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Client: 6053 <br />NABIHYOUS 1l • ~~ -~ -' 1,~ <br />ACORD <br />CERTIFICATE OF LIABILITY INSURANCE D~) <br />TM 03/06/09 <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 <br />O <br />Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />. <br />. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Ana, CA 92711-0550 <br />714 427-6810 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: Travelers Casualty Ins. Co. of Ameri <br />Nabih Youssef & Associates INSURER B: Lexington Ins. Co. <br />800 Wilshire Blvd., #200 <br /> INSURER C: <br />Los Angeles, CA 90017 <br /> INSURER D: <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 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 />NSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE MM/DD/YY POLICY EXPIRATION <br />DATE MM/DD/YY <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ <br /> CLAIMS MADE ~ OCCUR <br /> MED EXP (Any one person) $ <br /> PERSONAL & ADV INJURY $ <br /> <br /> GENERAL AGGREGATE $ <br /> <br /> GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS -COMP/OPAGG $ <br /> POLICY PRO LOC <br />JECT <br /> AUT OMOBILE LU181LITY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br />BOD <br /> <br />NON-OWNED AUTOS ILY INJURY <br />(Per accident) $ <br /> PROP <br /> ERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC <br />OTHER THAN $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br />A WORKERS COMPENSATION AND U66127Y378 03/06/09 03/06/10 X WC STATU- OTH- <br /> EMPLOYERS' LIABILITY E.L. CACH ACCIDENT $1,000,00® <br /> E.L. DISEASE -EA EMPLOYEE $1,000,000 <br /> E.L. DISEASE -POLICY LIMIT $1,000,000 <br />B OTHER professional 007881273 03/06/09 03/06/10 $1,000,000 per claim <br /> lability $2,000,000 annl aggr. <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Re: High rise plan check WO# 06129.00 <br />City of Santa Ana is additional insured as respects to General Liability AS 'rQ FUxM <br />as required by written contract. Ap]?R~V ~~ <br />~~ <~ <br />/ <br />d <br />I.GK l l <br />City of Santa Ana <br />Tonia Zerba <br />20 Civic Center Plaza (M-3), PO <br />Box 1988 <br />Santa Ana, CA 92702-1988 <br />SHOULD ANY OF TH E AB OVE D E~'IBBI<ITPOLICIES B E CANCELLED B EFORE TH E EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL3QDAY5WRITTEN <br />NOTICETOTHE CERTIFICATE HOLDER NAM ED TO THE LEFT, BUT FAILURE TODOSOSHALL <br />IM POSE NO OBLIGATION OR LIABILITYOF ANY KIND UPON TH E INSURER,ITS AGENTS OR <br />ACORD 25-S (7/97)1 of 1 #M249014 RLL ©ACORD CORPORATION 1988 <br />