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AI CORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />PRODUCER 08/15/2008 <br />(619) 574-6220 FAX (619) 574-6288 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Insurance Office of America, Inc. ,h ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />DBA IOA Insurance Services ", V. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />�� x ' O �� ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />1775 Hancock Street, Ste. 180 <br />San Diego, CA 92110 A ' C�(1 17 <br />u� rDcn g INSURERS AFFORDING COVERAGE NAIC # <br />Gillis & Panichapan Architects, Incorporated <br />2900 Bristol St. Suite G205 <br />Costa Mesa, CA 92626 <br />INSURERA: Travelers P&C Co. of America 25674 <br />INSURER B: Travelers 25658 <br />INSURER c: Ace American Ins. Co. <br />INSURER D: <br />INSURER E' — <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWIT"HSTANDING <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 />JSR DD' TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION <br />POLICY NUMBER <br />LIMITS <br />GENERAL LIABILITY 680284IL495 07/24/2008 07/24/2009 EACH OCCURRENCE $ <br />X COMMERCIAL GENERAL LIABILITY 1,000,001 <br />DAMAGE TO RENTED $ 300,001 <br />LAIIvIS MADE �� OCCUR MED EXP (Any one person) $ <br />A 10,001 <br />PERSONAL & ADV INJURY $ 11000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 2,000,00 <br />PRODUCTS - COMP/OP AGG $ 2,000,00 <br />POLICY )( JE LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />BA9193 LO91 <br />01/11/2008 <br />01/11/2009 <br />X <br />COMBINED SINGLE LIMIT <br />(Ea accident) $ <br />1,000,001 <br />BODILY INJURY $ <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />_ <br />BODILY INJURY $ <br />(Per accident) <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />GARAGE LIABILITY <br />EA ACCIDENT $ <br />ANY AUTO <br />__ EA ACC $AGG $EXCESSIUMBRELLALIABILITY <br />OCCUR CLAIMS MADE <br />CUP6785Y338 <br />07/24/2008 <br />07/24/20 <br />RENCE $X 1 , OOO ,OO( <br />W <br />$ 1 000 OOf <br />A <br />DEDUCTIBLE <br />_LE <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />UB711OY241 <br />09/01/2008 <br />09/01/2009 tXX <br />TWC STATU- OTH- <br />B <br />ANY PROPFI-Fi OR/L4\.' 1-144 :R/'FXECUTIVE <br />OFFICER/ME MBER EXCLUDED? <br />_-- 1,000,000 <br />E.L. E.ACF' AC :E ":? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />11/08/2008E.L. <br />— <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />C Claims <br />OTH <br />Professional Liability <br />Made <br />EONNO4080506 <br />11/08/2006 <br />DISEASE -POLICY LIMIT $ 11000,000 im <br />$1,000,000 each claim <br />$2,000,000 aggregate <br />$ 5,000 deductible <br />DESCRIPTION <br />;e: <br />OF OPERATIONS / LOCATIONS ! VEHICLES <br />All Operations of the Named <br />/ EXCLUSIONS ADDED BY ENDORSEMENT <br />Insured <br />/ SPECIAL PROVISIONS <br />'he <br />City of Santa Ana is additional <br />insured as respects <br />general <br />liability per <br />the attached endorsement. <br />r10 day notice if cancellation applies for non payment of premium. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />The City of Santa Ana EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />Attn : Michelle Walker *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />20 Civic Center Plaza M-36 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />PO BOX 1988 ' " OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />Santa Ana, CA 92702-1988 W-3 AUTHORIZED REPRESENTATIVE 7— <br />Kelly 7- <br />KellyHowell/CABRAS <br />ACORD 25 (2001/08) <br />©ACORD CORPORATION 1988 <br />