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A9O M CERTIFICATE OF LIABILITY INSURANCE <br />02/04/2009) <br />PRODUCER (949) 348-7400 FAX (949) 348-2373 <br />Insurance Solutions <br />License #.0746539 <br />26522 La Alameda, Suite 190 <br />Mission Viejo, CA 92691 <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 <br />NAIC # <br />INSURED RINCON CONSULTANTS INC <br />790 E. SANTA CLARA STREET 103 <br />VENTURA, CA 93001 <br />INSURERA: Hartford Casualty Ins Co <br />29424 <br />INSURERB: Hartford Fire Ins Co <br />19682 <br />INSURER C: <br />INSURER D: <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 />1kDD`L <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />P. <br />$ <br />CLAIMS MADE OCCUR <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG <br />$ <br />POLICY PROJECT LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />72UEC305944 <br />01/07/2009 <br />01/07/2010 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />X <br />BODILY INJURY <br />(Per person) <br />$ <br />A <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: AGG <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />OCCUR CLAIMS MADE <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />72WECFZ9243 <br />02/01/2009 <br />02/01/2010 <br />X WC STATU_ OTH- <br />B <br />EMPLOYERS' LIABILITY <br />ANY PROPRic.ORIPARTNERIEXECUTIVF. <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />- — <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />OFFICERJMEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />I <br />I <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />OTHER <br />DESCRIPTION OF QPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED Y ENDORSEMENT ! PPECIAL PROVISIONS <br />The City, its offers, employees, agents, volunteers and representat�i � <br />aiv <br />insured per the attached endorsements. <br />k10 Days Written Notice for Non -Payment of Premium. Laura �Ltu Sheedy <br />City of Santa Ana <br />Planning & Building Agency <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />* 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Al <br />ACORD 25 (2001108) ©ACORD CORPORATION 1988 <br />