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AGORD." CERTIFICATE OF LIA_ BILITY INSURANCE 05l01f08Dml <br />Paooucea THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HRH Professional Practice ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE ^OES NOT AMEND, EXTEND OR <br />Insurance Brokers, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />2030 Main Street, Suite 350 ''.. <br />'. INSURERS AFFORDING COVERAGE <br />Irvine, CA 92614-7248 <br />__ __ <br />wsuaeD ~~~ , wsuRERP Ate American Insurance Company _ <br />T & B Planning I INSURER B. -__.. - <br />'17542 E 17tH St., f{t DD '.. INSVRER C. ~ _._ _.._ _. _. <br />Tustin, CA 92780 INSURER D: <br />'. INSURER E: <br />COVERAGES <br />UED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NO`. WITHSTANDWG <br />THE POLICIES OP IN SURANGE uSTEO BELOW HAVE BEEN ISS <br />R DOCUMENT WITH RESPECT TO W HICH THIS CERTIFICATE MAY BE ISSUED OR <br />ANY REOUIR£MEN 1, TFRA1 OR CONDITION OF ANV CONTRACT OR OTHE <br />SUBJECT TO ALL THE T ERMS EXCLUSIONS AND CONDITIONS OF SUCH <br />MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS <br />AGGREGATE LIMITS SHOWN M1AV HAVE BEEN REDVCED BV PAID CIAIMS <br />S _ __. , __ _ <br />POLICIE <br />. <br />'' -~ POLICY EFFECTIVE POLICY E%PIRATION <br />- ,~ <br />LlMlis <br />T <br />INSR TYPED INSUN NCE POLICY NUMBER DATE IMMf0Dm1 GATE (MMIBDIYVI <br />I _. ,. _.._. <br />_ <br />LTR _ <br />~ EACH OCCURRENCE 15 <br />I GENERA.. 'JABILITY _ <br />- - " <br />~ <br />-'- '. ', FIR D+`:AGE (Any una llrel 5 <br />L Od1MERQALGENERAL UABILITY~ 'i -- <br />' -- -- ~ '. MED E%v IAny ona p5no0) S <br />CLAIMS A',ADE O~CUR _... _- _ <br />~- '.. <br />, PEREONALBADV INJURY ''S <br />_ _ _. _.. -' <br />', Gc NERN. AGGREGATE S <br />-__.. ___ <br /> '.: PROD JOTS -COMPlGP PGG S <br />-- <br />'GEN'E i.GGREGAIELIMItAPPLICBFER'I. _ j --- -' <br />_ ~ PHG. <br />>OI ICl IcCT LOL <br />I <br />PUTDMOBILE LIABILITY '. ~'COVBNED SINGLE LIMIT S <br />IE a nn <br />AhY AU 10 _... .. -. <br />ALL OWNED AUTOS ~ ~ I LY P^'URY 5 <br />BODI <br />__ n <br />SCL!EDULEJ AUTOS ',.. ' __._-_. - - __ _... -. <br />~ <br /> <br />TOS <br />' I BODILY INJIIflY <br />S <br />HIRED AU <br />_ _ ~, ,(Per a;ce'Mnl _ <br />NONAWNCJ AUiOG <br /> ''.. PROVE HTY DAMAGE <br />5 <br />_.. __... _ - ~ ~ <br />(PBr .ACC-~en1) ~. <br />~ <br />' <br />-. - ' (AUTO OVLV-EA ALGID°Ni 5 <br />.. <br />. <br />'., GARAGE lIA91LIIY . <br />_... <br />' ~'. OTHER THAN EAACC ' ._. <br />. <br />PNY AUTO <br />_ AUTO ONLY. AGG S <br />- '. EACH OCCURRENCE 5 ,.__ <br />EXCESS LIAOILITV , I - --- -- <br />'. '' <br />..~ PGGREGAti !_ <br />S ___ __ _ <br />U;f.LR '. CLAI:-05 MADE . <br />'. I ...______ _.._ _...-_ _.. - <br />_ <br />. 5 <br />oeuucTloLe - .. <br />_. . <br />~' 'S <br />HETE NTIOh_ 5 ' ~N'L: STAT n- OIH <br />' RJRV LIA11T5 ER. <br />''. <br />! - - <br />,. <br />WORNER$COMPENSATIDN AND , , <br />. <br />EMPLOYERS'LIABILITY E.L EACIIALGIDc`NT S _ _ <br />' EL 05EASEEA EMPL OYEE 5 _ <br />T <br />! EL. DISEASE .POLICY LIMIT, $ <br />A OmER <br />' <br />09120107 '09120!08 <br />623634867 $1,000,000 Per Claim <br />, <br />Professional . <br /> 000,000 A re ate <br />$2 <br />' <br />Liabilit , <br />, <br />DESCRIPTION OF OPERATIDN540LATIONSNEHILLESfEXCLUElONS ABBED BY ENDORSEMENTISPELIAL PROVISIONS <br />ALL PLANNING OPERATIONS INCL BUT NOT LTD TO SANTA ANA LIFT STATION RFP { / <br /> ~ <br />~ .. _. ~.._ iii G~VPyiv. <br /> <br />_ n..w~R .,...~,~_~,.._..._____...__. _..- <br />SHOULD ANYOF THE ABOVE D ESCRIBEO POL ICIES BE CANCELLED B EFORE THE EXPIRATION <br />CITY OF SANTA ANA BATE THEREOF, THE ISSUING INSURER WIpTX4QN7A1R40x TO MAIL 3D DAYS WRITTEN <br />20 CIVIC CENTER PLAZA, M-30 NOTICE TO THE CERTIFICATE HOLB ER NAM ED TDTNE LEFT,~yTxx~X <br />SANTA ANA, CA 92701.4058 ~~'~RXONlexxos~c(r~+X"xoN~D~LOf~INxxxaaafcomtxoc <br />AUTHORIZED REPRESENTATIVE <br />1\~ ~ ! 1 I 'r~i:: 1 <br />r cI v n ACORD CORPORATION iBRF <br />ACORD 25-517191)1 Of 2 AJ4d DIID4V NI4S000J <br />