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� l <br />AGORD CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/D <br />10/30/20082008) <br />PRODUCER (619) 574-6220 FAX (619) 574-6288 <br />Insurance Office of America, Inc. <br />DBA IOA Insurance Services <br />1775 Hancock Street, Ste. 180 <br />San Diego, CA 92110 <br />THIS CERTIFICATE IS ISSUED 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 />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Gillis & Panichapan Architects, Incorporated <br />2900 Bristol St. Suite G205 <br />Costa Mesa, CA 92626 <br />—w 4 � l — 2061— <br />INSURERA: Travelers P&C Co. of America 25674 <br />INSURERB: Travelers Indemnity Company 25658 <br />INSURERc: Travelers Indemnity Co of Ct 25682 <br />INSURERD: Ace American Ins. Co. <br />INSURER E: <br />.(OITI1V <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 />IR <br />LTR <br />DD' <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />TE (mminn/yyi <br />- <br />LIMITS <br />EACH OCCURRENCE $ 1,000,000 <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />Santa Ana, CA 92702-1988 <br />GENERAL LIABILITY <br />6802841L495 <br />07/24/2008 <br />07/24/2009 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED $ 300,000 <br />CLAIMS MADE a OCCUR <br />MED EXP (Any one person) $ 10,000 <br />A <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />POLICYFX PRO LOC <br />JECT <br />AUTOMOBILE <br />LIABILITY <br />BA9193 LO91 <br />01/11/2008 <br />01/11/2009 <br />X <br />ANY <br />COMBINED SINGLE LIMIT <br />$ <br />AUTO <br />(Ea accident) <br />1,000,000 <br />ALL OWNED AUTOS <br />B <br />SCHEDULED AUTOS <br />y <br />qqq <br />BODILY INJURY $ <br />(Per person) <br />HIRED AUTOS <br />GF <br />V/t" -��C <br />NON -OWNED AUTOS <br />I/ <br />� <br />(Per acci acciBODILY dent) $ <br />/ <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />ANY AUTO <br />H <br />OTHER THAN EA ACC $ <br />1 <br />AUTO ONLY: AGG $ <br />EXCESS/UMBRELLA LIABILITY <br />CUP6785Y338 <br />07/24/2008 <br />07/24/2009 <br />EACH OCCURRENCE $ 1,000,000 <br />X OCCUR FICLAIMS MADE <br />AGGREGATE $ 1,000,000 <br />A <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION AND <br />UB711OY24108 <br />09/01/2008 <br />09/01/2009 <br />XWC STATU- OTH- <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT $ 1,000,000 <br />C <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />El DISEASE - EA EMPLOYEE $ 1,000,000 <br />If ;ass, describe uMer <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT $ ], 000 OQQ <br />oTH <br />Professional Liability <br />EONNO4080506 <br />11/08/2008 <br />11/08/2009 <br />$1,000,000 Claims Made <br />D <br />laims Made <br />$2,000,000 Aggregate <br />$5,000 Deductible <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ! EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Re: All Operations of the Named Insured <br />The City of Santa Ana is additional insured as respects general liability per the attached endorsement. <br />L10 day notice if cancellation applies for non payment of premium. <br />M%,%jrcv co !AVU-11U0) ©ACORD CORPORATION 1988 <br />VF l %+ LL 1 N <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />The City of Santa Ana <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />Attn : Michelle Walker <br />�30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />20 Civic Center Plaza M-36 <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />PO BOX 1988 <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />Santa Ana, CA 92702-1988 <br />AUTHORIZED REPRESENTATIVE --I— A w� -4d z& <br />Kell Howell/BROWNK <br />M%,%jrcv co !AVU-11U0) ©ACORD CORPORATION 1988 <br />