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DATE <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE 09/01/2008) M/D9/0oos <br />PRODUCER (904) 396-4404 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />ABERCROMBIE INSURANCE AGENCY, INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. 0. BOX 5857 <br />(904) 396-4404 <br />JACKSONVILLE FL 32247-5857 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A. TRAVELERS PROPERTY CASUAL 25674 <br />KIMLEY-HORN AND ASSOCIATES, INC. INSURER (A M BEST RATING A+) <br />P O BOX 33068 INSURER C. <br />(919) 677-2000 INSURERD: <br />RALEIGH NC 27636-3068 INSURER <br />UUVtKAUI=- <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 PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR INSRD <br />ADD'L <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MMIDDIYY) <br />POLICY EXPIRATION <br />DATE (MM/DD1YY) <br />LIMITS <br />A <br />GENERAL LIABILITY <br />P-630-315X3476-TIL-08 <br />09/01/2008 <br />09/01/2009 <br />EACHOCCURRENCE <br />$ 1,000,000 <br />DAMAGEPREMISESS(RENTED <br />Ea occurrence <br />$ 500,000 <br />X COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any oneperson) <br />$ 5,000 <br />CLAIMS MADE: a OCCUR' <br />X CONTRACTUAL LIAB. <br />/ <br />/ / <br />PERSONAL BADVINJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />R- <br />X1 POLICY JECT LOC <br />A <br />AUTOMOBILE <br />LIABILITY <br />P-810-171L6115-TIL-08 <br />09/01/2008 <br />09/01/2009 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />ANY AUTO <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />/ / <br />/ / <br />rX <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />Z <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />�/� � <br />/ / <br />/ / <br />$ <br />AUTO ONLY. AGG <br />EXCESSIUMBRELLA LIABILITY <br />/ / <br />/ / <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />OCCUR F-1 CLAIMS MADE <br />$ <br />DEDUCTIBLE <br />/ / <br />/ / <br />$ <br />RETENTION $ <br />A <br />WORKERS COMPENSATION AND <br />8621K398-1-08 <br />09/01/2008 <br />09/01/2009 <br />g 11 TORYWCSTATU- OTH- <br />LIMITS ER <br />E.L. EACH ACCIDENT <br />$ 500,000 <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OF FICE.R,?.1E MBER EXCLUDED' <br />/ % <br />/ / <br />E.L. DISEASE -EA EMPLOYEE <br />$ 500,000 <br />E.L DISEASE -POLICY LIMIT <br />$ 500, 000 <br />If yesdescribe under <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSfVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />PROJECT: CONSULTING CONTRACT CITY OF SANTA ANA. SPECIAL ENDORSEMENT ATTACHED. <br />ULK I IFIUA I t KULUtK IiM IYV GGL r 1.- <br />( SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />BILL APPLE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL XK6rd V XX= MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, K1 <br />CITY OF SANTA ANA)4�i�1X1SXdfa6l4(Ki2Cd4A6�C11d1141S�iafXi(dleK�fi(KIX1QiYDH1t6itafKtlO(N+1416Xd(E <br />PLANNING DIVISION xl(�li?i4�C4(Xd�3iDE 1(aiKd4i1f�Y�4Jt>Gl€3r <br />P 0 BOX 1988 M— 2 0 AUTHORIZED REPRE04WATIVE <br />t <br />SANTA ANA CA 92702— `�m^s= e <br />ACORD 25 (2001108) 4 ©ACOR ORATION 1988 <br />ft , INS025 (aim o5 ELECTRONIC LASER FORMS, INC. - (800)327-0545 Page 1 of 2 <br />