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DATE(MMIDDIYYYY) ACORD,x CERTIFICATE OF LIABILITY INSURANCE 07/29/2008 HMS Services Insurance Agency 1910 W Sunset Blvd. Ste 610 Los Angeles, CA 90026 213-484-9707 INuKtu Ultrasystems Environmental 100 Pacifica Irvine, CA 92618 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE NAIC# INSURERA: Hudson Specialty insurance Co 37079 INSURERe: Republic Indemnity Co. of Amer 22179 INSURERe Bcottedale Insurance any 41279 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IxsR ov I LTR IxsaD TYPE OF INSURANCE POLICY EFFECTIVE POLICY NUMBER DATEIMMIDDIYYI POLICY EXPIRATION DATE(MMIDW) I LIMITS GENERAL LIABILITY 11 EACH OCCURRENCE $ 2,000,000 PREMISES Ea mmm.I Is 50,000 X , COMMERCIAL GENERAL LIABILITY :z CIAIMSMADE C OCCUR MEDEXP(AnyonePerson) $ 5, 000 A X Cont.Poll.Liab FEC7000047 I10/27/2007 10/27/2008 PERSONAL SADVINJURY $ 2,000,000 GENERAL AGGREGATE s 5,000,000 PRODUCTS - COMPIOPAGG $ 5,000,000 FIEI AGGREGATE LIMIT APPLIES PER: X POLICY PRO- JECT LOC AUTOMOBILE LIABILITY _ANYAUTO COMBINED SINGLE LIMIT (E...XJenI) S 1,000,000 BODILYINJURY $ (Per Person) ALL OWNED AUTOS ' SCHEDULED AUTOS A . ]L HIREDAUTOS FEC7000047 10/27/2007 10/27/2008 X NON-OWNEDAUTOS 1 BODILYINJURY $ (Peraccident) PROPERTY DAMAGE $ (Peraccitlent) GARAGE $ EAACC OTHERTi$ $ —� ANYAUTO ( --- AUTOONCVNEAACCIDE AGG EXCESSIUMBRELLA LIABILITY OCCUR CAI CLAIMSMADE I' .� s EACH OCCURRENCE "; $ AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ B WORKERSCOMPENSATIONAND EMPLOYERS' LIABILITY 163193-04 9/l/2007 9/1/2008 ANY PRDPRIETOR/PARTNER,EXECUTNE OFFICEwMEMBER EXCLUDED? Sxec Officer Excluded WCSTATU- OTH-i XI TORYLIMITS ' ER ' E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 SPECIAL SPECIAL PROVISIONS below PROVISIONS E. L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER A Prof.E&O Liab FEC7000047 10/27/2007 110/27/2008 2,000,000 per occurrence retro date: 9/9/94 5,000,000 aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS "for" Environmental Services The City of Santa Ana is included as additional insured as respects work done for them by the named insured. City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Planning & Building Agency DATE THEREOF, THE ISSUING INSURER WILL ENBEIVOR-T6 MAIL 30 DAYS WRITTEN 20 Civic Center Plaza (M20)PO BOX 1988 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, HUTFAILURE 39-BOSO-SMALL Santa Ana, CA 92702 IMa0.SE.-N©-OBLM,ATKNJ-OR-4uiBILIT`Y'-c)FJsjw'Y-'I'UO`No-uPlw-ral//E`JN's'uR—E,R/,+TsaGE#Ts-OR bapp Bill Apple, Associate Planner UTHORIZRTAAMEE AUTHORIZED REPRESENTATIVE bapple®santa-ana.org ' ACORD25)2001108) ©ACORD CORPORATION 1988