JONES & STOKES ASSOCIATES, INC. 10 - 2008

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•ft'D~, CERTIFICATE OF LIABILITY INSURANCE page 1 Qf 2 l0/o3/2aa7 ODUCER 87?-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willie North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Boa 305191 Nashville, 'rN 372305191 INSURERS AFFORDING COVERAGE NAIC# SURED Jones & Stokes Associates, Inc. INSURERA:American International S ecialt Lines In 26883-003 Attn: Pam-Lampkin / J~ INSURERB:COmmerce and Industry Insurance Com an 19410-004 2600 V Street /I _ )Cj~,~- (~(~z[-' Sacramento, CA 95818 /'I u(i INSURERC:American International S ecialty Lines In 26883-002 INSURER p: American Home Assurance Company 19380-001 INSURER E. OVERAGES THE POLICIES OF INSURANCE L4STED BELOW HAVE BEEN ISSUED TO 7HE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH .,to eunu,r.i [,ev uev^ AFGAI RFr11 ICFII RY PAIn CI AIMS. SR V1DO' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS PROP2027883 10/1/2007 10/1/2008 EACHOCCURRENCE $ 1 000 000 GENERALLIABIUTY DAMAGE TO RENTED 00 GENERALLIABILITY RC A PREMISES E occurence $ 500 0 f L ~X I COMME CLAIMS MADE a OCCUR MEDEXP{Anyoneperson) S 5 000 l b I i PERSONALSADV INJURY S 1 000 000 X . a nc Pollution L bilit l Ll GENERAL AGGREGATE $ 2 000 000 a V X Contractua ~ GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMPIOPAGG S 1 000 000 PDLICY X PRO LOC I AUTOMOBILELIABILITY CA5054198 10/1/2007 10/1/200$ CDMBINEDSINGLELIMIT $ 1, 000, 000 ANY AUTO X (Ea accident} , ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS ' :~ I ~ ~ Ly'{ ~ {Per person) r L l ~- r . ~ . ; HIRED AUTOS f BODILY INJURY S NON-OWNED AUTOS // (PeraccideM) _,_ _ - --- -'-""'-' - -^ PROPERTY DAMAGE $ GARAGE LIABILITY ~•-~'`• 1 -'t' r*(l~Tl •V AUTO ONLY•EAACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLALIABILITY pROII8085646 10/1/2007 10/1/2008 EADHOCCURRENGE $ 5 000 000 - X OCCUR ~ CLAIMSMADE AGGREGATE S 5 000 000 S DEDUCTIBLE $ X RETENTION $ Q QQ $ ~ WORKERS COMPENSATION AND CA iQC3426107 10/1/2007 10/1/2008 WC STATU- OTH- X T Rv 1MIT~__ A ~ EMPLOYERS' LIABILITY A03 wC3426106 10/1/2007 1a/1/2oae E. L. EACH ACCIDENT S 1 000 000 ANY PROPRIETORJPARTNERlEXECUTIVE OFFICERIMEMBEREXCLUDED? E.L. DISEASE-EA EMPLOYEE $ 1 000 000 If yes, describe under SPECIAL PROVISIONS below E. L. DISEASE-PDLICY LIMIT $ 1 000 000 4 OTHER PROP2027883 10 1 2007 10 1 2008 ~Professioaal Liability $3,000,000 Each Loe• Claims Made $3,000,000 Aggregate i 50 000 Deductible DESCRIPTION OF OPERATIONSILOCATIONSfVEHICLESIEXCLUSIONS ADDED BY ENDUHStMtn uSPtc[aL rnuvrawn5 te: On-Call Services Che City of Santa Ana, its officers, agents, employees, volunteers and representatives are included as Additional Insured as respects General Liability, as required by written contract. If :squired by insured contract, such insurance as is afforded by this policy is primary and no other insurance of the Additional Insured will be called upon to contribute to a loss. CERTIFICATE HOLDER CANCELLATION - City of Santa Ana Planning and Building Agency 20 Civic Canter Plana, Roes Annex M-20 P.O. Box 1488 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 9EFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO 08LI(iATKIN OR LIABILITY OF ANY KIND UPON THE INSURER, IT5 AGENTS OR REPRESENTATIVES. ACORD25{2001/08) Co11:2129470 Tp1:690109 Cert:96301/90 ®ACORD CORPORATION 1988