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1 <br />~ 4 <br />ACORDTM CERTIFICATE OF LIABI LITY INSURANCE DATE(MMIDO/YYYY) <br /> <br />PROaucteR 10/29/08 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Huntington Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />1895 Indian Wood Circle NOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> <br />Maumee <br />ON 43537 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />, <br />888-575-7900; Fax#419-321-1622 INSURERS AFFORDING COVERAGE NAIC # <br />INBUREp <br />SMS Systems Maintenance Services <br />Inc INSURER A, Federal insurance Company y0Y8? <br />, <br />. <br />9013 Perimeter Woods Dr INSURER B: Chubb Indemnity Insurance Ca 1Y777 <br />. <br />Charlotte <br />NC 2821fi <br />INSURERC <br />, <br />n <br />~O J <br />~ <br />/ <br />1 INSURERD <br />~ <br />~ ~ <br />T <br />- <br />T' Q <br />I <br />R ' <br /> NSURE <br />E <br />COVERAGES <br />ANY REQUIREMENT, TERM pR CONDITION OF ANY CONTRACT OR OTHER DOCUMENN WITH RESPEC O O WHICH THIS CE OIDFICATE MAY BE SSUED OR DING <br />MAY PERTAIN. THE INSURANCE AFFORDED t3Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS RND CONDtTIpNS OF SUCH <br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN aEnl IrFn av oeln ri eruc <br />LTR NSR TYPE Of INSURANCE POLICY NUMBER POLICY ECTIVE <br />T POLICY PIRATK)N <br /> A <br />MM/O DAT MM/ LIMBS <br />A GE <br />) NERAL LIABILITY 35844149 10/26!08 10!26109 EACH OCCURRENCE s1 000 000 <br /> ( COMMERCIAL GENERAL UABIUTY DAMAGE TO RENTED <br /> a +.. ~n n P s1 000 000 <br /> CLAMS MADE X OCGUR MED EXP (Any one person) St () 000 <br /> <br /> PER30NAL b ADV INJURY 51,~Ofl Qp~ <br /> + <br /> E ' GENERAL AGGREGATE S2 000 000 <br /> N <br />G <br />L AGGREGATE LIMIT APPLIES PER' <br />PRU• PRODUCTS • GOMPfOP AGG S2 OOO OOO ^- <br /> POLICY <br />JE 7 LOC <br />A AU TOMOBILE LIABILITY 73544129 10/26/08 10/26/09 <br /> X ANY AU7U COMBINED SINGLE LIMIT <br />(Ee acGdenl) <br />61 <br />000 <br />000 <br /> , <br />, <br /> AI.L OWNED AUTUS <br /> <br />SCHFDUI ED AUTOS BDD~LY INJURY <br />(Per person) <br />6 <br /> X `- <br /> HIRED AUTOS ti <br />._ ~~ ~ ~ <br />~ ~ ~~~~ / . , r,~~ <br />~ ~i ~~ <br />URY <br />D <br /> X NUN•UWNFU AUI OS i1V1 (P r <br />atcidnn s <br /> <br /> <br /> PROPERTY DAMAGE <br /> <br />- <br />- <br />leer aL~Cidenl) S <br /> GARAGE LIABILITY ~• <br /> <br />` <br />~ ~ ~ • _.. ~; ~ AU7D ONLY EA ACCIDENT 6 <br /> ANY AUTO , <br />,:..~ ... I;, ~..ia' <br />~`iUc <br />l °_r~. <br />EAACC <br />b <br /> <br />B ' OTHF_H THAN <br />AUTO ONl Y AGG S <br /> EXCESSlUMBRELLA LIABILITY <br />X OC <br />R ~ 79$54043 10/2fi108 10126/09 EACIi OCCURRENCE 6g QpQ X00 <br /> CU <br />CLAIMS MADE AGGREGATE E5,pO0,000 <br /> DEDUCTIBLE <br />S <br /> <br />X <br />T <br />R E <br /> F. <br />FNTION S Q ..~ <br /> <br />A <br />WORKERS COMPENSATION AND <br />' <br />71714100 <br />10/26/08 <br />10!26/09 <br />X WC STATU• OTH• f <br />~-`"" <br /> EMPLOYERS <br />LIABILITY <br /> ANY PROPRIETOR/PARTNERlEXECUTIVh <br />OFF~CEFi1MEMBER EXCLUDEDT E.L. F:AGHACCIDENT 51,000 O <br />~ 0{) <br /> It yes. desuibe under E.L DISEASE • EA EMPLDvEE 51,000,000 <br /> SPECIAL PROVISIONS below <br /> <br />q <br />o7HER Information <br />35844149 E L pISEASE • POLICY LIMIT 31 OOO,OOO <br /> 10126!08 10/26/09 55,000,000 Aggregate <br /> $ Network <br /> 650 <br />000 Deductible <br /> Technolo E 8 O , <br />DESCRIPTION OF OPERATIONS / LOCATIONS! VBMICLES ! EXCLUSIONS AODEO BY ENDORSEMENT! SPECIAL PROVISIONS <br />"Ten day notice of cancellation in the event of non-payment of premium. <br />General Liability: The City of Santa Ana, its Officers, Employees <br />Agents <br />, <br />and Volunteers are included as additional insureds as required by written <br />contract per attached endorsement form $0-02-2367. tnsured's coverage is <br />(See Attached Descriptions) <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POUCIEB BE CANCELLED BEFORE THE EXPIRATIO! <br />The City of Santa Ana <br />Its <br />, <br />OATS THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 4nx DAY <br />S WRITTEN <br />Officers, Employees <br />, NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TD DO SO SHALL <br />Anonfc n..d V..L s.. <br />~ 20 Civic Center Plaza <br />( Santa Ana, CA 92701 <br />morose NO OBLIGATION OR LIABILITY OF ANY KING UPON THE INSURER, ITS AGENTS OR <br />~ REPRESENTATIVE <br />~ ~~ <br />AwRD zs {zoa'uDS?1 of 3 #M245882 <br />BADE O ACORD CORPORATION 19! <br />