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<br />/!t!){)Ki).. <br />. <br /> <br />CERTIFIC <br /> <br /> <br />OF LIABILITY INSU <br /> <br />NCUID JB <br />~CHA-8 04/11/00 <br />THIS CERTIFICATE IS UED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />DATE (MM/DDIYY) <br /> <br />PR';'D::JCER <br /> <br />Knauf Insurance Agency <br />P. O. Box 41498 <br />Los Angeles CA 90041-0498 <br />Phone: 323-550-7900 Fax:323-256-0800 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />Richards, Watson & Gershon <br />333 So. Hope Street <br />38th Floor <br />Los Angeles CA 90071 <br /> <br />INSURER A: <br />INSURER B: <br />INSURER C: <br />INSURER 0: <br />INSURER E: <br /> <br />Vi <br /> <br /> <br />INSURED <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 I POLICY NUMBER ~~~~iMif,btmYE Pa>.H~~~r~~JWN LIMITS <br />LTR <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br />A B COMMERCIAL GENERAL LIABILITY 3529 32 50 I 09/01/99 09/01/00 FIRE DAMAGE (Anyone fire) $1,000,000 <br /> I <br /> I~ I CW", ""''' [ii] occu' I 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 $2,000,000 <br /> n POLICY II ~~8T n LOC <br /> AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT <br /> - $1,000,000 <br />A ANY AUTO I (Ea accident) <br /> ~ <br /> ALL OWNED AUTOS 3529 32 50 09/01/99 09/01/00 BODILY INJURY <br /> I-- $ <br /> SCHEDULED AUTOS (Per person) <br /> f--- <br /> X HIRED AUTOS BODILY INJURY <br /> I-- $ <br /> X NON-OWNED AUTOS I (Per accident) <br /> ~ <br /> ~~ NO OWNED VEHICLES PROPERTY DAMAGE <br /> $ <br /> I i APPLICABLE (Per accident) <br /> GARAGE LIABILITY REVISION OF CERTIFlC ATE AUTO ONLY - EA ACCIDENT $ <br /> R ANY AUTO ISSUED -, ?-, :; OTHER THAN EA ACC $ <br /> '". ',5 C- <br /> 0._ '.' _ . <br /> AUTO ONLY: AGG $ <br /> EXCESS LtABILITY EACH OCCURRENCE $9,000,000 <br />C U OCCUR D CLAIMS MADE 7961 15 86 09/01/99 09/01/00 AGGREGATE $9,000,000 <br /> $ <br /> =1 DEDUCTIBLE $ <br /> RETENTION $ i $ <br /> WORKERS COMPENSATION AND I X I TORY L1MITST IOJ~- <br />B EMPLOYERS' LIABILITY I 011475-07 10/01/99 10/01/00 $ 1000000 <br /> E.L. EACH ACCIDENT <br /> i E.L. DISEASE. EA EMPLOYEE $ 1000000 <br /> E.L. DISEASE - POLICY LIMIT $ 1000000 <br /> OTHER ! 09/08/991 <br />D Lawyers Prof. Liab MD45766 I 09/08/00 OCC 15,000,000 <br /> 250,000 Retention AGG 15,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Re: Operations of the Named Insured <br />Certificate holder is named additional insured with coverage afforded as <br />primary per the attached special endorsement. <br />CERTIFICATE HOLDER I y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> SANTA 0 5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> - <br /> City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> Office of the City Attorney IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Twenty Civic Center Plaza REPRESENTATIVES. <br /> Santa Ana CA 92701 APPBOVED A ~ TO .._..wq, It . /~~. <br /> ('-,' .: -.' . <br /> I L Wil1.i.am Olhasso L' '. ,-;::--;1-..----- . I I!.... -...,..-.( <br />ACORD 25-S (7/97) // r V @ACORDCORPORATION 1988 <br /> ~NJAM'N l(AUFMAN <br /> <br />Chit,; Assistant CIty AttorneY. <br />