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02/09/09 15:49 FAX <br />0003 <br />A(Z RD. CERTIFICATE OF LIABILITY INSURANCE xp> ID us D oiiaa 0 <br />ANY MOREMENT. TERM OR CONDITION OF ANY COM ACT OR OTHER ROCl74Ni Vol 14 11tV'E;7 70 VARCH TN15 CERTIFleAlt MAY BC IS LLO OR <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMA110N <br />LTR <br />ONLY AND CONFERS NA RIGHTS UPON THE CERTIFICATE <br />Hays Afrinity Solutions <br />HOLDER. THIS CERTIFICATE DOE$ NOT AMEND. EXTEND OR <br />1133 20th $t. N.W., Suite 450 <br />ALTER THE COVERAGE AFFORDED BYTHtPOLICIESBELOW. <br />Washington be 20016 <br />RCPABCENTAYI4E@ <br />>?hann%:202^263-9000 rax1202-263-4001 <br />INSURERS AFFORDING COVERAGE NAIC;1 <br />06 R <br />WMERA Lloyds of London <br />Healthy v <br />tliAJRGR 9 <br />Nim C Dzoxd <br />20892z SAiiMaker Citcle <br />Huntington Reach CA 92648 <br />WSURERO <br />Raw.., r <br />COVERAGES <br />TNEPQ OMoFNSUMI:ELIM EELOWHAVE BEW410tEDTOTliE1NStsietjwo-t)AsOVEFCgIMPOLICY PERADLW ATEO v.)TWITt$TAN(XNe, <br />ANY MOREMENT. TERM OR CONDITION OF ANY COM ACT OR OTHER ROCl74Ni Vol 14 11tV'E;7 70 VARCH TN15 CERTIFleAlt MAY BC IS LLO OR <br />NAY PERTAlm. M IN56WEE AFPGROEO BY T.•f_ POL1CiES CSCR W.D 1+fiRl: W 1; :y,dltECt 10 ALL T1tE TeRm. EN.CU.FI0.4s AMJ C•Nt )MOW 011 SU1.'N <br />POLICf5S AGGPEC.ATE t PAli: AtOw"(XWO KItE BEEN REOLrEO BY PAloCtA0A.S <br />LTR <br />iiS <br />Td% OF 241UMANCE <br />POLtCYNWaER <br />O ( 1 <br />DA I4!k1OOYYYI <br />L{6Yi5 <br />RCPABCENTAYI4E@ <br />RFU RES <br />CENEi"L LM uTY <br />EnCn OCCtA�RfNCE f <br />L' OMCRCK0ENE"LLIAOILITY <br />Vaew;ES Eeo<wrvnal f <br />CIlV,ASmoc 0GCt:Y. <br />1.+ 60Exp(A^Y4r4PWWj f . <br />PERSONAL 4 ADV INAMY i <br />CEhLRALACO!'CGAi£ S <br />_ <br />OENL AGGREGATE Mp.11 APPLIE5 PE't <br />POODUCT.r.. COWNT At'G i <br />POLICY JECi LOC <br />•- • , ._._ <br />AUTOM09KA LIAAX.ITY <br />ANYNJTO <br />iEet b'odutjrNGLEuIur y <br />.ALL OY,?vED NnOS <br />BGD,LY 1,SJI62Y <br />SC1{F.OtR FD n1R0$ <br />!F'•+ W ITa^1 f <br />MRED A1Jf05 <br />ti4D11Y 1NJURV s.••• •,.. -••••.-._ <br />NO,J.OYdtEp AUTOS <br />lP« ae<.dni1 <br />PROPEFTV LV.AAAGG f <br />I.: <br />AS TO i <br />(uerus-dwi <br />GARAC&UAS{LfTY <br />A1j10%1LY•9AAC4',9XNY- R <br />N7YAUIO <br />l.. �. ., l <br />OThER7KMt FAACC i <br />AUlUOMY AGO f <br />EXCESSA WBRELIaLLINIUIY <br />w <br />EACHOCCLRRENCE Is <br />AGGREGATE f <br />OCCUR C .."s L" -W <br />Assistant <br />'ity Act me <br />s <br />f <br />DEMME <br />PETf1tTlO•V f <br />f <br />WORKERG GOMPfJIt:AT10NAN0 <br />TORYL11L fiF <br />EMPLOYERS'1.W1iLRY <br />. _ ., _...._.....�...._.. <br />E.L.EA0tACCf0E1JT ....f . <br />ANY PR0PRIET0WPAM89AGYZCL f1VE <br />OFFICERRnEWA FjcQUDCW <br />G L D): E S= • EADVALOYEE f <br />!11N 6. d4FgiDa �TSdw <br />5T`CCIAL n1041sKAAS OWo,T <br />Fl. OLSEASE . pA ICr Lw,T ! <br />OTNErt <br />A <br />Combined E&O/M <br />0902M£A002056 <br />02/07/09 <br />02/07/10 <br />Per Claim $2,000,000 <br />Aggregate $4,000,000 <br />BSCR{P N PFJiAT10N5lL ATl{k1$l VE1oCLESf EXCLliS10NS ADD Y f;00 SEltENT/ ECtAI.�ROVIfMIS <br />The City of Santa ,Ana, its officers, agents, eimployees, zepxesentatives, and <br />volunteers axe hereby added to the policy as an Additional ZnsUrod, z4ololy <br />with respect to claims which result from a gaaeral liability incident 44 <br />defined by the policy but only is respect of vicarious liability from <br />professional services of the Named insured. <br />CERTIFICATE HDLnFR CANCELLATION <br />CXRX_02 <br />ANOIRDANYOF7%EABOV6DOtCR18FDPOUCIESBECANCELLBDSLYDAETHNEYPIRA71ON <br />city Of Santa kna <br />DATBTHEREOF, T7rnA ifltUMtNSURPA WILL. ENDEAVOR TO WAK 30 DAYS WRITTEN <br />20 Civic plaza <br />NOTICE To THU CE7R1R MS HOLDER NAM TO THO: EFT. DUT FAILURE TO 00 $0 $HALL <br />. Attn: clerk For city Council <br />WP095 NO 0000At10N OR UABN.IIY OF ANY KNO UPON VH4 WSUAM ITS AGEM OR <br />VO BOX 1929 <br />Santa Ana CA 92702-1980 <br />RCPABCENTAYI4E@ <br />RFU RES <br />ACORD 25 (2001105) WAUVxU CUMFUKATILIK 1"0 <br />