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ACORD. CERTIFICATE OF LIABILITY INSURANCE 4/1/2009 DATA/1/2008 (MMIDDlYYYY) <br />PRODUCER Lockton Companies, LLC-L Los Angeles THIS CERTIFICATE IS ISSUED AS A. MATTER OF INFORMATION <br />19800 MacArthur Blvd., Suite 550 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />CA License #OF15767 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Irvine CA 92612 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />949-252-4400 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED P&D Consultants, Inc. CA <br />( ) <br />1075642 Attn: Karen Pooler <br />999 Town & Country Road, 4th Floor <br />Orange CA 92888 <br />Cr1VFRArC¢ APf TP01 nP THIS <br />New Hampshire Insurance Company <br />INSURER A : p p y <br />23841 <br />INSURER B : Insurance Company of the State of PA <br />19429 <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />CERTIFICATE OF INSURANCE DOES NOT CONsnnITF n e17IuTRecT01= <br />nVcu ruc recrnun <br />r vrtrcw rt�rrt¢ CN Ig11VC UK rKul: I:EK AND THE CERTIFICATE HOLDER. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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 />tNSR <br />LTR <br />ADDL <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MMIDDNY) <br />POLICY EXPIRATION <br />DATE (MMIDDNY) <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ XXXXXXX <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES <br />EMSES Ea occurence <br />$ XXXXXXX <br />CLAIMS MADE DOCCUR <br />NOT APPLICABLE <br />MED EXP (Any one person) <br />$ XXXXXXX <br />PERSONAL & ADV INJURY <br />$ XXXXXXX <br />GENERAL AGGREGATE <br />$ XXXXXXX <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ XXXXXXX <br />PRO <br />POLICY JECT El LOC <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />(Ea accident) <br />$ XXXXXXX <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />NOT APPLICABLE <br />(Per person) <br />$ XXXXXXX <br />HIRED AUTOS <br />BODILY INJURY <br />NON -OWNED AUTOS <br />(Per accident) <br />$ XXXXXXX <br />PROPERTY DAMAGE <br />$ XXXXXXX <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ XXXXXXX <br />NOT APPLICABLE <br />OTHER THAN EA ACC <br />$ XXXXXXX <br />ANY AUTO <br />AUTO ONLY: AGG <br />$ XXXXXXX <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ XXXXXXX <br />OCCUR CLAIMS MADE <br />AGGREGATE <br />$ XXXXXXX <br />NOT APPLICABLE <br />$ XXXXXXX <br />UMBRELLA <br />DEDUCTIBLE FORM <br />$ XXXXXXX <br />$ XXXXXXX <br />RETENTION $ <br />A <br />WORKERS COMPENSATION AND <br />WC 1929178 (AOS) <br />4/l/2008 <br />4/l/2009 <br />X WC STATU- OTH- <br />TORY LIMITS ER <br />A <br />EMPLOYERS' LIABILITY <br />WC1929179(CA) <br />4/l/2008 <br />4/l/2009 <br />A <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />1000,000 <br />$ , <br />1,000000 <br />OFFICERIMEMBEREXCLUDED? <br />WC1929181(FL) <br />4/l/2008 <br />4/l/2009 <br />A <br />If yes, describe under <br />SPECIAL PROVISIONS below No <br />WC 1929182(OR) <br />4/l/2008 <br />4/1/2009 <br />E.L. DISEASE -EA EMPLOYEE <br />$ , <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />A <br />A <br />OTHER <br />Worker's Compensation <br />WC1929184 OHWA,WI,WV,WY <br />WC1929183 TXj <br />4/l/2008 <br />4/l/2008 <br />4/l/2009 <br />Statutory Limits - See Above <br />B <br />WC1929180 <br />4/l/2009 <br />MA) <br />4/l/2008 <br />4/l/2009 <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />Job: Environmental Consulting Services <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />City Attorney NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />20 Civic Center Plaza (M-29) P.O. Box 1988 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Santa Ana, CA 92702-1988 REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIRV <br />I , 3* W, o/,. Ila so <br />ACORD 25 (2001/08) For questions regarding this certificate, contact the number listed in the 'Producer' section above and a Ify the cfi cod AECTEet'. ® ACnRn CnRPn RATln KI 4000 <br />