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ALBUSASSO <br />Client #: 11868 <br />CERTIFICATE OF LIABILITY <br />DATE (MM)DDNY) <br />INSURANCE OBI21108 <br />AU, <br />PRODUCER <br />ton &Associates <br />550 <br />THIS CERTIFICATE IS ISSUED AS 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 />PERIOD INDICATED, NOTWITHSTANDING <br />A 9 2711 -0 55 0 <br />INSURERS AFFORDING COVERAGE <br />0 <br />Albus -Keefe & Associates, Inc. <br />INSURER A. Travelers Property Casualty Co o f Am <br />INSURER D: Travelers Indemnity Co. of Connectic <br />INSURER a XL Specialty Insurance Co. <br />1011 N. Armando Street <br />INSURER D. <br />Anaheim, CA 92806 <br />INSURER E. <br />MAY <br />COVERAGES <br />TO THE INSURED <br />NAMED ABOVE <br />FOR THE POLICY <br />PERIOD INDICATED, NOTWITHSTANDING <br />THE <br />POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED <br />CONDITION OF ANY CONTRACT OR OTHER <br />DOCUMENT WITH <br />RESPECT TO WHICH <br />THIS CERTIFICATE MAY BE ISSUED OR <br />SUCH <br />ANY <br />REQUIREMENT. TERM OR <br />AFFORDED BY THE POLICIES DESCRIBED HEREIN <br />IS SUBJECT <br />TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF <br />MAY <br />PERTAIN, THE INSURANCE <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICIES. <br />- <br />POLICY EFFECTIVE POLICY <br />EXPIRATION <br />LIMITS <br />INSR <br />LTR <br />TYPE OFINSURANCE POLICY NUMBER <br />O A E MMIDDMI <br />DATE MMIOD <br />EACH OCCURRENCE $1,000.000 <br />68048341.764 109101108 <br />09/01109 <br />FIRE DAMAGE (Anyone re] <br />X090.000 <br />A i <br />GENERAL LIABILITY <br />IX <br />COMMERCIALGENERALLIABILITY <br />�occuR INDP. CONTRACTORS <br />MED EXP(Any one pars°,) <br />$10000 <br />P =_RSONALa ADV INJUev <br />51000000 <br />CLAIMS MADE <br />X ;CONTRACTUAL INCLUDED <br />X BFPD. XCU <br />GENERAL AGGREGATE <br />s2.000,000 <br />PRODUCTS - COMPIOP AGG <br />s2_10-0010-0-0 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY X PRO nLOC <br />109/01%06 <br />09/01/09 <br />SINGLE LIMIT <br />B <br />AUTOMOBILE LIABILITY BA4913L509 <br />COMBINED <br />(Ea acciGenl) <br />51,000,000 <br />ANY AUTO <br />/� r <br />FO <br />ALL OWNED AUTOS <br />A � <br />I,) <br />BODILY INJURY <br />(Perpefaon) <br />S <br />SCHEDULEOAUTOS <br />X HIRED AUTOS <br />BODLY INJURY <br />(Per acdtlenl) <br />5 <br />X NON-OWNED AUTOS <br />"��� <br />PROPERTY DAMAGE <br />5 <br />/ <br />Attor.:ey <br />IPaf aa(itlEnt) <br />AUTO ONLY -EA ACCIDENT <br />5 <br />GARAGE LIABILITY <br />EA ACC <br />S <br />ANY AUTO <br />OTHERTHAN <br />AUTO ONLY'. AGG <br />S <br />A <br />CUP7157Y320 <br />109/01108 <br />09101109 <br />EACH OCCURRENCE <br />$4000000 <br />AGGREGATE <br />s4,000,000 <br />EXCESS LIABILITY <br />MADE <br />Professional Liab. <br />s <br />X OCCUR CLAIMS <br />li <br />is Excluded <br />S <br />DEDUCTIBLE <br />' <br />5 <br />RETENTION 5 <br />U6709BY769 <br />09/01/06 <br />09/01109 <br />X We srnru- OTH- <br />- - -- - <br />— <br />E.L. EACH ACCIDENT <br />B <br />WO RKERSCOMPENSATONAND <br />EMPLOYERS'LIABILITY <br />51,000,000 <br />E.L. DISEASE- EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />I 51,000,090 <br />C <br />OTaER Professional <br />DPR9614394 <br />109101108 <br />09,101/09 <br />$1,000,000 per claim <br />$1,000,000 annl aggr. <br />lability <br />DESCRIPTION OF OPERATIONSILOCAnONSNEHIGLEVEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />General Liability policy excludes claims arising out of the performance of professional <br />services <br />Re: All Operations as performed by the named Insured <br />City, its officers, employees, agents, volunteers and representatives are <br />(See Attached Descriptions) <br />- ....,. �...�...., �__ .._ -- u_.... s.. AI..e o—,.. f of Premium <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD 25S (7,197)1 of 2 #M234945 <br />PROVE D ESCRIBED POLICIES BE CANCELLED B EFORETH E EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ —DAYS WRITTEN <br />NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TODD SOSHALL <br />IMPOSE NO OR LIGATION OR LIABILITY OF ANY HIND UPON THE INSU RER,ITS AGENTS OR <br />-1 , n 4rORD CORPORATION 198E <br />