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ate: 9/12/2008 Time: 10:04 AM To: City Attorney (@ 17146476515 <br />10-452-2193 Page: 002 <br />1- <br />lal_enUF: b04U VVILLUAN <br />ACQR- C5RTIhCATE OF LIABILITY INSURANCE 0DATE (MMID <br />9/11108Dm) <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />P. 0. Box 10550 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 INSURERS AFFORDING COVERAGE <br />INSURED - 1 INSURER A. Zurich American Insurance Co. <br />Willdan Engineering INSURER a: American Automobile Ins. Co T _ <br />2401 eKatAvenue, Ste. 300 NSURER a XL Specialty Insurance Co. <br />Anaheim, CAA 92806 _-- — -__-- <br />INSURER D: <br />NSURER E. <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSLRED 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 POLICY EFFECTIVE POLICY EXPIRATION <br />' TR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDONYi DATE (MM/DDIYYI I LIMITS <br />A ,GENERALLIABILITY :GLO904316302 11109/07 <br />[11109/08 <br />EACH OCCURRENCE <br />$1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE r X. J OCCUR INDP. CONTRACTORS <br />_ <br />$1 000,000 <br />510,000 <br />FIRE DAMAGE (Any one^.re) <br />MEC EXP (Any one person) <br />X .CONTRACTUAL INCLUDED <br />PERSONAL & ADV INJURY <br />$1 000,000 <br />�_ <br />BFPD, XCU <br />GENERAL AGGREGATE_ <br />$2,000,000 <br />_ <br />GEN'L AGGREGATE L IM IT APPLIES PER: I <br />PRODUCTS-COMPlOP AGG$2,000000 <br />POLICY X jE T LOC <br />l <br />A AUTOMOBILE LIABILITY <br />BAP904316202 <br />I11109/07 <br />11/09/08 <br />COMBINEDSINGLE.IMIT <br />X I ANY AUTO <br />$1,000 <br />(Ea accident) $1,000,000 <br />- ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />j <br />BODILY INJURY <br />BOD'rson) $ <br />�_ _-- <br />X HIRED AUTOS <br />!-- <br />BODILY INJURY $ <br />X INAUTOS <br />(Peraccident) <br />PROPERTY DAMAGE <br />$ <br />--- <br />- <br />-7 <br />(Peraccident) <br />GARAGE LIABILITY <br />�- <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />EA ACC <br />O1HER Th'AN _.._.. <br />$ <br />AUTO ONLY: A_GG <br />$ <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />_ RETENTION 5 <br />B WORKERS COMPENSATION AND WZP$0955114 11/09/07 ` <br />EMPLOYERS' COMPENSATION <br />11/0910$ <br />' $ <br />T S <br />X WC STATU- OTH- <br />T ),IMITS_ ER <br />EL EACH ACCIDENT $1,000,000 <br />E.L. DISEASE -EA EMPLOYEE., $1,000,000 <br />E.L. DISEASE -POLICY LIMIT 1 <br />$1,000,000 <br />_. <br />C <br />OTHER Professional 'DPR9609216 <br />11/09/07 <br />11109/08 <br />$1,000,000 per claim <br />Liability <br />$1,000,000 annl aggr. <br />DESCRIPTION OF OPE RATIO NSILOCATION S/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />General Liability policy excludes claims arising out of the performance of professional <br />services <br />Re: Plan check services, JN 14493 <br />City of Santa Ana, its officers, employees, agents, volunteers and <br />(See Attached Descriptions) <br />SHOULD ANYOFTHEA13OVE D ESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana PATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL 30-__- DAYS WRITTEN <br />Clerk of the City Council NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TO OO SOSHALL <br />20 Civic Center Plaza (M-30) IM POSE NO OBLIGATION OR LIABILITYOF ANY KIND UPON TR E INSURERJTS AGENTS OR <br />PO Box 1988 REPRESENTATIVES. <br />Santa Ana, CA 92702-1988 A L%HORIZED REPRESITATIVE <br />ACORD 25-S (7197)1 of 2 #S237128/M222307 RILL © ACORD CORPORATION 1988 <br />