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ACORD CERTIFICATE OF LIABILITY INSURANCE <br />10 21 /20088' <br />PRODUCER (775) 831 -1422 FAX: (775) 831 -7873 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Cal- Nevada Insurance Agency <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />926 Incline Way, Suite 100 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURER, ITS AGENTS OR REPRESENTATIVES. <br />PO Box 5419 <br />Incline village NV 89450 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />INSURERA. St Paul Fire & Marine Ins <br />INSURER B. <br />Abbey Group Consultants <br />INSURERC. <br />923 Tahoe Blvd, Ste. 212 <br />INSURER D <br />INSURERS <br />Incline village NV 89451 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />A GREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />ADD'L <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MMIODIYY <br />POLICY EXPIRATION <br />DATE MMIDOIYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 1.000,000 <br />PREMISES Be ocTEVence <br />5 300,000 <br />X COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one erson <br />$ 51000 <br />• <br />X <br />CLAIMS MADE FXIOCCUR <br />TT09402129 <br />03/20/2008 <br />03/20/2009 <br />PERSONAL &ADV INJURY <br />$ 1, 000, D 0 0 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMPIOP AGO <br />$ included <br />POLICY X I JECT LOG <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />ANY AUTO <br />BODILY INJURY <br />(Per person) <br />S <br />A <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />TT09402129 <br />03/20/2008 <br />03/20/2009 <br />X <br />X <br />BODILY INJURY <br />(Peraccitlenq <br />S <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />(' <br />FOR M <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTOONLY EAACQDENT <br />$ <br />OTHERTHAN EAA <br />ANYAUTO <br />" " °LUY <br />$ <br />"tY ALLUr:, <br />AUTO ONLY AGG <br />EXCESS'UMBRELLA LIABILRY <br />EACH OCCURRENCE <br />% 2,000,000 <br />AGGREGATE <br />% 2,000,000 <br />X OCCUR El Cl-AMS MADE <br />8 <br />$ <br />• <br />X <br />DEDUCTIBLE <br />TT09402129 <br />03/20/2008 <br />03/20/2009 <br />RETENTION <br />WORKERS COMPENSATION AND <br />X TORY LITU X OER <br />EL EACH ACCIDENT <br />$ <br />A <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORiPARTNEREXECUTIVE <br />OFFICERMEMBER EXCLUDED' <br />HN- UH- 17631,41 -7 <br />03/20/2008 <br />03/20/2009 <br />EL DISEASE - EA EMPLOYE <br />1 11000,000 <br />EL DISEASE - POLICY LIMIT <br />S 1,000,000 <br />If Yes. tlescnbe under <br />SPECIAL PROVISIONS below <br />OTHER professional Liab. <br />Per Occurrence 1, 000, DOD <br />A <br />Errors & Omissions <br />TT09402129 <br />03/20/2008 <br />03/20/2009 <br />General Aggregate 11000,000 <br />Occurrence Form <br />DESCRIPTION OF OPERATIONSILOCATIONS 'VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />10 days notice of cancellation due to nonpayment of premium. <br />The City of Santa Ana, it's officers, employees, agents, volunteers and representatives are named as additional <br />insured & also this policy will also be Primary & Non- Contributory in regards to work performed by the named insured. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25(2001/08) lade <br />IMCD95 i���m na.. <br />3­+.,ro <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />The City Of Santa Ana <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />20 Civic Center Plaza <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT , BUT <br />Santa Ana, CA 92701 <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Terry Jarcik /DD ^_ G <br />U�ILe ._dam <br />ACORD 25(2001/08) lade <br />IMCD95 i���m na.. <br />3­+.,ro <br />