice for Non-Paymnt of Prer <br />HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />EFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER TO <br />AIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED <br />D THE LEFT. <br />AUTHORIZED <br />O ACORD CORPORATION 1988 <br />