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ACORD,. CERTIFICATE OF LIABILITY <br />INSURANCE,. =- DATE 01/255 °/22008Y� <br />PRODUCER <br />non Risk Insurance Services west, Inc. <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />fka Aon Risk Services, Inc- of WA <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />1420 Fifth Avenue <br />Suite 1200 <br />Seattle WA 98201 -4030 USA <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC q <br />PHONF. 206 749 -4800 -x-(206) 749 -4860 <br />INSURED <br />INSURER A. Greenwich insurance Company <br />22322 <br />T- Mobile USA, Inc. <br />its Subsidiaries and Affiliates <br />INSURER National union Fire Ins Co of Pittsburgh <br />19445 <br />12920 SE 38th street <br />Bellevue wA 98006 USA ,C() % <br />A {/N O�? '� Q 1 <br />U <br />INSURER C. XL specialty insurance Co <br />37885 <br />INSURER D: <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED HFLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 111E POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT IO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />ADD' <br />INSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATT{MMV)D\YY) <br />POLICY EXPIRATION <br />DATE(MM\DD \YY) <br />LIMITS <br />A <br />LIAB ILITY <br />RGD5000064 01 <br />05/01/07 <br />05/01/08 <br />EACH OCCURRENCE <br />51,000,000 <br />COMMERCIALGENERALLIABILITY <br />DAMAGE TO RENTED <br />51,0001000 <br />PERAL <br />CLAIMS MADE ® OCCUR Contractual Liability Incl. <br />PERSONAL k ADV INJURY <br />51,000,000 <br />GENERAL AGGREGATE <br />62,000,000 <br />GENT. AGGREGATE LIMIT APPLI ES PER. <br />PRODUCTS - COMP)OPAGO <br />S2,OD0,000 <br />❑X POLICY ❑ PRO- <br />JECT LOC <br />A <br />A <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED ALTOS <br />RAD 5000066 01 <br />ADS <br />RAD 5000067 01 <br />M,y <br />05/01/07 <br />05/01/07 <br />05/01/08 <br />05/01/08 <br />COMBINED SINGLE LIMIT <br />(� ) <br />$1,000,000 <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(Perpm n) <br />HIRED AUTOS <br />BODILY INJURY <br />NON OWNED AUTOS <br />(Per auident) <br />PROPERTY DAMAGE <br />(Pct accidcot) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />1H <br />ANY AUTO <br />OTHEN THAN EA ACC <br />AUTO ONLY: <br />ACG <br />B <br />EXCESS /UMBRELLA LIABILITY <br />9834866 <br />05701/07 <br />OS <br />EACH OCCURRENCE <br />OOCCUR ❑ CLAIMS MADE <br />AGGREGATE <br />55,000,000 <br />HDEDUCTIBLE <br />RETENTION $25,000 <br />C <br />c <br />WORI(ERS COMPENSATION AND <br />F.MPLOYERS' LIABILITY <br />ANY PROPRIETOR) PARTNER I EXECU I I VF <br />OFFICEWMEMBER EXCLUDED? <br />If yes. deccribc urMtt SPECIAL PROVISIONS <br />lx - <br />A05 <br />RWR5000124 <br />w 1: <br />05/01/07 <br />05/01/08 <br />X ( 3TATU- OTH- <br />umrrl ER <br />E.L. EACH ACCIDENT <br />$1,000,000 c <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000, 000 <br />b <br />E.L. DISEASE POLICY LIMIT <br />$1,0001000 <br />OTHER <br />- <br />i <br />DESCRIPTION OF UPERAI ION& 'LOCATIONS /v EHICLES)EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Site # LA03010A, site Location: TMO10 Jerome Park, 2115 w. McFadden Ave., Santa Ana /APN 109- 050 -30. The Q <br />Certificate Holder is an Additional Insured for General Liability solely as respect to operations of the Named C <br />insured at the above location if required by Contract. <br />City of Santa Ana <br />888 w. Santa Ana Ave <br />Santa Ana CA 92707 USA <br />SHOUT n ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION s <br />DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL Y <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, a� <br />BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY B7 <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />1UTH01I >F <br />l <br />DREPRESF.NTATIVr <br />Jam/ i/i <br />ACORD ACORD,CORPORATION . <br />■ <br />