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Client#: 9058 <br />Hn[y1 FIRF <br />ACORDT. CERTIFICATE OF LIABILITY INSURANCE <br />07/09108D'YYYY) <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />UnionBanc Insurance Svcs, Inc. <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />2415 Campus Drive, Suite 200 <br />A-2008-117 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Irvine, CA 92612-8530 <br />949 833-2462 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />A: American Casualty Co. of Reading, PA <br />20427 <br />HoglINSURER <br />Ireland Inc <br />INSURER B: Transportation Insurance Co. <br />20494 <br />2860 <br />860 Michelle Drive, Ste 100 <br />INSURER a Employers Compensation Insurance Co <br />11512 <br />Irvine, CA 92606 <br />INSURER D: Lloyd's of London <br />99999 <br />INSURER E: <br />COVERAGES <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 />LTR <br />ADDT <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MWDDffYI <br />POLICY EXPIRATION <br />DATE (MM/DDffYI <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE 51OCCUR <br />B2082828476 <br />04/01/08 <br />04/01/09 <br />EACH OCCURRENCE <br />$2 000 000 <br />DAMAPRIEMGE TO RSES (E.ENTED <br />$300 000 <br />MED EXP (Any one person) <br />$1 Q 000 <br />PERSONAL & ADV INJURY <br />s2,000,000 <br />X <br />OCP <br />GENERAL AGGREGATE <br />s4,000,000 <br />GEWL AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO LOC <br />JECT <br />PRODUCTS - COMP/OP AGG <br />s4,000,000 <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIREDAUTOS <br />NON -OWNED AUTOS <br />B2082828526 <br />04/01/08 <br />04/01/09 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1'000'000 <br />BODILY INJURY <br />(Per person) <br />$ <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />B <br />EXCESS/UMBRELLA LIABILITY <br />X OCCUR CLAIMS MADE <br />HDEDUCTIBLE <br />X RETENTION $ 10000 <br />B2082828574 <br />04/01/08 <br />04/01/09 <br />EACH OCCURRENCE <br />$1 000 000 <br />AGGREGATE <br />$1,000,000 <br />$ <br />$ <br />C <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />FN30629806 <br />04/01/08 <br />04/01/09 <br />WC ORY LIMIT OTH- <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 />$1,000,000 <br />D <br />OTHER Prof Liab <br />Claims Made form <br />LE00001337 <br />Retro dte 3/2/99 <br />04/01/08 <br />04/01/09 <br />1,000,000 Each Claim <br />2,000,000 Aggregate <br />10,000 DED or SIR <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />See Additional Insured Endt Form No. CG2010 (10/93) attached <br />City of Santa Ana; <br />Planning Division <br />P. 0. Box 1988, M-20 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .I0_ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED REPRESENTATIVE <br />PA%,umU AD tLUU7/Ut$) 1 of 2 #S449251/M435534 TLFIN © ACORD CORPORATION 1988 <br />