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- g Client#: 652 LSAASSOCI1 U I-f <br />DATE (MMIDD/YY) <br />gcOP.& CERTIFICATE OF LIABILITY INSURANCE 09114107 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />1 <br />Ueaiey, Renton 8 Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE � HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P O Box 12675 Zi '>L ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Oakland, CA 94604-2675 <br />510 465-3090 <br />INSURED <br />LSA Associates, Inc. <br />20 Executive Park, Suite 200, <br />Irvine , CA 92614 <br />INSURERS AFFORDING COVERAGE <br />INSURER A: Zurich American Ins. Co. <br />INSURERS: American Automobile Ins. Co. <br />INSURER C: Hartford Fire Ins. Co. <br />INSURER D: <br />INSURER E: <br />COVERAGES <br />THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO <br />DOCUMENT WITH RESPECT TO WHICH <br />THIS CERTIFICATE MAY BE ISSUED OR <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICY EFFECTIVE POLICY EXPIRATION <br />LIMrTS <br />POLICY NUMBER T MfD OF INSURANCEBILITY <br />09f30107 09130/08 <br />EACH OCCURRENCE $1000000 <br />GL09157444 <br />FIREDAMAGE(Anyonefire) $100,000 <br />RCIALGENERALLIABILITY <br />EXP (Arty ona person) f5 O00 <br />KRAAB <br />IMS A1ADE OCCURMED <br />PERSONAL 6 ADV INJURY $1 000 000 <br />GENERAL AGGREGATE $2 000,000 <br />PRODUCTS-COMPlOPAGG $2 000 000 <br />GATE"MITAPPLIESPER: <br />PRO-- LOCELIABIUTY <br />57UUNIF1488 <br />09/30/07 <br />09130/08 <br />COMBINED SINGLE LIMIT <br />$1,000,000 <br />(Ea accident) <br />X <br />ANY AUTO <br />ALL OWNED AUTOS <br />BODILY INJURY <br />$ <br />(Per person) <br />SCHEDULED AUTOS <br />X <br />HIRED AUTOS <br />s Nh <br />BODILY INJURY <br />(Per sccldent) <br />$ <br />X <br />NON -OWNED AUTOS <br />-;; •y �' <br />PROPERTY DAMAGE <br />$ <br />i <br />(Per accident) <br />/ <br />AUTO ONLY - EA ACCIDENT <br />$ <br />GARAGE LIABILITY <br />1, <br />ANY AUTO <br />> <br />' <br />OTHER THAN EAACC <br />$ <br />--7 <br />AUTO ONLY: AGG <br />$ <br />i♦ <br />EACH OCCURRENCE <br />$ <br />'—'— <br />EXCESS LIABILITY <br />- <br />AGGREGATE <br />$ <br />OCCUR ! CLAIMS MADE <br />, <br />S <br />DEDUCTIBLE <br />$ <br />B <br />RETENTION $ <br />AND <br />WZP80954268 <br />09/30107 <br />09/30/08 <br />X IC STATU- OTH- <br />000 000 <br />WORKERS COMPENSATION <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />$1 <br />. DISEASE - EA EMPL OYeF' <br />$1,000,000 <br />�[. <br />E.L. DISEASE - POLICY LIMIT <br />S1,000 000 <br />A <br />OTHER Professional <br />EOC916093500 <br />09/30107 <br />09/30108 <br />$2,000,000 per claim <br />$4,000,000 annl aggr. <br />lability <br />DESCRIPTION OF OPERATIONSILOCATIONSIVENICLESIFXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />General Liability policy excludes claims arising out of the performance of professional <br />services. <br />Project: On -Call Services for the City of Santa Ana. <br />See attachment. <br />City of Santa Ana <br />Attn: Tonia Zerba <br />20 Civic Center Plaza M-20 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />SHOULD ANYOF TH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WIWXWKXM= TO MAIL 3p__-_DAYS WRITTEN <br />NOTICETOTHE CERTIFICATE HOLDER NAMEDTOTHELEFTJW" K <br />REPRESENTATIVE <br />. Arnon fNnD0f1DAT1f1M laWl <br />ACORD 25S (7197)1 of 1 #M204203"` <br />