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<br />:MARSH <br /> <br /> <br />CERTIFICATE NUMBER <br /> <br />HOU-000771111-01 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES DESCRIBED HEREIN. <br /> <br />PRODUCER <br />Oallas.Certs@Marsh.com <br />4400 Bank One Center <br />1717 Main Street <br />Oallas75201 <br />Attn: (866) 966-4664 <br /> <br />63165-GAWXS-07/08 <br /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />LA <br /> <br />2825A 5M <br /> <br />COMPANY <br />A ST. PAUL FIRE & MARINE INS CO <br /> <br />Royal Street Communications, LLC <br />8144 Walnut Hill Lane, Suite 800 <br />Dallas,1)( 75231 <br /> <br />A - dUXJ "I ' O,lf -< <br />.4,~()d9- DIj.J <br />/I - ~Od 7. ~OA.j. <br /> <br />COMPANY <br />B CHARTER OAK FIRE INS CO <br /> <br />INSURED <br /> <br />COMPANY <br />C TRAVELERS PROPER1Y CASUAL 1Y COMPANY OF AMERICA <br /> <br />COMPANY <br />ON/A <br /> <br /> <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE OESCRIBEO HEREIN HAVE BEEN ISSUED TO THE INSUREO NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN. THE INSURANCE AFFORDEO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. CONOmoNS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />co <br />LTR <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY NUMBER <br /> <br />POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />DATE (MM/DDIYY) DATE (MMlDDIYY) <br /> GENERAL AGGREGATE $ 2,000,000 <br />09/01/07 09/01/08 PRODUCTS - COM PlOP AGG $ 2,000,000 <br /> PE RSONAL & ADV INJURY $ 1,000,000 <br /> $ 1,000,000 <br /> $ 1,000,000 <br /> $ Excluded <br /> COMBINED SINGLE LIMIT $ 1,000,000 <br />09/01/07 09/01/08 <br />09/01/07 09/01/08 BODILY INJURY $ <br /> (Per person) <br /> BODILY INJURY $ <br /> (Per accident) <br /> PROPERTY DAMAGE $ <br /> <br /> <br />GENERAL LIABILITY <br />A X COMMERCIAL GENERAL LIABILITY TE09104026 <br />CLAIMS MADE [8] OCCUR <br />OWNER'S & CONTRACTOR'S PROT <br /> <br />AUTOMOBILE LIABILITY <br /> <br />A X. ANY AUTO <br /> <br />A ALL OWNED AUTOS <br /> <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br /> <br />X OON-OWNEDAUTOS <br />X omp $1000 Oed-except trail rs <br />X 011 $1000 Oed-except trailers <br />GARAGE LIABILITY <br /> <br />TE091 04026 <br />MA091 00045 (MA) <br /> <br />B <br />C <br /> <br />THE PROPRIETOR! <br />PARTNERSIEXECUTlVE <br />OFFICERS ARE: <br />OTHER <br /> <br />HC20-UB-7053Cl05-07 <br /> <br />X INCL HRJ-UB-1170446-07 <br /> <br />EXCL <br /> <br />09/01/07 <br />09/01/07 <br /> <br />09/01/08 <br />09/01/08 <br /> <br /> <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN AUTO ONLY: <br />EACH ACCIDENT $ <br />AGGREGATE $ <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />$ <br />X OJlt- <br />$ <br />EL DISEASE-POLICY LIMIT $ <br />EL DISEASE.EACH EMPLOYEE $ <br /> <br /> <br />ANY AUTO <br /> <br />A X UMBRELLA FORM <br /> <br />OTHER THAN UMBRELLA FORM <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br /> <br />TE09104026 <br /> <br />09/01/07 <br /> <br />09/01 J08 <br /> <br />5,000,000 <br />5,000,000 <br /> <br />EXCESS LIABILITY <br /> <br />~~~-: <br /> <br />1,000,000 <br />1,000,000 <br />1,000,000 <br /> <br />DESCRIPTION OF OPERATlONS/LOCATIONSIVEHICLES/SPECIAL ITEMS <br /> <br />Site #: LA2825A - S Raitt SI. & W. Warner Ave. (ATS) 2302 3/4 Raitt Street, Santa Ana, CA 92704 <br />Where required by written contract, Certificate Holder is an Additional Insured (except on Workers' Comp) as respects operations of the Named Insured. <br />Where required by written contract, the above referenced policy(s) includes Waiver of Subrogation in favor of the Certificate Holder. <br /> <br /> <br />City of Santa Ana, its officers, agents, <br />employees, representatives, and volunteers <br />Attn: Management Aide <br />20 Civic Center Drive <br />Santa Ana, CA 92702 A~ <br />APPROVED ~ <br /> <br />SHOULD ANY OF niE POlICES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, <br />THE INSURER AFFORDING COVERAGE WILL E~~ M....IL ---3.0. DAYS WRITTEN NOTICE TO THE <br />CERTIFICATE HOlDER NAMED HEREIN, <br /> <br /> <br />TO FORM <br /> <br />