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UN EiLE.. <br />N- 2007 - 078 -03 <br />I14 - -. l (. I . ? <br />AC-M. CERTIFICATE OF LIABILITY INSURANCE <br />ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT 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 />g /ii/�'D°'Y"' <br />a9 /la /Oa <br />PRODUCER LIC 60867768 1 -925- 416 -7862 <br />IOA Insurance Services <br />3875 8opyard Road, ate. 240 <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 />AFFORDING COVERAGE <br />Pleasanton, CA 945e8 Caldwell <br />_ _ <br />4 <br />D <br />baailio Associates, Inc. <br />WSURERA:Vall P e Insrance aD <br />_ _ <br />INSURERB:V -8, Specialty Insurance Company <br />-- <br />INSURER C: <br />12 J Ilauchly, Suits 100 <br />24URER1) .._ <br />Irvine, CA 92610 <br />INSURER E: <br />X COMMERCIIAL GENERAL LIABILITY <br />GL <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT 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 />ILT R <br />TYPE OF WWRANCE <br />POLICY NUMBER <br />POLICY EFFECTNE <br />07/25/00 <br />POLICY Em"TKNi <br />07/ZS/09 <br />LIMRS <br />A <br />GDARALUABILRY <br />82099S27251 <br />EACHOCCURRENCE S1,000,000 <br />X COMMERCIIAL GENERAL LIABILITY <br />DSA <br />FIRE DAMAGE (Any arfw) $ 300,000 <br />CLAIMS MADE OCCUR <br />MED EXP jAny one I—) $101000 <br />PERSONAL& ADV INJURY <br />$1,000,000 <br />.. <br />GENERAL AGGREGATE <br />32.000,000 <br />GWL AGGREGATE LIMIT APPLIES PER, <br />PRODUCTS- COM_MOP AGO <br />S 2, 0 DO, 000 <br />POIX:Y Z PRO- LOC <br />T <br />A <br />AU10010BILEUMBILITY 802099527251 <br />07/25/00 07/25/09 <br />ANY AUTO <br />COMBINED SINGLE <br />(Em . <br />$1,000,000 <br />ALL OWNED AUTOS <br />_ <br />_ <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(P-Pmm) <br />s <br />Y HWED AUTOS <br />X <br />BODILY INJURY <br />S <br />NON-OWNED AUTOS <br />IP6raoadsnQ <br />PROPERTY DAMAGE <br />S <br />(PK <br />GARAGR LJANLITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />S <br />ANY AUTO <br />S <br />AUTO ONLY: AGG <br />EXCESS LIABEjTY <br />OCCUR CLAIMS MADE <br />EACH OCCURRENCE is <br />$ <br />AGGREGATE <br />DEDUCTIBLE <br />S <br />RETENTION S <br />' <br />S <br />WORKERS COINW.W ATION AND <br />WC STATU- I IOTH - <br />BMPLOYERB' LIABILRY <br />PR <br />E.L EACH ACCIDENT Is <br />E.L DISEASE - EA EMPLOYEE S <br />- <br />E.L. DISEASE - POLICY LIMIT S <br />IS <br />Professional Liability <br />US OB 12473 03 <br />09/22/08 <br />09/22/09 <br />Per Claim $1,000,000 <br />A—ual Aggregate $1,000,000 <br />OEaCRIPTMN OF OPKMTDN81LOCATONL %WICLELSXCLUEIOMSADM BV ENDORiEMENTRPiCLU P"BIONB <br />All operations of the Named Insured, including project referenced below, if any. <br />General Liability: See Additional Insured endorsement attached. <br />General Liability Additional Insureds City of Santa Ana <br />Re: Agreeaeat A- 7007 -045 <br />L ".') 9793051 0 ^CORD CORPORATION INS <br />�. ) )ILi <br />' NOBLD ANY OF THE ABOYEOESCRIBEDPOLACM5BECANCELLEDBEFORE THE EXPIRATION <br />City at Santa Ana <br />Building VAintd0Ance 1I -11 <br />Attn: Theo Vu <br />J <br />IJ <br />DATE THEREOF, THE MU NG 61SUREA WILL BAWL 30 DAYS WRITTEN <br />NOTICE TO THE CERTMATE HOLDER NAMED TO THE LEFT, <br />20 Civic Center Plaza <br />- -1 ` <br />Santa ARIA, CA 97701 <br />AUTHORL7EDREPRESENTAT" <br />DSA <br />L ".') 9793051 0 ^CORD CORPORATION INS <br />