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ACORD. CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YY) 10/3/2012 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 10550 Santa Ana CA 92711-0550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. EACH OCCURRENCE $2 OOO 000 INSURERS AFFORDING COVERAGE INSURED i RJM Design Group, Inc. 31591 Camino Capistrano INSURER A: Tr ,aVelerS Property Casualtyf Ameri INSURERB:Hudson Insurance Com an MED EXP (Any one person San Juan Capistrano CA 92675 INSURER C: INSURER U $GENERAL INSURER E: AGGREGATE COVERAGES HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'NSR I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DDfYYI DATE fmminnryy) LIMBS A GENERALLIABILITY 6804854L671 9/30/2012 9/30/2013 EACH OCCURRENCE $2 OOO 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) 000 CLAIMS MADE X OCCUR MED EXP (Any one person X Contractual 1 PERSONAL& ADV INJURY $GENERAL AGGREGATE W000000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG POLICY X P'0. LOC A j AurOMOSILE LIABILITY BA5094L595 9/30/2012 9/30/2013 COMBINED SINGLE LIMIT I $1, 000, 000 ANY AUTO (Ea accident) 1 BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS X NON -OWNED AUTOS (Per accdent) tt PROPERTY DAMAGE $ d (Peraccent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANYAUTO/� l-`^�--�"-- --'-- —'" EA ACC $ ✓'-�� ,jr^(�/.- OTHER THAN AUTO ONLY: AGG $ EXCESS LIABILITY �� y:,li G:. ;l I 1. 1l I - EACH OCCURRENCE $ ElCLAIMS OCCUR MADE AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND UB3761T932 9/30/2012 9/30/2013 }{ III SIATIJ- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1 O O O 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE - POLICY LIMIT 1 $1 0 00 0 0 BAE 10/1/2012 Per Claim $I,,Coo jp�'TH�FRroessional LiabilityII 110/1/2013 Annual Aggr. $2,000OOo,CCC Claims Made I DESCRIPTION OF OPERATIONS/LOCATIONS/VENICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS eneral Liability policy excludes claims arising out of the performance of professional services. Re: On -Call Services - City of Santa Ana, CA. he City of Santa Ana, its officers, employees and representatives are Additional Insured as respects to General iability coverage as required by written contract. rimary and Non -Contributory applies to General Liability as required by written contract. Waiver of Subrogation for ork Comp is included as required by written contract. ee Attached... I-- AUUIIIVKALIK�UKCU;IN5UKGKLtITHK: I+AIYL.CLLAIIVIY -Pd yment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City of Santa Ana WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE Attn: Marilyn Boothe ROLDER NAMED TO THE LEFT. P.O. Box 1988 Santa Ana, CA 92702-1988 AUTHORIZED ACORD 25S (7197) CORPORATION 1