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8910 <br />....... JI KU;AL:VN <br />INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />ACOR14,., CERTIFICATE OF LIABILITY INSURANCE7CERTIFII <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />—� <br />LIR NSR TYPE OF INSURANCE POLICY NUMBER <br />09°^�' <br />PRODUCER <br />Dealey, Renton $Associates <br />P. 0. Box 10550 <br />Ana, CA 92711.0550714 <br />THIS CERTIFICATE IS ISSUED AS A MATMATION <br />ONLY AND CONFERS NO RIGHTS UPTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOEND ORALTER THE COVERAGE AFFORDED BY BELOW.Santa <br />A <br />427.6810 <br />INSURERS AFFORDING CO <br />-------INSURED <br />Structures, A Consulting Company <br />2880 S. Coast Highway <br />Laguna Beach, CA 92651 <br />INSURER A: Travelers Indemnity CO. Of ConneGtio <br />— . ...... . --------- <br />INSURER B: U.S. Specialty Insurance Company <br />INSURER cTravelers Property y Casualty Co of Am <br />,NSER D: <br />_ <br />FIRE DAMAGE (Any one lre) $300000 <br />NSURURENE ' <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 />—� <br />LIR NSR TYPE OF INSURANCE POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />A <br />GENERALLIABILRY 680676OL428 <br />12/16/08 <br />12/16709 <br />EACH OCCURRENCE $1000000_ <br />X COMMERCIAL GENERALUABILTTY General Liability <br />CLAIMS MADE aoccuR <br />_ <br />FIRE DAMAGE (Any one lre) $300000 <br />MED EXP (Any one person) $5000 <br />,excludes claims <br />_ arising out of the <br />PERSONAL d ADV INJURY _ _ $1 000000 <br />_ __._._,_- —'performance of <br />GENERAL AGGREGATE $2000000 <br />.GEN'LAGGREGATELIMITAPPLIESPER. professional <br />PRODUCTS- COMPIOP AGO. s20NA09 <br />— L --- <br />POLICY PRO- jLOC liablll <br />ECT <br />C <br />AUTOMOBILE <br />LIABILITY <br />BA6761L241 <br />12116108 <br />12/16/09 <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea Wddenl) <br />$1,000,000 <br />ALL OWNED AUTOS <br />BODILY INJURY <br />$ <br />SCHEDULED AUTOS <br />(Pru P..) <br />X <br />X <br />HIRED AUTOS <br />NOWOWNED AUTOS <br />APPROVED AS ' <br />BODILY INJURY� <br />$ <br />O FORM <br />--Ac--- <br />- <br />PROPERTY DAMAGE <br />$ <br />;Per accident) <br />GARAGE LUIBIUTY <br />Laura StAUTO <br />ONLY. EA ACCIDENT <br />S <br />OTHER THAN EA ACG <br />S <br />ANY AUTO <br />AsSistant <br />edy <br />$ <br />AtAorne <br />AUTO ONLY: AGS <br />EXCESS LIABILITY <br />� I CLAIMS MADE <br />ElOCCUR <br />EACH OCCURRENCE <br />q <br />AGGREGATE <br />_ <br />i <br />$ <br />--------'-- <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />A I <br />WORKERS COMPENSATION AND <br />UB7913Y560 <br />12/16106 <br />12116/09 <br />X WCSTATU- OTH. <br />IORY LIMITS ;R <br />EMPLOYERS'DABILITY <br />ET, EACH ACCIDENT <br />111000,000 <br />E L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />El DISEASE -POLICY LIMIT <br />$1,000,000 <br />B <br />OTHER Prof. Liab. !US081112404 <br />67/01/08 <br />07101109 <br />$1,000,000 per claim <br />Llaims made <br />j <br />$1,000,000 annl aggr. <br />etro: 07101100 <br />$25,000 deductible <br />DESCRIPTION OF OPERATIONSR.00ATIONSNEHMUSIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />The City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are named as additional Insured under the General Liability <br />as required by written contract. <br />City of Santa Ana <br />attn: David Patton <br />20 Civic Center Plaza -Ross Annex <br />(M•36) <br />Santa Ana, CA 92701 <br />1 oft #S249790/M246485 <br />SH OULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOIETH E EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WI$tXWXXX 9Mt TO MAIL 30_ DAYSWRITTEN <br />NOTICETOTHE CERTIFICATE HOLDERNAM ED TOTH ELEFT,�tltxplRNO(NiBRdQQt$a(x <br />TTN 0 ACORn CORPORATInN 1CR$ <br />