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BATE (MUMNYYYI <br />'ACORL?. CERTIFICATE OF LIABILITY INSURANCE 01/03/2008 <br />PRODUCER (619)574-6220 FAX (6I9) 574-6288 THISONLY <br />CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Insurance Office of America, Inc. A - ao05� X7.5 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />DBA IDA Insurance Services ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />1775 Hancock Street, Ste. 180INSURERS AFFORDING COVERAGE NAIC # <br />San Diego, CA 92110 A ' �b - « �" <br />INSURERATravelers <br />INSURED INSURERS'. Ace American Ins- CO. <br />Gillis 6 Panichapan Architects, Incorporated INSURER C. <br />2900 Bristol St. Suite C20S INSURER D: <br />Costa Nesa, CA 92626 INSURER E. <br />THE <br />POLICIES <br />OF INSURANCE LISTED BELOW <br />HAVE BEEN ISSUED TO THE INSUREU <br />OF ANY CONTRACT OR OTHER DOCUMENT <br />NwMMU n0-"'-' <br />WITH RESPECT <br />• --•- <br />TO WHICH <br />THIS CERTIFICATE MAY ISSUED <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />ANYREQUIREMENT, <br />TERM ORCONDITION <br />THE POLICIES DESCRIBED HEREIN <br />IS SUBJECT <br />TO ALL THE TERMS, <br />MAY <br />PERTAIN, <br />THE INSURANCE AFFORDED <br />MAY <br />BY <br />HAVE BEEN REDUCED BY PAID <br />CLAIMS <br />POLICIES. <br />AGGREGATE LIMITS SHOWN <br />EFFECIN6 <br />POl1CY EXPIRATION <br />UNITS <br />ISR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />6801841L495 <br />07/24/2007 <br />07/24/2008 <br />EACHOCCURRENCE 3 1,000 <br />GENERAL LIACIAL <br />TO RENTED $ <br />ERCIAL GENERAL LIABILITY <br />MED EXP(AnY one Pm ) S 5 <br />aOCCUR <br />PERSONAL S ADV INJURY 3 _ 1,000,0 <br />__— - <br />GENERALAOGREGATE 3 2 000,0 <br />PRODUCTS COMPIOP AGO 3 2,000, <br />REGATE LIMIT APPLIES PER: <br />JtCLAIMSK�E <br />Y X JEC LOCLE LIA&CITY <br />6802841L495 <br />07/24/2007 <br />07/24/2008 <br />COMBINED SINGLE LIMIT y <br />(Ea=atk;M) IncluUTO <br />BODILYINJURY$ <br />WNEDAUTOS <br />(Par Person) <br />SCHEDULED AUTOS <br />A <br />X HIRED AUTOS <br />BODILY INJURY y <br />X NON.OWNEDAUTOS <br />PROPERTY DAMAGE $ <br />(Por amtlaM) <br />WRAGELIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OFAACC $ <br />ANY AUTO <br />ONLY.. <br />AUTO LLTO ONLY. AGC y <br />EXCESSlUMBRELLALIAaLITY CUP678SY338 <br />07/24/2007 <br />07/24/2008 <br />EACH OCCURRENCE S 1,000, <br />AGGREGATE $ I OOO ,O <br />X OCCUR CLAIMS MADE <br />S <br />A <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION$ <br />U87IIOY241 <br />09/01/2007 <br />09/01/2008 <br />WC STATU- OTH. <br />X <br />EL EACH ACCIDENT $ 1x000 O <br />WORKERS COMPENSATION AND <br />A <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />ELDISEASE-EAEMPLOYE S 1'000,0_ <br />-- -- <br />E.L. DISEASE -POLICY LIMIT $ 1,000,00 <br />OFFICEMMEMBER EXCLUDED? <br />Xyyen,tlenulCeundor <br />5PECIAL PROVISIONS oelav EONNO4080506 <br />roessional Liability <br />11/08/2006 <br />1110812008 <br />$1,000,000 each claim <br />$2,000,000 aggregate <br />B <br />laims Made <br />55,000 deductible <br />CESCRIPTIONOFOPERATIONS/LOCA7 IVEHICIESIEXCLUSH)N ADDED eY ENOORSENENTI SPECIAL PROMSbNS <br />th <br />e: All Operations of the Named Insureds <br />is insured as respects general liability per the attached endorsement. <br />The City of Santa Ana additional <br />�-r <br />*10 day notice if cancellation applies for non payment of premium. �7 <br />SHOULD ANYOF THE ABOVE DESCRUMIDpOUCMABSCANICULLED BEFORE THE <br />EXNHA nGN DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />The City of Santa Ana *30 DAYS WRITTEN NOTICE TO THECERTIFICATE HOLDER HAMEOTO THE LEFT, <br />Attn: Michelle Walker BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION CR LIABILITY <br />20 civic Center Plaza M-36 OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. <br />PO BOX 1988 AUTHORIM0 REPRESENTATIVE r , I , 5 <br />'^^'-1:14• <br />Santa Ana, CA 92702-1988 „_ -- „_•-_TT /'AMBAC <br />®ACORD CORPORATION 1988 <br />ACORD 26 (2001108) <br />