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CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/26/2009 PRODUCER Aon Risk services Northeast, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY New York NY Office AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 199 water Street CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE New York NY 10038-3551 USA COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # PHONE-(212) 441-1000 FAX-(212) 441-1953 INSURED INSURER A: Great Northern Insurance Co. 20303 Jones & Stokes Associates, Inc. INSURER : Federal Insurance Company 20281 9300 Lee Highway - INSURERC: steadfast Insurance Company 26387 Fairfax VA 22031-1207 USA d INSURER D: L d IINSURER E: COVERAGES SIR aw lies Der terms and conditions of the Dolicv — THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED INSR ADD' LTR INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS ATE(MM/DD/YYYY DATE(MM/DD/YYYY) A G NERALLIABILITY X COMMERCIAL GcNER.4L LIABILITY 35812409 Package - Domestic 06/25/2009 06/25/2010 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $1,000,000 CLAIMS MADE ® OCCUR PREMISES (Ea occurrence) Any one person X Prod -Comp op Incl in Gen'l Ag PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG ❑ POLICY ❑ PRO- ❑ LOC JECT B AUTOMOBILE LIABILITY X ANY AUTO 73522955 Automobile - All States 06/25/2009 06/25/2010 COMBINED SINGLE- LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS ( Per person) X HIRED AUTOS BODILY INJURY X NON OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN EA ACC AUTO ONLY AGG B EXCESS / UMBRELLA LIABILITY 93630018 06/25/2009 EACH OCCURRENCE $5,000, OCCUR ❑ CLAIMS MADE Umbrella Liability AGGREGATE $5,000,000 DEDUCTIBLE RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N WC STATU- ORY LIMITS OTH- ER E.L. EACH ACCIDENT ANY PROPRIETOR / PARTNER / EXECUTIVE ❑ E.L. DISEASE -EA EMPLOYEE OFFICERWEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE -POLICY LIMIT Ifyes, describe under SPECIAL PROVISIONS below c OTHER Mi Sc E&0 Cvg PEC 913140702 Errors & Omissions 06/25/2009 Prof Liab Agg - All $3,000,000 overall policy aggre $3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: on -Call Services. The City of Santa Ana, its officers, agents, employees, volunteers and representatives are included as Additional Insured as respects General Liability, as required by written contract. If required by insured contract, such insurance as is afforded by this policy is primary and no other insurance of the Additional A CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 20 Civic Center Plaza, ROS �,.�pD�' OF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL P.O. Box 1988 APPA0 V ft AST 3�I TTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Planning and Building dl n Agency BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY 9 g y�r 1 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Santa Ana CA 92702 USA /r_ f f - AUTHORIZED REPRESENTATIVE '_Q� ACORD 25 (2009/01) / "' "" '"""" (D1988-2009 ACORD CORPORATION. All rights Th tt>;$St6 arA alA neyd marks of ACORD