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ACORD,, CERTIFICATE OF LIABILITY INSURANCE DATE/00/YY) ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE 1 22 PRODUCER Dealey, Renton & Associates P. O. Box 10550 Santa Ana CA 92711-0550 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 POLICY EFFECTIVE INSURED PSOMAS 555 South Flower Street, Suite 4400 INSURERA Zurich American Ins. Co. INSURER B: American Zurich Insurance Company INSURERC:XL Specialty Insurance Co. Los Angeles CA 90071 INSURER D: 10/15/2009 INSURER E: FIRE DAMAGE (Any one fire) $1,000,000 COVERAGES HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE 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. ILTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMBS A GENERAL LIABILITY GL0916014501 10/15/2.008 10/15/2009 EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $1,000,000 X COMMERCIAL GENERAL LIABILITY -1 MED EXP (Any one person) $10,000 CLAIMS MADE FX OCCUR PERSONAL &ADV INJURY $1,000,000 X Contractual X BFPD . XCU GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2.000,000 POLICY PRO- JFCT F-1 LOC B AUTOMOBILE LIABILITY BAP 916 015 2 0 1 10/15/2008 10/15/2009 X ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS � (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY14/ �✓` ! Y_.Y"�� - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ $ A WORKERS COMPENSATION AND WC916014201 10/15/2008 10/15/2009 X WCSTATU- OTH- 1:� EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000, O C OTHER Professional Liability DPR9614535 10/15/2008 10/15/2009 Per Claim $1,000,000 LI Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS eneral Liability policy excludes claims arising out of the performance of professional services. Independent Contractors Included. SAN050700-Task 00000 On Call agreement for survey work, preparation of legal descriptions and preparation of plat maps City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional insured as respects o General Liability. Primary and Non -Contributing coverage applies to GL. (GL-AI/PR/X) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City of Santa Ana; Att: Kent Jorgensen WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE Public Works Agency; 20 Civic Center Plaza; CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO PO BOX SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Santa Ana CA 92702 THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIM"�O ACORD 25-S (7/97) CORD CORPORTION 19RR