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s <br />61 <br />GILL&PA-01 SMITHA <br />CERTIFICATE OF LIABILITY INSURANCE °" 1 iR1211712°011 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: if the certificate holder IS an ADDITIONAL INSURED, the poilcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s)- <br />PRODUCER <br />ndorsement s - <br />PRODUCER License # OE67768CONTACT <br />NAME: <br />IOA Insurance Services PHONE618 5746220 FAX No • 61$ 574-6288 <br />4350 La Jolla Village Drive, Suite 900 <br />San Diego, CA 92122 _ . AMRFiC- <br />INSURED <br />-2 008 - <br />Gillis & Panichapan Architects, Incorporated <br />2900 Bristol St. Suite G205 <br />Costa Mesa, CA 92626 <br />F: <br />RLI Insurance <br />OneBeacon AI <br />CAVERAr.FS 1rCFRT1F1r`_ATF NI IPIRFR• DrinelnAt hl11"CICo. <br />MAIC# <br />3066 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY .THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />LINTS <br />GENERALLIABILITY <br />EACH OCCURRENCE S 11000,0 <br />A <br />X COMMERCIAL GENERAL LIABIUTV <br />X <br />X <br />PSOODO1119 <br />7/24/2011 <br />7121120120.0 <br />1,00 <br />.M <br />CLAIMSADE 7OCCUR <br />MED S 00 <br />PERSON& a ADV INJURY S 1,000,0 <br />GENERALAOGREGA7E $ 2,000.0 <br />GENLAGGREGATE LIMIT APPLIES PER7 <br />PRODUCTS -COMPIOPAGG S 2,000,00 <br />PRO - <br />POLICY X Loc <br />S <br />AUTONIOBRE <br />LIABILITY <br />11000,0 <br />A <br />ANYAUTO <br />PSA0001116 <br />6M/2011 <br />61112012 <br />Bobe-Y INJURY (Pot Person) S <br />ALL SCHEDULED <br />AUTOS AUTOS <br />BODILY NJ. URY(Per soddenq $ <br />��� <br />HIREDAUTOS O <br />PROPERTY DAMAGE <br />tr $ <br />S <br />'I <br />X <br />UMBRELLA UAB <br />OCCUR <br />EACHooCURRENCE s 1,000,001 <br />A <br />EXCESS UAB <br />CLAIMS -MADE <br />PSE0001038 <br />7/2412011 <br />712412012 <br />AGGREGATE S 1,000,0 <br />DED I X I RETCNTIONS <br />S <br />WORKERS COMPENSATIONYiC <br />$TATO- DTH - <br />X TER <br />AND EMPLOYERS' LIABILITY Y r N <br />E.L. EACH ACCIDENT S 1,000,0 <br />A <br />AWPROPRETORMARTNERIEXECUfIVE <br />OFFICERiMEMBER EXCLUDED? El <br />N I A <br />SW0001177 <br />91112071 <br />911/2012 <br />E L DISEASE - EA FMPI nv;zvd S 1,000,00 <br />(Mandatory In NHI <br />Ey of tlefG1I under <br />EA_ DISEASE - POLICY LIKAT S 1,000,0 <br />N <br />DESCRi:= OF OPERATIONS below <br />g <br />rot. LiablPer Claim <br />DPLI03311 <br />f <br />11LIM <br />Per Claim 1,000,000 <br />B <br />ed.: $5K Per CisIm <br />DPLI03311 <br />bgregate �00k 2,000,000 <br />106 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 107, Additional Remarks Schedule, If mort space b lequlnrdJ <br />Re: All Operations <br />The City of Santa Ana is additional insured as respects general liability per the attached endorsement 4g <br />Sal- <br />5'C�RCo e`! <br />�Sta <br />The City of Santa Ana Attn: Michelle Walker <br />20 Civic Center Plaza W36 <br />PO Box 1988 <br />AUUFIU 25 (Z010105) <br />SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POUCY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />®1988-2010 ACORD CORPORA <br />The ACORD name and logo are registered marks of ACORD <br />rinhhe rncorvad <br />