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ACORDN CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) <br />01/06/2010 <br />PRC. -DUCE <br />R (619) 574-6220 FAX (619) 574-6288 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Insurance Office of America, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />DBA IOA Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1775 Hancock Street, Ste. 180 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Diego, CA 92110 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Gillis & Panichapan Architects, Incorporated INSURERA: Travelers P&C Co. of America 25674 <br />2900 Bristol St. Suite G205 / INSURER B: OneBeacon America Ins. Co. <br />Costa Mesa, CA 92626A <br />INSURERc. Ace American Ins. Co. 22667 <br />Q/ I / INSURER D: <br />W ` J INSURER E: <br />rnvcDAr_oc r,I= /► <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NSURED 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 HAVF RFFN RFnI Irl=n RV PAln rl AIRAC <br />NSR <br />DD' <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />07/24/2010 <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />�� <br />CLAIMS MADE I X I OCCUR <br />6802841L495 <br />07/24/2009 <br />EACH OCCURRENCE $ 11000, 000 <br />DAMAGE TO RENTED <br />MISER IF, a , $ 300,000 <br />MED EXP (Any one person) $ 10,000 <br />PERSONAL & ADV INJURY $ 1, 00,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY X PRO- <br />JECT LOC <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON OWNED AUTOS <br />BA9193LO91 <br />V <br />�'�� <br />� <br />As <br />01/1 ./2�� <br />A as <br />v A <br />(JXf� <br />Lx/ _ <br />a S 0C <br />alAT Atl <br />Cm <br />istanL <br />1/2011 <br />3 <br />�l�E:V <br />COMBINED SINGLE LIMIT <br />(Ea accident) $ 1 000 000 <br />1 <br />BODILY INJURY $ <br />(Per person) <br />BODILY INJURY $ <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />AUTO ONLY: qGG $ <br />A <br />EXCESS/UMBRELLA LIABILITY <br />X OCCUR CLAIMS MADE <br />CUP6785Y338 <br />07/24/2009 <br />07/24/2010 <br />EACH OCCURRENCE $ 11000, 000 <br />AGGREGATE $ 1,000,000 <br />$ <br />__ERETENTION <br />DEDUCTIBLE <br />$ <br />WORKERS COMPENSATION AND 406030061 09/01/2009 09/01/2010 X WC sTATUoTH- <br />EMPLOYERS' LIABILITYI PR <br />B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ 11000,000 <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 11 000, 000 <br />SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,00 0 <br />roessional Liability G23638319004 11/08/2009 11/08/2010 $1,000,000 each occurence <br />C Claims Made $2,000,000 aggregate <br />IESCRIPTION OF OPERATIONS (LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS $5,000 deductible <br />e: All Operations of the Named Insured <br />he City of Santa Ana is additional insured as respects general liability per the attached endorsement. <br />10 Days Notice of Cancellation Applies for Non -Payment of Premium. <br />`CD'r1n1^A- 1-1 --- <br />The City of Santa Ana <br />Attn: Michelle Walker <br />20 Civic Center Plaza M-36 <br />PO Box 1988 <br />Santa Ana, CA 92702-1988 <br />tCORD 25 (2001/08) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />*30 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 <br />Kelly Howell/CABRAS <br />©ACORD CORPORATION 1988 <br />