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ACORD„ CERTIFICATE OF LIABILITY INSURANCEDATE(MMMMYI <br />9 2 2009 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates <br />P. - Box 10550 <br />Sa Ana CA 92711-0550 <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 />POLICY NUMBER <br />POLICY EFFECTIVE <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />INSURERA: Travelers Property_CasualtV Co_ of_Ameri_ <br />RJN Design Group, Inc. <br />31591 Camino Capistrano <br />San Juan Capistrano CA 92675 <br />_ <br />INSURER B:_ Travel ers Tntlomn i_Co. of Connecticut___ <br />INSURER c: American Autowobil,e Ins. Co. ----- <br />— -- <br />INsuRERD:Argonaut insurance _Ccmpanv__-__-.__ <br />INSURER °'. <br />5$,_QQQ40C _-_ <br />COVERAGES <br />HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />B <br />GENERALLIABILITY <br />68048541,671 <br />9/30/2009 <br />9/30/2010 <br />. EACH OCCURRENCE__ <br />5$,_QQQ40C _-_ <br />_FIRE DAMAGE (Any..5re) <br />$1 <br />AUTHORIZED REPRESENTATI <br />X COMMERCIAL GENERAL LIABILITY <br />__ ICLAIMS MADE 10 OCCUR <br />MEDEXP(AAycnepetson)_ <br />510,_000 <br />PERSONAL B ADVINJURY <br />S2 Q00_,_000 <br />X Contractual <br />GENERAL AGGREGATE _ <br />S-4,_00() _00.0_ <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS COMP/OP AGS <br />$4, 000. 09,.Q <br />POLICY <br />PRO LOC <br />A <br />AUTOMOBILE <br />�ANYAUTO <br />LIABILITY <br />BA50941,595 <br />9/30/2009 <br />9/30/2010 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$2,000,000 <br />BODILY INJURY <br />(Pe, person) <br />_ <br />$ <br />_ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Peracamenl) <br />$ <br />' <br />HIRED AUTOS <br />NONOWNED AUTOS <br />_ <br />� to <br />A S' <br />!'� <br />PROPERTYDAMAGE <br />(Pe,a¢idenU <br />$ <br />_GARAGE LIABILITY <br />RF <br />AUTO ONLY - E_A <br />IS <br />_ACCIDENT <br />OTHER THAN EAACC <br />ANY AUTO <br />_S <br />S <br />5hQ,U). <br />AUTOONLY: AGO <br />EXCESS LIABILITY <br />aUl <br />fly <br />EACH OCCURRENCE <br />$ <br />_ _ <br />AGGREGATE <br />_ <br />$ <br />OCCURCLAIMS MADE <br />PS <br />1 <br />LSI <br />_ <br />S <br />_ <br />S <br />DEDUCTIBLE <br />S <br />RETENTION 5 <br />WORKERS COMPENSATION AND <br />WZP60976027 <br />9/30/2009 <br />9/30/2010 <br />_}{.WCSTATU- OTH- <br />E.L. EACH ACCIDENT <br />$1,000, 000 <br />EMPLOYERVLIABILITY <br />E.L. DISEASE_. EA EMPLOYEE <br />Sl0y 00 00 <br />E.L. DISEASE. POLICY LIMIT <br />1 $1 00 <br />D <br />OTHERIAE111170 <br />Professional Liability <br />10/1/2009 <br />10/1/2010 <br />Per Claim $1,000,000 <br />Annual Aggr. $2,000,000 <br />Claims Made <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENOORSEMENTISPECIAL PROVISIONS <br />eneral Liability policy excludes claims arising out of the performance of professional services. <br />Re: On -Call Services - City of Santa Ana, CA. <br />The City of Santa Ana, its officers, employees and representatives are Additional Insured as respects to General <br />Liability coverage as required by written contract. <br />Primary and Non -Contributory applies to General Liability as required by written contract. Waiver Of Subrogation for <br />Work Comp is included as required by written contract. <br />onrinued... <br />C ERTfCATF FIM DPP I CANCELLATIONin A..,,C ...... I.iYI nn fn, Aron-Pavmant <br />ACORD 25-S (7197) O ACORD CORPORATION 1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER <br />City <br />Of Santa And <br />WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER <br />Attn: <br />Mindy Ly <br />NAMED TO THE LEFT. <br />P.O. <br />Box 1988 <br />Santa Ana, CA 92702-1988 <br />AUTHORIZED REPRESENTATI <br />ACORD 25-S (7197) O ACORD CORPORATION 1988 <br />