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Client#: 652 LSAASSOCI1 t C d / ` ' .¢ <br />QCORD. CERTIFICATE OF LIABILITY INSURANCE 09/09/081) <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. Box 12675 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 />INSURERB: American Automobile Ins. Co. <br />INSURER c: Hartford Fire Ins. Co. <br />INSURER D: <br />INSURER E: <br />COVEH:AGtS <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 />NSR <br />LTR <br />A <br />TYPE OF INSURANCE <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE a OCCUR <br />POLICY NUMBER <br />GLO915744401 <br />POLICY EFFECTIVE <br />DATE MM/DD <br />09/30/08 <br />POLICY EXPIRATION <br />DATE MM/DDIYY <br />09/30/09 <br />LIMITS <br />EACH OCCURRENCE <br />$1 000 000 <br />FIRE DAMAGE (Anyone fire) <br />$100000 <br />MED EXP (Any one person) <br />$5 000 <br />PERSONAL & ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />s2,000,000 <br />PRODUCTS-COMPIOPAGG <br />s2,000,000 <br />GEN'LAGGREGATELIMITAPPLIESPER: <br />X POLICY PROECT LOC <br />J <br />Ci <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />57UUNIF1488 <br />09/30/08 <br />09/30/09 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1 000,000 <br />r <br />X <br />ALL OWNED AUTOS <br />wry i <br />BODILY INJURY <br />(Per person) <br />$ <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />`-�..,v <br />n ��, 1 <br />A Vv �� / i �_ <br />t'i /`''...,- <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />r - ,,`� � i <br />ti <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />ANY AUTO <br />�l'�•` <br />$ <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />OCCUR CLAIMS MADE <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />B <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WZP80966169 <br />09/30/08 <br />09/30/09 <br />X WORYC STLIMATU- CER <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />A <br />OTHER Professional <br />EOC916093501 <br />09/30/08 <br />09/30/09 <br />$2,000,000 per claim <br />!L lability <br />$4,000,000 annl aggr. <br />DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL 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 />LCI ICR: <br />SHOULD ANYOF TH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WlbgXR MXM TO MAIL 30 DAYSWRITTEN <br />NOTiCETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFTJW" K <br />REPRESENTATIVE <br />ACORD 25-S (7/97)1 of 1 #M236823 JILIV " ---- <br />1� I <br />