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ACORD <br />,. CERTIFICATE OF LIABILITY INSURANCE <br />DATE DV <br />09/188 /08 /08 <br />PRODUCER LIC #OE67768 1- 925- 416 -7862 <br />IOA Insurance Services <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 />3875 Eopyard Road, Ste. 240 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />POLICY NUMBER <br />Pleasanton, CA 94588 <br />INSURERS AFFORDING COVERAGE <br />Reno Caldwell <br />_ <br />INSURERA:Valley Forge Insurance Company <br />INSURED <br />Basillo Associates, Inc. <br />INSURER B: U. S. Specialty Insurance Company <br />INSURER C. <br />12 J Mauchly, Suite 100 <br />INSURER D: <br />Irvine, CA 92618 <br />USA <br />X GENERAL LIABILITY <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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 PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMBS <br />• <br />GENERAL LIABILITY <br />82099527251 <br />07/25/08 <br />07/25/09 <br />EACH OCCURRENCE <br />$1,000,000 <br />FIRE DAMAGE(Anyanafire) <br />$300,000 <br />USA <br />X GENERAL LIABILITY <br />MED EXP(Anyone parson) <br />510,000 <br />_COMMERCIAL <br />CLAIMS MADE X I OCCUR <br />PERSONAL S ADV INJURY <br />5 11000,000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS - COMP /OP AGO <br />$2,000,000 <br />GEN L AGGREGATE LIMIT APPLIES PER. <br />POLICY R PRO- LOC <br />JECT <br />• <br />AUTOMOBILE LIABILITY 802099527251 <br />07/25/08 07/25/09 <br />COMBINED SINGLE LIMIT <br />$1,000,000 <br />(Eaaccitlenl) <br />_ ANY AUTO <br />BODILY INJURY <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />I <br />(Par Parson) <br />BODILY INJURY <br />$ <br />X HIRED AUTOS <br />X NON -OWNED AUTOS <br />(Per acOEenl) <br />PROPERTY DAMAGE <br />$ <br />_ <br />(Paracctlent) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />_ <br />$ <br />ANY AUTO <br />_ <br />E <br />AUTO ONLY: AGG <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />OCCUR CLAIMS MADE <br />$ <br />$ <br />DEDUCTIBLE <br />S <br />RETENTION $ <br />WC STATU- OTH- <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT Is _ <br />E.L DISEASE - EA EMPLOYEE $ <br />- <br />E. L. L. DISEAS�IT $ <br />OTHER <br />B <br />Professional Liability <br />US 08 12423 03 <br />09/22/08 <br />09/22/09 <br />Per Claim $1,000,000 <br />Annual Aggregate $1,000,000 <br />s <br />DESCRIPTION OF OPERATIONWLOCATIONSNEHICLES XCLUMNS ADDED BY ENDORSEMENTISPECIAL PROWSIONS <br />All operations of the Named Insured, including project referenced below, if any. <br />General Liability: See Additional Insured endorsement attached. <br />General Liability Additional Insured: City of Santa Ana <br />Re: Agreement A -2007 -045 <br />rrorrrlrwre unI nro I. CaMCFI I ATInM •10 Dave Notice for Non- Pavmant of Premium <br />ACORD 255 (7197) 102445 <br />9793051 <br />Certificate Delivery by CertificatesNow - www.Con(irmNet.00m - 877.669.8600 <br />wP/ wRY \,VRfVRI$IIVR..VV <br />SHOULD ANY OF THE ABOWi DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana t <br />J <br />DATE THEREOF, THE ISSUING INSURER WILL EMAIL 30 DAYS WRITTEN <br />Building Maintenance M -11( <br />/ <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Attn: Theo Vu <br />/ <br />I _ <br />20 Civic Center Plaza — <br />- <br />' <br />Xif�YYKIiRJt141iY]C <br />Santa Ana, G 92701 <br />AUTHOROC^REPRESENTATME <br />USA <br />i/ jT]SS'orfc�'uaL- /y-$ <br />ACORD 255 (7197) 102445 <br />9793051 <br />Certificate Delivery by CertificatesNow - www.Con(irmNet.00m - 877.669.8600 <br />wP/ wRY \,VRfVRI$IIVR..VV <br />