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<br />. <br /> <br /> 1-.1 - d'€-O K - () '-I- ;;:r- <br />ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY) <br />TM 04/21/2008 <br />PRODUCER Phone: (858) 350..Q555 Fax: {858} 35Q-OS56 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />K T L BUSINESS INSURANCE SERVICES, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />322 8TH STREET SUITE # 101 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />DEL MAR CA 92014 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAIC# <br />Arlen"" U(:#; 0086601 <br />INSURED INSURER A: Hartford Casualty Insurance Company 29424 <br />NORTHCROSS HILL & ACH, INC. INSURER B: JAMES RIVER INSURANCE CO <br />9995TH STREET SUITE 560 INSURER C: Hartford Fire Insurance 19682 <br />SAN RAFAEL CA 94901 <br /> !INSURER D: <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />1HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR ,HE POUCY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANV 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, EXCl.USIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />"". All. TYPE OF INSURANCE POLICY NUMBER PDO~iYni~~~E p~;J,~=~OH UMITS <br />LTR INS' <br /> ~NERAL LIABILITY 72SBARB7400 05/01/08 05101/09 EACH OCCURRENCE . 1,000,000 <br /> X COMMERCIAL GENERAL LlABIUTY ~:~~r1E~~~ncel . 300,000 <br /> I CLAIMS MADEW OCCUR MED. EXP (Anyone person) . 10,000 <br />A ~ BUSINESS llABIl.1TY PERSONAL & MJV INJURY . 1,000,000 <br /> GENERAL AGGREGATE . 2,000,000 <br /> - <br /> h'~ AGGR~n LIMIT APPLIES PER: PRODUcr8-COMPIOP AGG. $ 2,000,000 <br /> PRO- n <br /> POLICY JECT l.OC <br /> ~OM08IlE LIABILITY 72SBARB7400 05/01/08 05/01/09 COMBINED SINGLE liMIT 1,000,000 <br /> ANY AUTO (Eaacddent) . <br /> - <br /> - AL.L OWNED AUTOS BODILY INJURY <br /> SCHEDUL.ED AUTOS (Per person) . <br />A - <br /> .!.. HIRED AUTOS BODILY INJURY <br /> .!.. NON-QWNED AUTOS (per!lccldent) . <br /> - PROPERTY DAMAGE $ <br /> (Per accident) <br /> RGE LIABILITY AUTO ONLY - EA ACCIDENT . <br /> ANY AUTO OTHER THAN EAACC . <br /> AUTO ONLY: AGG . <br /> ~ESS I UMBREl.LA LIABILITY EACH OCCURRENCE . <br /> OCCUR D CLAIMS MADE AGGREGATE . <br /> $ <br /> ~ DEDUCTIBLE . <br /> RETENTION $ . <br /> WORKERS COMPENSATION AND 72WECTL0431 11/13/07 11/13/08 X Ifg~d~s I IOTHER <br /> EMPLOYERS' LIABILITY <br />C ANY PROPRlETORIPARTNERlEXECUTlVE E.1.. EACH ACCIDENT . 1,000,000 <br /> OFflCER/MEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYEE . 1,000,000 <br /> If y.s,d.&CIrllaund.r E.L. DISEASE-POLICY LIMIT $ 1,000,000 <br /> S~ECIAL ~ROVISIONS below <br />B I OTHER PROFESSIONAL LIABILITY I 00011313.2 08104107 08/04/08 lEACH OCCURANCE $1,000,000 <br /> AGGREGATE $1,000,000 <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />CERTIFICATE HOLDER NAMED AS ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY AS PER ATTACHED ENDORSEMENT <br />AND POLICY FORM.10-DAY NOTICE OF CANCELLATION GIVEN FOR NON.PAYMENT OF PREMIUM. <br />RE: CONSULTING CONTRACT AGREEMENT <br /> <br />Attention: FRANCISCO GUTlERRt <br />ACORD 25 (2001/08) <br /> <br /> <br />/I~-.- <br /> <br />CANCELLATION <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF. THE ISSUING INSURER W1LlENOEAVORTO MAll3D DAYS <br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE <br />TO 00 SO SHALL IMPOSE NO OBLIGATION OR lIABILITY OF ANY KIND UPON THE INSURER, <br />IT'S AGENTS OR REPRESENTATIVES. <br /> <br />CERTIFICATE HOLDER <br /> <br />CITY OF SANTA ANA <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br />\ <br /> <br />Kek- <br /> <br />Certficate # 19141 <br /> <br />@ ACORD CORPORATION 1988 <br />