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AV-QR-a- CERTIFICATE OF LIABILITY INSURANCE I 13E3—.1 009 <br />PRODUCER (949) 852-0909 FAX. (949) 852-1131 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Milestone Riak Management cN <br />& XMIS rWW C!e Agany ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />License No_ OB72766 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />B Corporate Park, Ste 130 <br />Xrvine CA 92606 INSURERS AFFORDING COVERAGE NAIC R <br />INSURED <br />Pacific Advancad Civil ffigiaaering, Iac_ <br />INSURER A: Aart:EOrCZ CmauaXey 29424 <br />INSURERMNational IInion Fire & 19445 <br />DBA2 PACS <br />INSL/RER c: <br />17520 Nev►hope St=aet, Suites 200 <br />INSURER R. <br />Fountain Valley CA 92708 <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PEORTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH PLICIES. <br />INBR D'L POLICY ER�CTIVE PODGY EXPIRATION <br />TTPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MID LBfiB <br />OENERALLIAG J <br />S <br />#---MMOER/1L LIABILITY <br />CLAIMS MADE O OCCUR <br />DAIAgOE TO RENTED PREMISE g, <br />rem E <br />FERGONIAL & ADV INJURYE <br />GENERAL AGGREGATE <br />GENL A REOATE LIMIT APPLIES PER: <br />POLICY PR LOC <br />_ s <br />Total res ata <br />AUTOMOBILE LIABILRY <br />X ANY AUTO <br />COMBINED SINGLE LIMB E 1,000,000 <br />(E. ecdd.nt) <br />A <br />ALL OWNED AUTOS <br />SCHEDULEDAUT08 <br />72URCTR2380 (CA) <br />72OSCTMM5063 (AZ) <br />11/16/2009 <br />11/16/2009 <br />11/16/2010 <br />11/16/2010 <br />BODILY INJURY <br />(Per person) E <br />X HIRED AUTOS <br />X NON-OWNED AUTOS <br />BODILYINJURY E <br />(Per aOelrlant) <br />X Comp. Dsd. $500 <br />TT�� <br />APPROV <br />�+ <br />AS T <br />33 w .I <br />FORM <br />PROPERTY DAMAGE E <br />(Per eeeldent) <br />X <br />Coll, Dad. 1, 000 <br />GARAGE LIABILITY <br />ANY AUTO <br />%'d 'ta <br />-.. <br />P, i <br />AUTO ONLY-EA ACCIDENT E <br />OTHERTHAN <br />ONLY: <br />EJ(CEBBNMBRELLA LIABILITY <br />OCCUR F—ICIAIMSMADE <br />A1siSt <br />t City Att <br />r e <br />AGGREGATE s. <br />DEDUCIBLE <br />B <br />WORKERS COMPENSATTION AND <br />EMPLOYERS' LIXINIU Y <br />ANY PROPRIETOR/PARTNER/EXECUTNE <br />099-89-56 (CA) <br />1/1/2010 <br />1/1/2011 <br />X VJC STAT - O <br />E.L. EACH ACCIDENT Is 1,000,000 <br />OFFICER/MEMBEREXCLUO ED? <br />Uy.e, ABsvWe antler <br />099-89-57 (OTMDiB T'BA2i CA) <br />1/1/2010 <br />1/1/2011 <br />EL DISEASE-FA E]III YEE 1,000,000 <br />EL DISEASE -POLCY LIMfi 1,000,000 <br />GTHHi <br />OESCRPTION OF OP61ATgN6/LOCAT]ONBNE)aCLEB/E%CLUBIONS ADDED BY EfOORBEMENT/SPECIAL PRONBIONB <br />MPa iver of subrogation apPlles wham —a" --I by vriCtna coatraOG. Wel— aadoraett r forma MA99161299 4 WC0403061 <br />attaabed. X10 days aotioa of anncellatioa Por aoa-Payment OP Prem1— <br />c rrvcrrcra l:AN1.:CLLAIIDN <br />SNOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE <br />City of Santa Ana —TION DATE THEREOF, THE IBSISNG MSURER WILL �NMIL <br />20 Civic Cerate= P1aaa a30 DAYS 1IIIRITTEN NOTICE TO THE CERTIRCATB HOLDER NAMED TOTHE LEFT, XP"Santa Ana, CA 92701 <br />AUTHORED NIEPfEBENTATIVE _ <br />CatY —l— <br />ACORD 25 (2001108) ® ACORD CORPORATION 1988 <br />IN5025 (01os).B Peg. 1 012 <br />