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<br />ACORDN CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYVYY) <br /> 2/24/2009 <br />PRODUCER (703)471-4701 FAX: (703)689-8996 THIS CERTIFICATE IS ISSUED AS A MATTER DF INFORMATION <br />Cassedy Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />742 Lynn Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />PO Box 1069 <br />Herndon VA 20172-1069 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURERA-Hartford Casualty Ins Co 29424 <br />International City County Managemen t Assoc. INSURERS Rated by Multiple Camp 00914 <br />777 N. Capitol Street, NE INSURER c. <br />Suite #500 INSURER 0 <br />Washington DC 20002 INSURER E <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 POllCI:I=Snl~~~CRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES <br />AG 3REGATE LlMIT< SHOWN MAY HAVE BEEN R ED oy PAID CLAIMS. <br />fNSR ADD'L P~i+i~~~~58~~ ~k!fJ ~~6Rt~N 1.IMITS <br />I LTR IINSRe TYPE OF INSURANCE POLICY NUMBER <br /> GENERAL L1ABI1.ITY EACH OCCURRENCE $ 11000,000 <br /> ~ ~~~~~1J?Ea~~~~~nce 300,000 <br /> X COMMERCIAL GENERAL LIABILITY $ <br />A J CLAIMS MADE [!] OCCUR 42UUNAC5964 12/31/200B 12/31/2009 MED EXP An one oersonl $ 10,000 <br /> PERSONAL & ADV INJURY $ 1,000,000 <br /> r- 2,000,000 <br /> GENERAL AGGREGATE S <br /> - 2,000,000 <br /> GEN'L AGG~EnE LIMIT nES PER PRODUCTS. COMPiOP AGG I <br /> 'Xl PRO- <br /> X POLICY JECT LaC <br /> ~TOMOBILE L1ABILfTY COMBINED SINGLE LIMIT S 1,000,000 <br /> ANY AUTO (EaaCCident) <br />A - 12/31/2008 12/31/2009 <br /> ALL OWNED AUTOS 42UUNAC5964 BODILY INJURY <br /> - (Per person) $ <br /> SCHEDULED AUTOS <br /> X HIRED AUTOS BODILY INJURY <br /> X (PeracckJenl) I <br /> - NON-OWNED AUTOS <br /> - PROPERTY DAMAGE S <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> 8 <NY <UTO OTHER THAN EA ACC I <br /> <\UTO ONLY AGG $ <br /> EXCESS/UMBRELLA LIABILITY Ar.H nr.r. IBREW~E $ 4,000,000 <br /> ~ OCCUR 0 CLAIMS MADE AGGREGATE $ 4,000,000 <br /> $ <br />A ;lIDEDUCTIBLE 42RHUBA2006 12/31/2008 12/31/2009 s <br /> X RETENTION 510,000 <br />B WORKERS COMPENSATION AND x~T~fm.W!o; , 10:~- <br /> EMPLOYERS' LIABILITY 1,0001000 <br /> A,NY PROPRIETOR/PARTNER/EXECUTIVE E,L. EACH ACCIDENT S <br /> OFFICER/MEMBER EXCLUDED? 42WENKl153 12/31/2008 12/31/2009 E L. DISEASE - EA EMPLOYE I 1,000,000 <br /> Ifves, descnbe under 1,000,000 <br /> SPECIAL PROVISIONS below E L. DISEASE - POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERA TIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Evidence of Insurance <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa Ana <br />Attn: David N. Ream, City Manager <br />20 Civic Center Plaza (M3l) <br />Santa Ana, CA 9270APPROVED AS TO <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />10 DAYS WRITIEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR UABILlTY OF ANY KIND UPON THE <br />. '; <br /> <br />r:" <br /> <br />ACORD 25 (2001/08) <br />1"'ll:;n?"'tI.ml\""~ <br /> <br /> <br />INSURER, ITS AGENTS OR REPRESENTATIVES, <br />AUTHORIZED REPRESENTATIVE <br /> <br />~~--p- <br /> <br />James Cassedy/JESSIE <br /> <br />v' <br /> <br />~. ~'-' <br /> <br />@ACORDCORPORATION 1988 <br /> <br />P=,., 1 "I? <br />