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f_Iicn4#• 55Q9 <br />LIAQT7f`DA92 , - - <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE <br />07/28/08° <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton 8, Associates <br />P. O. Box 10550 <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 />Santa Ana, CA 92711-0550 <br />714 427-6810 <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />Hartzog 8r Grabill, Inc. <br />275 Centennial Way, Suite 208 <br />Tustin, CA 92780 <br />INSURERA: Travelers Indemnity Co. of CT <br />INSURER B: XL Specialty Insurance Co. <br />INSURER c: Travelers Property Casualty Co of Am <br />INSURER D: <br />INSURER E: <br />/YY) <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 />NSR <br />LTRLIMITS <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY DATE IEFFECTIVE <br />POLICY EXPIRATION <br />A <br />GENERAL LIABILITY <br />6803154L146 <br />08/18/08 <br />08/18/09 <br />EACH OCCURRENCE <br />$1,000,000 <br />FIRE DAMAGE (Any one fire) <br />$1 000 000 <br />X COMMERCIAL GENERAL LIABILITY <br />Gen. Liab. policy <br />CLAIMS MADE � OCCUR <br />excludes claims <br />MED EXP (Any one person) <br />$10 000 <br />PERSONAL & ADV INJURY <br />$1,000,000 <br />X Contractual <br />arising out of the <br />Liability <br />GENERAL AGGREGATE <br />$2 000 000 <br />performance of <br />GEN'LAGGREGATE LIMITAPPLIESPER: <br />PRODUCTS -COMP/OPAGG <br />s2,000,000 <br />prof. services. <br />POLICY X jECTPRO LOC <br />C <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />BA5149L68A <br />08/18/08 <br />08/18/09 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1,000,000 <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />_ <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />` x�t <br />'� / <br />((( <br />$ <br />AUTO ONLY: AGG <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />OCCUR CLAIMS MADE <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />A <br />WORKERS COMPENSATION AND <br />UB7085Y565 <br />09/01/08 <br />09/01/09 <br />X LNC STATU- OTH- <br />I ER <br />EMPLOYERS' LIABILITY <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 />B <br />OTHER Professional <br />DPR9614266 <br />08/18/08 <br />08/18/09 <br />$1,000,000 per claim <br />Liability <br />$2,000,000 annl aggr. <br />Claims Made <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Re: All Operations as pertains to named insured. <br />The City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are Additional Insured as respects to General Liability <br />coverage as required by written contract. <br />(See Attached Descriptions) <br />LE <br />City of Santa Ana <br />Planning Division <br />Attn: Bill Apple <br />P.O. Box 1988 M-20 <br />Santa Ana, CA 92702 <br />SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES B E CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER Wl )=TOMAIL30 DAYSWRITTEN <br />NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFT,WX k <br />REPRESENTATIVE <br />^`�•`•� k­• l I OT 4 igmcscayc HHM U AUUKU GUKI-UKA I IUN I9SS <br />