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<br />UdLe. "tJOIUO U.,. IU KIVI
<br />
<br />0(:;11........' oJ" ~~.~ . ._~-
<br />
<br />ACORD.
<br />
<br />
<br />BILlTY INSURANCE
<br />
<br />OP 10 KL
<br />URBA-05 04 OB OB
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />
<br />
<br />PROOUCEIl I ,
<br />({.r,'s+en.Le",6 Gfr1~rS"'co" V,
<br />ACEC/MARSH I:'
<br />701 Market St., Ste. ~~~~
<br />St. Louis MO 63101 t~_. 00'
<br />phone: 800-338-1391~' Fax:888-621-3113
<br />
<br />Urban Systems/Innovation Group
<br />Leon Tauzier
<br />P.O. Box 2210
<br />New Orleans LA 10116
<br />
<br />L: NSllRERA.
<br />INSU<ERB
<br />INSUREHC'
<br />lNSURERD.
<br />NSUREf<:E
<br />
<br />Hartford Insurance Co
<br />
<br />an
<br />
<br />NAIC#
<br />22357
<br />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />INSUIlED
<br />
<br /> THE POLICIES OF INSURANCE LISTED BElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br /> ANY REOUlREMENT, TERM OR CONDITION OF N.f'f CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFICATE MAY BE ISSUED OR
<br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLAIMS.
<br />;; ".. TYPEOFlnSUR,ANCE I"OUCYNUMBER P~~;~~~~~ Pg~.feYI~X:-~~ UMm;
<br /> ~NERAL LIABIUTY EACHOOCURRENCE $1,000,000
<br />A X COM"'!:RCL.O.L GHIERAL L.J,ISIUTV B4SBlIBR6760 V 11/01/07 11/01/0B PREMISES ~E~~~~~rv::e) 51,000,000
<br /> - o CLAlMSlMDf [!]OCCUR MEOEXP{AAyonep~Oll) ,10,000
<br /> - PERSONAL 8.ADV1N.,lUR"f $1,000,000
<br /> - GENERAL AGGREGATE 52,000,000
<br /> nL~GREGArill~:;UES n PRODI.CTS- COMPfOP AGG $ 2,000,000
<br /> POUCY X JECl LDC
<br /> ~OMOBlLE UAaILTTY CDMB\NEDSlNGLEUIolIT S 1, 000,000
<br /> Nf'{AUTO (EaaWdenl)
<br /> l-
<br /> f- AlL OW'NEDAtITOS BODILYWJRY'
<br /> ,
<br /> SCHEDUc.EDAtlTOS {per person)
<br /> f-
<br />A ~ HlREDAUTOS 84SBlIBR6760 11/01/07 11/01/08 1I0DlL Y INJURY
<br /> S
<br /> ~ NO~=DAU1DS IP~rattl:l~lll)
<br /> - PROPERTYDAlAAGE ,
<br /> (per.c,~nlJ
<br /> R" ",",CITY AUTO a.lL Y - EA ACCDENT ,
<br /> ANY AUTO OTHER THAN ",ACe s
<br /> ,l,lJTOONl.Y: AGG S
<br /> i5'~SlUMBI'tEUA UABIUfY EACH OCCURRENCE 52,000,000
<br />A X OCCIJR 0 ClAIMS MADE B4SBlIBR6760 11/01/07 11/01/0B AGGREGATE s
<br /> ,
<br /> ROEOUCTIBLE S
<br /> RETENTION S S
<br /> WORKERS ceMPENSA.TIOtl AND X lT~S~~~ \ lO~~
<br />A E"~LO'I'ERS'UABlUTY B4l1BGKA0176 11/01/07 11/01/08
<br />Am PROPRIETORIPAATNEfVE)(ECUTNE E.L EACHACClDEfilT S 1,000,000
<br /> OFFICERfh4EMElEI'l EXCLUDED? E.L OISEASE.EAEMPLOVEE S 1, 000 , 000
<br /> lye5,de5trtbelSlder 51,000,000
<br /> SPECIo'LPR0YI51ONSbeltIW ELDlSEASE_POU::VUMlT
<br /> om"
<br />DESCRIPTION OF Of'EIlA-TlONS I LDCATlOltS IVEHIWB I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PRO'ilSlON1
<br />THE CITY OF SANTA ANA AND THE CITY OF GARDEN GROVE, THIER OFFICERS,
<br />EMPLOYEES ,AGENTS, VOLUNTEERS AND REPRESENTATIVES JIRE INCLUDED AS ADDITIO_ed end approved os to insuront:tt langu ,.
<br />INSURED FOR COV EXCEPT WC.COVERAGE IS PRIMARY AND NONCONTRIBUTORY. SEPARATION and/or requirements.
<br />OF INSUREDS IS INCLUDED . CG2010R ~t!~$i-?L(2.L_
<br /> ~
<br /> Risk Mono em -~
<br />
<br />COVERAGES
<br />
<br />CTYGAR- SHOULD ANY OFTHE ABOVE DESCRIBED POUC1ES BE CANCELlED BEFORE THE ElCPlRATlOM
<br /> DATE THEREOF. THE 15SIJINQ INSURER WILL ENCEAVOR TO MAIL 30 DAYS WRITTEN
<br /> NonCE TO TliE CERTIFICATE HOLDER HAMED TO THE LEFT, BUT FAlL.URE T'O CO SO SHALL
<br />CITY OF GARDEN GROVE IMPOSE NO DBUQ.lTlON OR UABlUTY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
<br />11222 ACACIA PARKWAY
<br />PO BOX 3070 REPRESENTATIVES.
<br />GIUlDEN GROVE CA 92B42 AllTHORJ%EDREP~ D-.. ~ ~ \" .~
<br />
<br />@>ACORDCORPORATION 19BB
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br />ACORD 25 (2oo110B)
<br />
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