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ALD -RD, CERTIFICATE OF LIABILITY <br />INSURANCE <br />07/ii2 0 <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 />INSURER A'. Travelers P&C CO. Of America 25674 <br />INSURER Travelers Indemnity Co of Ct 25682 <br />INSURER c: Ace American Ins. Co. 22667 <br />INSURER D: <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 />INSR <br />ADD'L <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE Qmr5nNyj <br />POLICY EXPIRATION <br />LIMITS <br />GENERAL LIABILITY <br />68028411_495 07/24/2009 <br />i <br />07/24/2010 <br />EACH OCCURRENCE $ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTEDPI (IF, ncruran"I $ 300,00C <br />CLAIMS MADE [�] OCCUR., <br />MED EXP (Any one person) $ 10,00( <br />AI, <br />PERSONAL & ADV INJURY $ 1,000,00( <br />GENERAL AGGREGATE $ 2 , 000 , 00 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMP/OP AGG $ 2 , 000 , 00 <br />POLICY X PECT LOC <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />BA9193 LO91 <br />01/11/2009 <br />t- �' ``� <br />01/11/201��0dd <br />y' 'y' (� it 1V 1 <br />COMBINED SINGLE LIMIT <br />(Ea accident) $ 1,000,000 <br />BODILY INJURY $ <br />(Per person) <br />A <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOSBODILYINJURY <br />NON -OWNED AUTOS <br />APPR <br />.,.-l� <br />Stitt <br />/ <br />;SNL `- - <br />(Per accident) $ <br />PROPERTY DAMAGE <br />(Per accident) $ <br />ssistant City <br />ttorne'r <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />ANY AUTO <br />OTHER THAN EA ACC $ <br />AUTO ONLY AGG $ <br />EXCESSIUMBRELLA LIABILITY <br />CUP6785Y338 <br />07/24/2009 <br />07/24/2010 <br />EACH OCCURRENCE $ 1,000,000 <br />-R-1 OCCUR ❑ CLAIMS MADE <br />AGGREGATE $ 1,000,000 <br />A <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />B <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />UB711OY24108 <br />09/01/2008 <br />09/01/2009 <br />X WC STATU- OTH- <br />T RY /MIT ER <br />_ <br />E.L. EACH ACCIDENT $ 1 000 00 <br />OFFICER/MEMBER EXCLUDED? <br />If yes. describe under <br />E.L. DISEASE - EA EMPLOYE $ 1 , 000, OO <br />E DISEASE - POLICY LIMIT $ 1,000,000 <br />SPECIAL PROVISIONS below <br />C <br />Professional Liability <br />Made <br />EONNO4080506 <br />11/08/2008 <br />11/08/2009 <br />$1,000,000 Each Claim <br />$2,000,000 Aggregate <br />1C!aims <br />1-1$5,000 <br />Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />Re: All Operations of the Named Insured <br />Proof of Insurance <br />`10 Days Notice of Cancellation Applies for Non -Payment of Premium. <br />City of Santa Ana <br />Clerk of the City Council <br />20 Civic Center Plaza (M-30) <br />PO Box 1988 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE —7- <br />Kelly Howell/SMITAK 4I1 <br />ACORD 25 (2009!08) OACORD CORPORATION 1988 <br />