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R�® CERTIFICATE OF LIABILITY INSURANCE OP IDxx <br />DATE (MMID05/ <br />TYPE OF INSURANCE <br />01/05/11 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the po Icy les must be endorsed. , su sect to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Peter C. Foy 6 Associates <br />CONTACT <br />NAME <br />PHONE FAX <br />CA License #0803080 <br />( C, N.,E.O: Ac.NA): <br />ElAAIL <br />ADDRESS: <br />21650 Oxnard St., Suite 1900 <br />PROWLER CALIF <br />CUSTOMER ID P: <br />Woodland Hills CA 91367 <br />INSURER(S) AFFORDING COVERAGE <br />NAICY <br />Phone: 818- 703 -8057 Fax: 818 -703 -0935 <br />INSURED <br />INSURER A'. Zurich US <br />16535 <br />INSURER B' <br />California Property Spec Inc <br />California Property Spec LLC <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEOULEDAUTOS <br />HIRED AUTOS <br />NON -OWNED AU TOS <br />600 W. Santa Ana Blvd Ste 115 <br />INSURER C. <br />.�® <br />Santa Ana CA 92701 <br />INSURER D'. <br />S <br />V � <br />INSURERE <br />BODILY INJURY (Per accitlenl7 <br />NSURER F' <br />PROPERTY DAMAGE <br />(P--d—) ) <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CE RTIFV THAT THE POLICIES OF INSURAN CE LISTED BELOW HAVE BEEN ISSU ED TO THE INSURE D NAMED AB OVE FOR THE P OLICY PERIOD <br />INDICATED NOTW ITHSTANDING A NY REQUIRE MENT, TERM OR CONDIT ION OF ANY CONT FACT OR OTHE R DOCUMENT WITH RESPECT TO WHICH T HIS <br />CERTIFICATE MAY BE ISS LED OR MAY HE RTAIN, THE INS URANCE AFFORDED B V THE POLICIES DESCRIBED HEREIN IS $ URIECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDIT IONS OF SUCH POLICIES. LIM ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />INSR <br />INSR <br />WVD <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MMIDDIYVVVJ <br />POLICY Ell <br />(MMIDDlYVYY) <br />LIMITS <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />f CLAIMS MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />$ <br />MEUEXP(Any rson) <br />$ <br />PERSONAId ADV INJURY <br />GENERAL AGGREGATE <br />$ <br />PEN'LAGGREGATELIMITAPPLIESPER. <br />POLICY PEI LOO <br />PRODUCTS- COMPIOPAGG <br />3 <br />__ <br />j 5 <br />AUTOMOBILE <br />i <br />II. — <br />� <br />r <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEOULEDAUTOS <br />HIRED AUTOS <br />NON -OWNED AU TOS <br />l <br />� <br />`.�vto <br />/ <br />.�® <br />COMBINED S INGLE LIMIT <br />E. accident) <br />S <br />BODILY INJURY (Per F rson) <br />5 <br />BODILY INJURY (Per accitlenl7 <br />5 <br />PROPERTY DAMAGE <br />(P--d—) ) <br />3 <br />— <br />5 <br />I <br />UMBRELLA LIAR <br />EXCESS LIAB <br />CCCUR <br />CLAIMS -MADE <br />` <br />'n �� 1' - <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />3 <br />3 <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />ANY PRIETOR /PARTNERIEXECUTIVE ❑ <br />OFFICER /MEMBER EXCLUDED' <br />(Ma -A-y in NH) <br />If yes. desmbe under <br />DESCRIPTION OF OPERATIONS below <br />IA <br />j <br />� <br />j <br />VJL STATU- OTH- <br />TORYLIMITS ER <br />E.L. EACH ACCIDENT <br />_ <br />$ <br />E. L. DISEASE EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIM IT <br />$ <br />A <br />Errors S Omissions ! X <br />I <br />Retro: 1/4/06 <br />I <br />EOC489184301 <br />DLiD,n3 <br />D3iDa5: <br />Per Claim 1,000,000 <br />I Aggregate 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ARacN ACORD IDI. Additional Remarka ScNed ule, if more apxe a reQUiretl) <br />City of Santa Ana,its officers, emplys,agents,volunteers S representatives <br />are named additional insured with regard to general liability coverage and <br />defnse of suite arising from the operations and uses performed by or on <br />behalf of the named insured. Insurance is primary and non - contribtory. *10 <br />day notice of cancellation due to non - payment of premium. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Public Works Agency <br />Judi Alvarado <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRI8ED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />CE) 1988 -2009 ACC)RD C0RPOR*.TI0N_ All riaht -, rPaPrvPd <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />