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A - 2JOD7- -I& i <br />A ;?_ooE - cO <br />DATE(MM/DD/VYYV) <br />.. CERT?+'?+CA' O <br /> THIS CERTIFICATEIS ISSlED AS A MAI TER OF INFORMATION ONLY <br />nsurance Services West, Inc. EF2 fIFICATE HOLDER. THIS <br />S NO RIGH"IS UPON THE C' <br />ff <br />t sk SerVt ces, Inc. of WA . <br />AND CONFF.R <br />CERTIFICATE. DOES NOT Ab1END,E\TEND (1R:ILTER THE <br />h Avenue <br />OVERAGE AFFORDED BY THE POLICIES BELOW'. <br />0 C <br />A 98101-4030 USA <br />ENSURERS AFFORDING COVERAGE NAICa <br />9-4800 FAX (206) 749-4860 <br />22322 .. <br /> INSLPERA Greenwich Insurance Company <br />T- <br />INSURED <br />Mobile USA, Inc. <br />MsuRERB XL Specialty Insurance Co <br />37885 <br /> <br />d <br />its Subsidiaries and Affiliates National Union Fire Ins Co of Pittsburgh 19445 <br />12920 SE 38th Street INSURERC <br />Bellevue WA 98006 USA <br /> INSURER D 9 <br /> O <br /> INSURER E: S <br />.. ., s, .. <br />E BEEN ISSUED TO THE INSU RED NAMED .ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />TI1E POLICIES OF INSURANCE LISTED BELOW HAV <br />ONTRACTOR OTHER DOC <br />" UMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />rION OF ANY C <br />ANY REQUIREMENT, TERM OR CONDI <br />SCRIBED HEREIN IS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />SUBJECT TO ALL THE TERMS <br />THE INSURANCE AFFORDED BY THE POLICIES DE <br />PERTAIN , <br />, <br />AGGREGATE LIMITS S1 [OWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED <br />INSR <br /> <br />LTR I DU' <br /> <br />NSR <br /> <br />TYPE OF INSURANCE <br />POLICY NUMBER _PO <br />LICY EFFECTIVE <br />PO <br />DATE(MWDDIVV) <br />POLICY EXPIRATION <br />DATE(MMEDEEY`O <br />LIMITS <br />A RGD500006402 05/()1/08 05/01/09 EACH OCCURRENCE $1,000,000 <br /> EN E LIABILITY <br />DAMAGE TO RENTED <br />$1,000,000 <br /> <br />X CO <br />MM1fER(IAL GENERAL LIABILITY <br />PREM1ISES (Be ouurence) <br /> CLANS MADE X? OCCUR ' one Person <br />OD E? C" <br /> Contractual Liability Incl. PERSONAL &ADV MTURY $1,000,000 m <br />m <br /> GENERAL AGGREGATE $2,000,000 rv <br /> T <br /> GFN'L AGGREGATE LIMB APPLIES PER. PRODUCTS - COMWOP AEG $2,000,000 <br />O <br /> <br /> ?X POLICY E] <br />t 0- ? LOC <br />0 <br />A AUT OMOBILE LIABILITY RAD500006602 0$/01/08 05/01/09 COMBINED SINGLE LIMIT O <br /> ADS (Ee aeeidm) $110001000 Z <br /> X ANY AUTO 05/01/09 <br />A RAD500006702 05/01/08 w <br /> ALL OWNED AUTOS MA BODILY INJURY <br /> (Per Person) <br /> SCHEDULED AUTOS t <br /> d <br /> HIRED AUTOS BODILY INJURY J <br /> NON OWNED AUTOS (Per awidmq <br /> <br /> PROPERTY DAMAGE <br /> (Per-.deo, <br /> <br /> GARAGE LIABILITY - AUTOONLY EAACCIDENE <br /> <br /> ANY AU TO OTHER THAN EA ACC <br /> H AUTO ONLY <br /> AGG <br />C EXCESS [UMBRELLA LABILITY 5443136 0$/01/08 05/01/09 EACHOCCLRRENCE <br /> EIOCCUR ? CLAIMS MADE AGGREGATE $5,000,000 <br /> <br /> DEDUCTIBLE <br /> ® <br />RETENTION $25,000 <br /> RWD 500012301 U5/ul/ug <br />X WC STATU- OTH <br /> <br />ATION <br />AND <br />MPENS <br />WORKE? <br />RY 1\ E - <br /> . <br />. <br />BILIIY <br />L4 AOS E LEACH ACCIDENT $1 <br />000 <br />000 <br /> A RWR500012401 0 5/01/08 05/01/09 , <br />, <br /> FRr PARTNER/EXECUTIVE <br />BFR EXC LIIDEDu wi ELDISEASE-EA EMPLOYEE $1,000,000 <br /> M <br />nder SPECIAL PROVISIONS EL DISEASE-POLICY LPT $1,000,0 <br /> <br /> r-' <br /> <br />ATIOV S'VEHICLES'EYCLUSIONS ADDED BY ENDORSEMENL'SPECIAL PROVISIONS <br />DESCRIPTION OF OPERATIONSTG( <br />. <br />Site Number: LA028990D, Site Name: Fire station. City of Santa Ana is an Additional Insured for General <br />h <br />e <br />Liability solely as respect to operations of the Named insured at the above location if required by contract. T <br />policies certified hereon are Primary to other insurance available to the certificate Holder, but only to the <br /> <br />5..: .. _ I .,.. " i , <br />7 77 <br />77' <br />7 <br />7-77 <br />7 <br />77, <br />- <br />, <br />7 <br />77 <br />7 <br />77 <br />7 <br />?Injlbux&, <br />City of Santa Ana SHOULD ANY OF THE ABOVE DES('RIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />IL <br />Attn: Sandi Gottlieb, Community Dev. DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MA <br />lO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEES, <br />BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />2D Civic Center Plaza M-25 <br />IVES <br />. <br />Santa Ana CA 92701 USA OF ANY KIN D UPON THE INSURER. ITS AGENTS OR REPRESENTAT <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br />F