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b6S -- 2 <br />_A�QRD CERTIFICATE OF LIABILITY INSURANC 0,Pw XG °"'E'MINOOYTIY) <br />HOVST-2 09 08 09 <br />MoOLCER <br />Alliant Insurance Servicas, Ina <br />(Lie-OC36861 ) <br />735 Carnegie Drive, Ste 2 DO <br />THIS CERTMICATE 16 ISSUED A$ A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Bernardino CA 92408 <br />Phone:909-886-9861 Fax:909-886-2013 <br />IWAMD-------...--f---`---------------+PS <br />INSURERS AFFORDING COVERAGE <br />m URERA: Firean's Fund Ins Cc <br />NAIC0 <br />-- <br />INSURER & <br />INSURER C, <br />-- <br />Houston 6 Harris PCS Inc <br />21831 Saxton Roadd- <br />Grand Terrace CA 92313 <br />-- <br />[PSURERO: <br />-------------- --- <br />W9URERE: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REOUBiMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFOROM BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOWED BY PAID CLAIMS. <br />LIM <br />TR ON <br />- --TYPE OF INSURANCE <br />POLICY NUMBER^_ <br />O�Ip <br />pA MMAIINYY <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />ICOMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE K OCCUR <br />------�- <br />GEM- AGGREGATE LIMIT APPLIESPE, <br />POLICY X JECT LOC <br />b=80907585 <br />06/24/09 <br />06/24/10 <br />EACH OCCURRENCE <br />S 1 , 000 , 000 <br />PREMISESJE,, mr . <br />f 100,000 <br />MEO EXP (Any we PMbn) <br />110,000 <br />PERSONAL S AOV INJURY <br />$1,000,000 <br />GENERALAGGREGATE <br />t2,000 000 <br />PROOUCTB-COMRTJPAGG <br />t2,000,000 <br />A <br />AUTOMO&LY <br />X <br />X <br />X <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HMEDAUTOs <br />NON -OWNED AUTOS <br />MZX80907585 <br />APPRO <br />L <br />06/24/09 <br />Eli AST <br />�, <br />U[B $Gtt C <br />06/24/10 <br />FORM <br />d <br />COMBINED SINGLE LIMIT <br />(Es acri]enJ) <br />tl,000,000 <br />BODILY IMURT <br />(Par"' <br />t <br />BODILY INJURY <br />LPsa titlent) <br />f <br />PROPERTY DAMAGE <br />(Px acclmn) <br />f <br />GARAGE LIABILITY <br />ANYAUTG <br />Ass <br />Ste DL C1 l <br />nmOY <br />AUTO CITY -EA ACCIDENT <br />f <br />OWERTHAN EAACC <br />AUTO ONLY: AGG <br />S <br />_ <br />f <br />A <br />EXCESSAMBRELLA LIABILITY <br />X OCCUR CLAMSMADE <br />DEDUCTIBLE <br />RETENTION f <br />XRE80862188 <br />06/24/09 <br />06/24/10 <br />EACHOCCUARENCE <br />t2 000,000 <br />AGGREGATE <br />f2 000,000 <br />3 <br />f <br />f <br />WORKERS COMPENSATION AN/ <br />EMPLOYERS LIABILITY <br />ANY PROPRIETORIPARTNEREXECUTWE <br />OFFICERRAEMBER EXCLUDED? <br />yyeess dow" eular <br />SPECIALPROVEikONSEe. <br />191 <br />- <br />T RY LMRS ER <br />E.L EACH ACCDEM <br />t <br />E.L. DISEASE - EA EMPLOYEE <br />t <br />El. DISEASE -POLICY LIMIT <br />E <br />A <br />A <br />OTHER <br />Equipment Floater <br />Property <br />MZX80860171 <br />MZX80907585 <br />06/24/09 <br />06/24/09 <br />06/24/10 <br />06/24/10 <br />see Below If Applies <br />see Below If Applies <br />OESCRIPTIOM OF OPERATIONS 1 LOCARONS! VlNCLES I EXCWSIONSADDED BY EN OMMENT f SPECIAL PROVISIONS <br />Operations pertaining to named insured for cartholder. City of Santa Ana -and <br />its officers, agents, representatives, volunteers, S employees are add'1 <br />ined/prim wrdg as respects gen'1 liab per and'ts CG7159 12/03 S CG7253 09/05 <br />*30 day N O C except 10 day for non-paymant of premium. CARRIER WILL NOT <br />MODIFY CANCEILLILTION-CLAUSEMO XX OUT. Null S Voids prior cert 07/28/09. <br />City of Santa Ana <br />Public Works Agency <br />M-85 <br />220 S. Daisy Ave <br />Santa Ana CA 92703 <br />CISAN06 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEI I— BEFORE THE EXPIRATW' <br />OATS THEREOT,TI@ ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS wRrTTEN <br />ROTICE TO THE CERTMTCATE HOLDER NAMED TOTHE LEFT, PUT FAN.IIAE TO DO SO WALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF AM KIND UPON THE 1NSURER.IT$ AGENTS OR <br />REPRESENTATIVE& <br />