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<br /> A--/C"?qG - 2} 2- <br /> ACORDN CERTIFICAW OF LIABILITY INSU.C~Icm:~~ M~ DATE (MMIDDNY) <br /> 09/04/02 <br />PRODUCER . THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Arr01fo/Knauf Ins. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. Box 41498 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Los Angeles CA 90041-0498 INSURERS AFFORDING COVERAGE <br />Phone: 323-550-7900 Fax:323-256-0800 <br />INSURED INSURER A: Chubb Group of Insurance <br /> INSURER B: Republic Indemnity Company <br /> Richardsh Watson & Gershon INSURER c: Lloyds <br /> 355 Sout Grand Avenue <br /> 40th Floor INSURER 0: <br /> Los Angeles CA 90071-3101 <br /> I INSURER E: <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 CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE POLICY NUMBER b2~WrM~bB?0}YE Pt?.kf~~~~~J}?N LIMITS <br />LTR <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br />A --xl COMMERCIAL GENERAL LIABILITY 3529 32 50 09/01/02 09/01/03 FIRE DAMAGE (Anyone fire) $ Included <br /> ~t! '~'M'"'" ~ 0"", MED EXP (Anyone person) $ 10,000 <br /> PERSONAL & ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Included <br /> II .nPRO- nLOC <br /> POLICY JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 <br /> - (Ea accident) <br />A ANY AUTO <br /> - <br /> ALL OWNED AUTOS 3529 32 50 09/01/02 09/01/03 BODILY INJURY <br /> - $ <br /> SCHEDULED AUTOS (Per person) <br /> - <br /> ~ HIRED AUTOS BODILY INJURY <br /> $ <br /> ~ NON-OWNED AUTOS APPf aVE}} AS TO l:ORM (Per accident) <br /> X NO OWNED VEHICLES p~! '1,1 {oj PROPERTY DAMAGE <br /> - AI- $ <br /> APPLICABLE , (Per accident) <br /> GARAGE LIABILITY i U'K /1 "'. .~- AUTO ONLY - EA ACCIDENT $ <br /> ==1 ANY AUTO *20 DAYS NOTICE F~i'i:ira Sheedy EA ACC $ <br /> OTHER THAN <br /> NONPAYMENT OF PRE~t City Atlorne . AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE $9,000,000 <br />A :!J OCCUR D CLAIMS MADE 7961 15 86 09/01/02 09/01/03 AGGREGATE $9,000,000 <br /> $ <br /> ==1 DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND X 1 TORY lIMrrsT IUJ~- <br />B EMPLOYERS' LIABILITY 011475-09 10/01/01 10/01/02 $ 1000000 <br /> E.L. EACH ACCIDENT <br /> E.L. DISEASE - EA EMPLOYEE $ 1000000 <br /> E.L. DISEASE - POLICY LIMIT $ 1000000 <br /> OTHER <br />C Lawyers Prof. Liab MD45766 09/08/02 09/08/03 OCC 15,000,000 <br /> CLAIMS MADE FORM AGG 15,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: All Operations of the Named Insured. Certificate Holder is named as an <br />Additional Insured. Coverage afforded is considered primary and <br />non-contributory. See Attached Additional Insured Endorsement. cc <br />CERTIFICATE HOLDER I y I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION <br /> SANTA05 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF. THE ISSUING INSURER WILL , , MAIL ...JJL.- DAYS WRITTEN <br /> City NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. I T r L I TI II <br /> of Santa Ana - ___..t.... ._.. _.. ~.~_._.. . ._~... ~ u...! <br /> Office of the City Attorney 1 " . . <br /> Twenty Civic Center Plaza <br /> Santa Ana CA 92701 AZ7ff~E .~ <br /> I <br /> - '-'"" -r r <br /> <br />ACORD 25 S (7/97) <br /> <br />@ACORDCORPORATION 1988 <br />