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407207 <br />TBPLANNI <br />ACORD,p CERTIFICATE OF LIABILITY INSURANCE oaAizelos°`~'"' <br />PRDDUCER <br />USI Of SOUthefn California SC <br /> <br />29A Technology Drive 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 7HE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Irvine, CA 92018 <br />949 790-9200 <br />INSURERS AFFORDING COVERAGE <br />NAIL N <br />INSURED INSURER A: Hartfofd CasDalty In$DrenGe Company 29424 <br />T & B Planning Consultants Inc INSURER 9: <br />17542 E. 17th St., #1 OO INSURER C: <br />Tustin, CA 92780 INSURER D: <br /> INSURER E: <br />COVERAGES <br />AS OF 04129!08 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWRHSTANDING <br />ANY REQUIREMENT, TERM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TD WHICH THIB CERTIFICATE MAV BE ISSUED OR <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IB SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS DF SUCH <br />MAY PERTAIN <br />, <br />POLICIES. AGGREGATE LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />P LILY EFFECTIVE POL CY EXPIRATION LIMITS <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER DAT ATE MMIDD <br /> GENERAL LIABILITY EACH OCCURRENCE S <br /> DAMAGE TO RENTED <br /> COMMERCIAL GENERAL LN8ILITY S <br /> CLAIMS MADE O OCCUR MED E%P (AnY one pereon) S <br /> PERSONALBADV INJURY S <br /> GENERAL AGGREGATE S <br /> GENL AGGREGATE LIMB APPLIES PER: PRODUCTS-COMPlOP AGG 3 <br /> POUOY JECOi LOC ' <br />A AUT OMOBILE LIABILITY 72SBAA87543 ' 03112108. 03!12109 COMBINED SINGLE LIMIT 32 <br />000 <br />000 <br /> ANY AUTO - (Ea e¢itlenl) , <br />, <br /> <br /> ALLOWNEDAUTOS BODRY INJURY 3 <br /> SCHEDULED AUTOS (Par penanl <br /> <br /> X HIRED AUTOS BODM1Y INJURV 3 <br /> X NONOWNED AUTOS (Per accident) <br /> <br /> PROPERTY DAMAGE 3 <br /> (Par accident) <br /> GARAGE LIABILITY AUTO ONLY-EI ACCIDENT S <br /> <br /> ANY AUTO OTHER THAN EA ACC S <br /> AUTOONLY: AGG S <br /> EXCESSNMBRELLA 4ABILffY EACH OCCURRENCE S <br /> OCCUR ~ CUIMS MADE AGGREGATE 3 <br /> <br /> 3 <br /> DEDUCTIBLE 3 <br /> <br /> ftETENr1ON S 3 <br /> WC STATU- OTH- <br /> WORKERS COMPENSATION AND <br /> EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />S <br /> ANY PROP0.IETORIPARTNERIE%ECUTIVE <br /> OFFICERlMEMBER E%CLUDEDT E.L. DISEASE-EA EMPLOYEE 3 <br /> II Yes, tloecrlbe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE-POLICY LIMIT <br />S <br /> OTHER <br />DESCRIPTION OF OPERATIONSI LOCATIONS!YEHICLESIE%CLUSIONS ADDED BY ENOORSEMENTISPECIAL PROVISIONS <br />RE: Job #788-002, Santa Ana Lift Station RFP <br />/ <br />~_ <br />the City of Santa Ana, its officers, agents, employees, consultants, - - - - '~ / <br />special counsel, and representatives are Included as additional insured per <br />the attached policy forms. <br />(See Attached Descriptions) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES eE CANCELLED BEFORE THE E%PIRARON <br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILLRCyxJN(RRXR MAIL ~D- OAYa WRRTEN <br />20 Civic Center Plaza (M-30) NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT,pRRR91MJaBWn0000Qilatx <br />P.O. Box 1988 wIBDRRRRZR)msRmRecaRZR~e)vncxorAVDaISmLOe>oMxRSeBaa~LSLRaxRrammaacxx <br />Santa Ana, CA 92702-1988 xLmBa31mLR+ewiE <br />ACORD 2512001!0611 ~f 3 #2449799 BRHJG ©ACORD CORPORATION 1988 <br />