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ACORD CERTIFICATE OF LIABILITY INSURANCE <br />o6iz6%zo 8 <br />PRODUCER (949) 297-5538 FAX 949-297-5960 <br />Insurance Office of America, Inc. <br />DBA IDA Insurance Services A-2008-107 <br />130 Vantis, Suite 165 <br />Aliso Viejo, CA 92656-2703 <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 />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Chambers Group, Inc. <br />17671 Cowan Avenue, Suite 100 <br />Irvine, CA 92614 <br />INSURERA Travelers P&C Co. of America 25674 <br />INSURERS: Travelers Property Casualty 36161 <br />NSURERC: Travelers Indemnity Co of Ct 25682 <br />INSURER D: <br />INSURER E: <br />rn...Ane. <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 />ADD -L <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />fiMMIDOMI <br />POLICY EXPIRATIONDATE <br />(MMID <br />LIMITS <br />Santa Ana, CA 92702 <br />GENERAL LIABILITY <br />6803492MOO2 <br />06/01/2008 <br />--DATE <br />06/01/2009 <br />EACH OCCURRENCE $ 1,000,00 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED $ 1,000,00 <br />CLAIMS MADE FxI OCCUR <br />MED EXP (Any we person) $ S , DD <br />PERSONAL$ ADV INJURY $ 1,000,00 <br />A <br />X Additional Insured <br />CG D3 81 09 06 <br />GENERAL AGGREGATE $ 2,000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG $ 2,000,00 <br />POLICY PRO- LOC <br />JECT <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANYAUTO <br />6803492M002 <br />06/01/2008 <br />06/01/2009 <br />COMBINED SINGLE LIMIT <br />(Ea accident $ 1,000,00 <br />BODILY INJURY <br />(Per person) $ <br />A <br />X <br />X <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />HIRED AUTOS <br />NON-0WNED AUTOS <br />BODILY INJURY <br />(Per accident) $ <br />PROPERTY DAMAGE $ <br />(Per accident) <br />- PO <br />GARAGE LIABILITY <br />ANY AUTO <br />-- <br />- <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN E'ACC $ <br />AUTO ONLY: qGG $ <br />EXCESSIUMBRELLA LIABILITY <br />CUP9936Y753 <br />06/01/2008 <br />06/01/2009 <br />EACH OCCURRENCE $ S,oOO,OD <br />X OCCUR FICLAIMS MADE <br />AGGREGATE $ S, DDD, OD <br />$ <br />B <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />UB9938YO88 <br />06/01/2008 <br />06/01/2009 <br />X I WCSTATU- OTH- <br />C <br />EMPLOYERSLIABILITY <br />ANY PROPRIETORIPARTNEIVEXECUTIVE <br />OFF)CERIMEMBER EXCLUDED? <br />WAIVER OF SUBROGATION <br />FORM WC 99 03 76 <br />E.L. EACH ACCIDENT $ 1,000,00 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,00 <br />M yes, descnbe under <br />SPECIAL PROVISIONS belay <br />NEVADA ONLY <br />E.L. DISEASE -POLICY LIMIT $ 1,000,00 <br />OTHER <br />DESCRIPTION OF OPERATIONS I OCATIONS I VEHICLE I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL P OVISIONS <br />General/Au- o Liabi�ity: City o Santa Ana, 20 Civic Center Plaza, Santa Ana, CA. 92701: its officers, <br />employees, agents, volunteers and respresentatives are named as additional insured with regard to <br />liability and defense suits arising from the operations and uses performed by or on behalf of the <br />amed insured. This coverage is primary and non-contributory includes waiver of subrogation. <br />Ten (10) days notice of cancellation for non-payment of premium. <br />rCDTICIr ATD uni nFD CANQFI I ATION <br />ACORD 25 (2001108) (PACORD CORPORATION 1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />City of Santa Ana <br />Bill Apple <br />30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Planning Division <br />BUT FAILURE TO MNL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />P.O. Box 1988 M-20 <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />Earleen Thomas/FACUNM <br />ACORD 25 (2001108) (PACORD CORPORATION 1988 <br />