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ACOR~-® CERTIFICATE OF LIABILITY INSURANCE <br />' DATE(MMlDDIYYYY) <br />`,~/ 10!19/2009 <br />PRODUCER AON RISK SERVICES CENTRAL <br />INC. 130965 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />, <br />1000 N <br />MILWAUKEE AVENUE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />GLENVIEW, IL 60025 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />PHONE - 1-866-283-7122 FAX 1-847-953-5390 <br /> INSURERS AFFORDING COVERAGE NAIC # <br />INSURED AON CORPORATION AND INSURER A: LEXINGTON INSURANCE COMPANY 19437 <br />AON GLOBAL RISK CONSULTING INSURER B: <br />200 E. RANDOLPH DRIVE <br /> INSURER C: <br />CHICAGO IL 60601 USA <br /> INSURER D: <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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED <br />INSR DD' POLICY EFFECTIVE POLICY EXPIRATION <br /> POLICY NUMBER LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ <br /> <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ <br /> PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG $ <br /> POLICY PRO LOC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS <br />BODILY INJURY <br /> $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> $ <br /> (Per accident) <br /> GA RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO THAN - ~ ACC $ <br /> F ~ <br />ONLY: <br /> AGG $ <br /> EXCESS /UMBRELLA LIABILITY y,, <br />. <br />b.~~ f~~ <br />>~Z EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE + ~ <br />~ <br />. ~ ~ AGGFjF,C.ATE $ <br /> <br /> <br /> DEDUCTIBLE C ~ tiCi1. <br />S'i . <br />~ $ <br /> 1 <br />a~ ( <br />(~tt0 . <br /> RETENTION $ .~ d"lly $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS' LIABILITY Y IMI <br /> Y/N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ^ <br /> <br />E.L. EACH ACCIDENT <br /> <br />$ <br /> OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ <br />A orHER ERRORS & OMISSIONS 7113473 4!17/2007 4/17!2011 EACH CLAIM: $5,000,000 <br /> "' ~ SEE ATTACHED ADDENDUM <br />DESCRIPTION OF OPERATIONS /LOCATIONS !VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />RE: AON GLOBAL RISK CONSULTING, 1901 MAIN STREET, SUITE 300, IRVINE, CA 92614. <br />a.~r~ r rrw~ ~ ~ nvLV~R IiAIY I.CLLA l IV1V 13U2ibb <br />CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />ATTN: PURCHASING DEPARTMENT DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRfTTEN <br />20 CIVIC CENTER PLAZA NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />SANTA ANA CA 92702-1988 USA IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />~ra .%Lca~ JPie~ic~ t;o~a~ .Jizc. <br />ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />