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Client#: 6053 <br />NABIHYOUS <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/D <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />10/18/07D1YY) <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton $ Associates <br />P. O. Box 10550 <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 />Santa Ana, CA 92711-0550 <br />A GENERAL LIABILITY <br />714 427-6810 <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />800 Wilshireireih f 8 Associates <br />Lo Blvd., #200 <br />Los Angeles, CA 90017 <br />INSURER A: Travelers Indemnity Co. of Connectic <br />INSURER B: Travelers Property Casualty Co of Am <br />INSURER c: Travelers Casualty Ins. Co. of Ameri <br />INSURER D: Lexington Ins. Co. <br />INSURER E: <br />COVERAGES <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 />NSR TYPE OF INSURANCE <br />LTR <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM D/YY <br />POLICY EXPIRATION <br />DATE MM DD/YY <br />LIMITS <br />A GENERAL LIABILITY <br />68054121-854 <br />10/13/07 <br />10/13/08 <br />EACH OCCURRENCE $1,000,000 <br />FIRE DAMAGE (Any one fire) $2,000,000 <br />M ERCIAL GENERAL LIAB ILITY <br />�17 CLAIMS MADE Fil OCCUR <br />INDP. CONTRACTORS <br />MED EXP (Any one person) $5,000 <br />PERSONAL &ADV INJURY $1,000,000 <br />X CONTRACTUAL <br />INCLUDED <br />X BFPD, XCU <br />GENERAL AGGREGATE s2,000,000 <br />GEN'L AGGREGATE LIM ITAPPLIES PER: <br />PRODUCTS -COMP/OPAGG s2,000,000 <br />POLICY PROT- LOC <br />B AUTOMOBILE <br />LIABILITY <br />BA5411 L581 <br />10/13/07 <br />10/13/08 <br />COMBINED SINGLE LIMIT <br />$1,000,000 <br />X <br />ANY AUTO <br />(Ea accident) <br />BODILY INJURY <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per person) $ <br />X <br />HIREDAUTOS <br />BODILY INJURY $ <br />X <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGG $ <br />B EXCESS LIABILITY <br />CUP7367Y323 <br />10/13/07 <br />10/13/08 <br />EACH OCCURRENCE s3,000,000 <br />X OCCUR E-1 CLAIMS MADE <br />Professional Liab. <br />AGGREGATE s3,000,000 <br />$ <br />is Excluded <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />C WORKERS COMPENSATION AND <br />XSUB6127Y37807 <br />03/06/07 <br />03/06/08 <br />X WC STATU OTH- <br />Y <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT $1,000,000 <br />_ <br />E.L. DISEASE -EA EMPLOYEE $1,000,000 <br />E.L. DISEASE -POLICY LIMIT 1 $1,000,000 <br />D OTHER Professional <br />1156565 <br />03/06/07 <br />03/06/08 <br />$1,000,000 per claim <br />Liability <br />$2,000,000 annl aggr. <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />General Liability policy excludes claims arising out of the performance of professional <br />services <br />Re: High rise plan check WO# 06129.00 <br />City of Santa Ana is additional insured as respects to General Liability f <br />;/ <br />(See Attached Descriptions) <br />u�111,L■_1-11■_Ia0 <br />City of Santa Ana <br />Tonia Zerba <br />20 Civic Center Plaza (M-3), PO <br />Box 1988 <br />Santa Ana, CA 92702-1988 <br />SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30DAYSWRITTEN <br />NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL <br />IM POSE NOOBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER,ITS AGENTS OR <br />ACUKU zs-s (1/91)1 of 2 #M207540 RLL 0 ACORD CORPORATION 1988 <br />