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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />ACOROe CERTIFICATE OF LIABILITY INSURANCE <br /> <br />VYYY) <br />( <br />12/1DATE61/2011 <br />2011 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsements . <br />PRODUCER CONTACT <br />NAME: <br />Marsh Risk & Insurance Services <br />FM <br />PHONE <br />4695 MacArthur Court, Suite 700 I <br />ac No : <br />(949) 399-5800 EMAIL <br /> ADDRESS: <br />License #0437153 <br />Newport Beach <br />CA 92660 INSURERS) AFFORDING COVERAGE NAIC M <br />, <br />117700-STND-GAWU-11-12 _ <br />INSURER A: Travelers Property Casualty Co. Of America 25674 <br />I BURIED INSURER B: NIA NIA <br />Environmental Systems <br />Research Institurm, Inc. INSURER C : NIA NIA <br />380 New York Street INSURER D : NIA NIA <br />Redlands, CA 92373 <br />NIA <br />NIA <br /> INSURER E: <br /> INSURER F: NIA N/A <br />COVERAGES CERTIFICATE NUMBER: LOS-001387884-19 REVISION NUMBER:I <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR A L UBR POLICY EFF POLICY EXP <br />TR TYPE OF INSURANCE ima JIM POLICY NUMBER MMrDD/YYYY MWDD1YYYV LIMITS <br />A GENERAL LIABILITY 660013OP85A 1211512011 1211512012 EACH OCCURRENCE S 1,000,000 <br /> <br />X MA ETb_R_ifRT_ff <br />1 <br />000 <br />000 <br /> COMMERCIAL GENERAL LIABILITY PREMISES E occurr nce , <br />, <br />$ <br /> M 10 <br />000 <br /> CLAIMS-MADE <br />OCCUR MED EXP (An one person) . <br />$ <br /> X BLANKET CONTRACTUAL PERSONAL &ADV INJURY $ 1,000,000 <br /> X OWNERS& CONTRACTORS GENERAL AGGREGATE $ 2,000,000 <br /> GENL AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOP AGG $ 2,000,000 <br /> X POLICY PRO- LOC <br />JFCT r-] $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br />(Ea.nv1,:iM) <br /> ANY AUTO BODILY INJURY (Per person) $ <br /> ALL OWNED <br />AUTOS SCHEDULED <br />AUTOS <br />BODILY INJURY (Per accident) <br />$ <br /> NON-OWNED PROPERTYDAMAGE $ <br /> HIRED AUTOS AUTOS (Per a iden <br /> <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE S <br /> <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION S <br />A WORKERS COMPENSATION <br />' HJUBBA84328711 1211512011 1211512012 X WeSTATU- oTw <br />I'M T <br /> AND EMPLOYERS <br />LIABILITY Y 1 <br />000,000 <br /> ANY PROPRIETORIPARTNERrEXECUTIVE E.L. EACH ACCIDENT , <br />$ <br /> N] <br />OFFICEWMEMBER EXCLUDED? NIA 1 <br />000 <br />OW <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYE , <br />, <br />$ <br /> Ilyes de scribe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ <br /> <br /> - rrn <br /> r <br />DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more apace is rpulrml <br />ity of Santa Ana, its officers, employees, agents, volunteers and representatives are included as addaional insured as respects general liabiltty as their interest may appear. 1 <br />W <br />v <br /> <br />IV <br /> <br />CERTIFICATE HOLDER L: f CANCELLATION '? <br />City of Santa Ale SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Atin Clerk of the City Council THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza (M-30) ACCORDANCE WITH THE POLICY PROVISIONS. <br />P.O. Box 1988 <br />Santa Ana, CA 92702-1988 <br />AUTHORIZED REPRESENTATIVE <br /> of Marsh Risk & Insurance Services <br /> John Graef ??-?- <br />ACORD 25 (2010105) <br />®1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD