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ACORD CERTIFICATE OF LIABILITY INSURANCE OPID K <br />CHAMB-4 <br />DATE(MMIDDIYYYY) <br />07 17 O8 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Eaercher Campbell & Associates <br />1840 Century Park East. #1100 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />TYPE OF INSURANCE <br />Los Angeles CA 90067 <br />Phone:310-556-1900 Fax:310-556-4702 <br />INSURERS AFFORDING COVERAGE NAIL# <br />INSURED <br />INSURERA: Greenwich Insurance Ccnoan <br />INSURER B: <br />GENERALLIABILITY <br />INSURERC: <br />Chambers Group Inc. <br />17671 Cowan Avenue, Suite 100 <br />Irvine CA 92614 <br />INSURER D: <br />INSURER E: <br />TARERl <br />PREMISES (Ea occurence) $ <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 HAVEBEEN REDUCED BY PAID CLAIMS. <br />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTrvE <br />DATE MMIDD <br />POLTE (110 IRATION <br />OATS MMIDDITI <br />LIMITS <br />GENERALLIABILITY <br />EACH OCCURRENCE $ <br />TARERl <br />PREMISES (Ea occurence) $ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE F-1 OCCUR <br />MED EXP(Any one Person! $ <br />PERSONAL B ADV INJU RY $ <br />GENERALAGGREGATE $ <br />GEN'L AGGREGATE LIM IT APPLI ES PER: <br />PRODUCTS-COMPIOP AGO $ <br />POLICY PRO- LOC <br />ECT <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />Fe amgent <br />ANYAUTO <br />BODILY INJURY $ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per ell <br />BODILY INJURY <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />Per accident <br />PROPERTY DAMAGE $ <br />L. <br />(Per accident <br />GARAGELIABILITY <br />s - <br />_ <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />I <br />AUTO ONLY: AGO $ <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />OCCUR F-1 CLAIMS MADE <br />I'-` <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />TORY 51ALIMITS ER <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT $ <br />IE <br />ANY PROPRIETORIPARTNERXECUTIVE <br />E.L. DISEASE - EA EMPLOYEE $ <br />OFFICERIMEMBER EXCLUDED? <br />IT yea, des drdd under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT $ <br />OTHER <br />A <br />Professional Error <br />PECO025030 <br />12/15/07 <br />06/01/09 <br />Per Claim 1,000,000 <br />and Omissions <br />I <br />I Aggregate 2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES) EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />SIR $50,000 Blanket Waiver of Subrogation applies as required by contract. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2001/08) 1 y © ACORD CORPORATION 19 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />City of Santa Ana <br />Bill Apple <br />20 Civic Center Plaza Dr M29 <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KING UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHO VIED P SENTAT <br />III— <br />Santa Ana CA 92701 <br />ACORD 25 (2001/08) 1 y © ACORD CORPORATION 19 <br />