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<br />ACORD CERTIFICATE OF LIABILITY INSURANCE 5/i i20
<br />PRODUCER (818) 598-8900 FAX: (818) 598-8910 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />L
<br />OD80832
<br />Venbrook Insurance Servicesr CA Lie ON
<br />Y
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />venue
<br />5320 Canoga
<br />12th Floor
<br />Woodland Hills CA 91367 INSURERS AFFORDING COVERAGE NAIC #
<br />INSURED INSURER AHartford Fire Insurance 19682
<br />Overland Pacific & Cutler Ina. INSURERB:`Fhe Hartford
<br />100 West Broadway Suite 500 INSURER c: Westchester Fire
<br />
<br /> INSURER D.
<br />
<br />Long Beach CA 90802 INSURER E:
<br />
<br />OVERAGES
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
<br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
<br />REQUIREMENT
<br />,
<br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
<br />JE LIMITS §HOWN MAY HAVE BEE 4 REDUCED BY I
<br />INSR ADWL
<br />TYPE OF INSURANCE
<br />POLICY NUMBER POLN Y EFFECTNE
<br />DATE MM7DD POLICY EXPIRATION
<br />DATE MMn)DJY LIMITS
<br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> TO 9 E
<br />O
<br />AGE
<br />DAM 000
<br />300
<br /> X COMMERCIAL GENERAL LIABILITY r
<br />MIS $
<br />,
<br />A X CLAIMS MADE aOCCUR 72UUNTR7859 6/1/2009 6/1/2010 MEDEXP one eson S 10,000
<br /> X 000 BI&PD Ded
<br />$10 p q V INJURY S 1,000,000
<br /> .
<br />,
<br />Per Claim GENERAL AGGREGATE $ 2,000,000
<br /> GE NL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG S 2,000,000
<br /> 1 7 POLICY X S ER Loc
<br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> X TO (Eaaoddent)
<br />A ANY AU
<br />ALL OWNED AUTOS 72UUNTR7859 6/1/2009 6/1/2010 BODILY INJURY
<br />S
<br /> X SCHEDULEOAUTOS ?p (Per person)
<br /> f VO)A-IY}
<br />l1
<br /> X HIREDAUTOS `r YIINJURY
<br />BODIL $
<br /> X DAUTOS O
<br />3P Y A LY
<br />(
<br /> NON-0WNE A 1
<br />I
<br /> X Comp Ded. $1,000 t t1
<br />I PROPERTY DAMAGE $
<br /> (Peraceldeal)
<br /> X Coll Ded. $1,000
<br /> GARAGE LIABI LITY _a T8 Stl« Vy - AUTO ONLY• EA ACCIDENT $
<br /> t TO
<br /> ANY AUTO t]L (.,ley OTHER THAN EAA $
<br /> H /y$51S a AUTO ONLY:
<br />AGG
<br />$
<br /> EXCESSIUMBRELLALIABILITY EACH OCCURRENCE $ 2,000,000
<br /> X OCCUR ? CLAIMS MADE AGGREGATE $ 2,000,000
<br />
<br /> $
<br />B DEDUCTIBLE 72RHUTR7849 6/1/2009 6/1/2010 $
<br />
<br /> RETENTION S
<br />j; WORKERS COMPENSATION AND X O
<br /> EMPLOYERS' LIABILITY
<br />E.L. EACH ACCIDENT 1,000,000
<br />$
<br /> ANY PROPRIETOR/PARTNERIEXECUTIVE
<br />OFFICERIMEMBEREXCLUDED? 72WETQ9133 6/1/2009 6/1/2010 E.L. DISEASE - EAEMPLOYEE $ 1,000,000
<br /> h yes. describe under
<br />SPECIAL PROVISIONS below
<br />E, L. DISEASE - POLICY OMIT
<br />$ 1,000,000
<br />C OTHER Professional Liab. 624412763002 6/1/2009 6/1/2010 Ea, claim $ 2,000,000
<br /> Claims Made Aggregate $ 2,000,000
<br /> Deductible $ 50,000
<br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONSADDED BY ENDORSEMENTISPECIAL PROVISIONS
<br />The City of Santa Ana, its officers, agents, employees, consultants, special counsel & representatives included as
<br />additional insured per attached endorsement 11CG20260704 where required by contract. Subject to policy terms,
<br />conditions, and exclusions.
<br />*10 DAY NOTICE OF CANCELLATION FOR NON-PAYMENT OF PREMIUM
<br />nroTnoU%A*rr uni nco CANCFI I.ATI(]N
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />City of Santa Ana EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
<br />Public Works Agency, M-36 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
<br />Attn : Sheri Barkley FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
<br />P.O. Box 1988
<br /> INSURER, ITS AGENTS OR REPRESENTATIVES.
<br />Santa Ana, CA 92702 VE
<br /> AUTHORIZED REPRESENTATI
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<br />ACORD 25 (2001108)
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