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<br />ACORD CERTIFICATE OF LIABILITY INSURANCE ° <br />HN <br />EA DATE (MMIDD/YY1'Y) <br />C <br />3 <br />R 06/03/09 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Van Wagner Group Div. Sterling HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P . O. Box 9017 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Woodbury NY 11797 <br />Phone: 516-487-0300 Fax:516-487-0372 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED wsuRERa Ace American Ins. Co. 22667 <br /> INSURER B. <br />Reach Employee Assistance, Inc <br /> <br />Marcus Dayhoff wsuRERc <br />101 East Lincoln Ave. , Ste 230 <br />Anaheim CA 92805- wsuRERD <br /> <br /> INSURER E <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REOIJIREMENT, TEP,M OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAV PERT:4'N, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICES AGGREGATE LIMITS SHOWN NAYHAVE BEEN REDUCED BY PAID GLAIMS- <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDIVY) DATE (MM/DDIYY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 <br />A X ~=OIdMERCIA,LGENERALLIABILITY 149446 02/17/09 02/17/10 PREMISES (Eaoccurence) $ 100,000 <br /> CL41MS MADE ~ OCCUR MED EXP (Any one perscny $ rj , OQO <br /> PERSONAL&ADVINJURY $1,000~OQO <br /> GENERAL AGGREGATE $ 3, O D 0, 0 0 0 <br /> ~cN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS -COMP/OP AGG $ 1 , 000 , 000 <br /> I X POLh;'r PRO- LOC <br />JECT <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br /> ~ ANV AU-O (Ea accident) <br /> :4LL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEGULE~ AUTOS <br />(Per person} $ <br /> HIRED AUTOS <br />BODILY INJURY <br /> <br />NON-OWNEG PUTOS <br />(Per accident) $ <br /> PROPERTY DAMAGE <br /> _ <br />(Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ~, A.NY ?.LTO OTHER THAN EA ACC $ <br /> Fi o 1V1 AUTO ONLY: AGC $ <br /> EXCESS/UMBRELLA LIABILITY ~i'g~O ~ EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE ~~ ~ ! <br />~ ~~ AGGREGATE $ <br /> r <br />~~`' r $ <br /> DEDUCTIBLE ~ J[1C'LU7 <br />]ti <br /> Laul e <br />I <br /> R <br />T <br />T n } <br />~tLOIII <br />l $ <br /> 10fJ $ <br />EtJ <br />E t Y <br />l <br /> WORKERS COMPENSATION AND <br />' - <br />TORY LIMITS ER <br /> EMPLOYERS <br />LIABILITY <br />ANY PROPRfETOR/FARTNERlEXECtJTIVE E.L. EAGHACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? <br /> <br />If <br />d <br />rib <br />d <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br /> yes, <br />esc <br />e un <br />er <br />SPECIAL PROVISIONS Gelow <br />El. DISEASE- POLICY LIMIT <br />$ <br /> OTHER <br />A Professional Liab 149446 02/17/09 02/17/10 Each Occ. 1,000,000 <br /> Aggregate 3,000,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SP CIAL PROVISIONS <br />All Client Companies are included as additional insureds but only as <br />respects to the operations performed by the named insured. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Personnel Dpt. <br />20 Civic Center Plaza <br />M-34 <br />Santa Ana CA 92702 <br />ac~Rn ~~ r~nnirnui <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />n nnnen i+neennwTinu ~nnn <br />