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<br />.' <br /> <br />~ <br /> <br />Aj/~dJ;. <br /> <br />If- J-t)J~ -). 70 <br /> <br />( <br /> <br />ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMJDD1YYYY) <br />L----' <br />I PRODUCER TechServe Alliance Business Services THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />6301 Ivy Lane, Suite 506 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Greenbelt, MD 20770 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />BOO.222.4664 <br />www.techservealliance.ora INSURERS AFFORDING COVERAGE NAIC# <br />INSURED The Comdyn Group Inc. INSURER A: Tr"'''''''lers Insurance Comoanv <br /> 5743 Corsa Avenue INSURER B; <br /> Suite 209 <br /> Westlake Village CA 91362 INSURER c: <br /> INSURER D: <br />I INSURER E: <br /> <br />COVERAGES <br /> <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 SUBJECTTO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />=~ ~o. POUCY NUMBER POLICY EFFECTIVE POL.ICY EXPIRATION UMITS <br />A ~NERAL. LIABILITY EACH OCCURRENCE $ $1 000000 <br /> .:L pMMERCIAL GENERAL LIABILITY TT0580 1148 6/15/2009 6/15/2010 p~eaISEsYE~~~~~~er\ce\ $ $250 000 <br /> _ CLAIMS MADE [2] OCCUR MED EXP fAnv one oerBon\ $ $10000 <br /> - PERSONAL & ADV INJURY $ $1 000000 <br /> - GENERAL AGGREGATE $ $2 000 000 <br /> ~'l AGG~EnE~lIMIT APrlSIPER; PRODUCTS. COMPIOP AGG $ $2 000 000 <br /> POLICY ~~RT LOC <br />A ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> TT0580 1148 6/15/2009 6/15/2010 (Eaaccident) $ $1 000000 <br /> - ANY AUTO <br /> - ALL OWNED AUTOS BODILY INJURY <br /> (Per person) $ <br /> SCHEDULED AUTOS <br /> :2 HIRED AUTOS BODILY INJURY <br /> $ <br /> ~ NON-OWNED AUTOS (Per accident} <br /> - PROPERTY DAMAGE $ <br /> (Per accident) <br /> ~RADE lIABILITY AUTO ONLY. EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: ADD $ <br />A :=JESS I UMBRELLA LIABILITY TT05801148 6/15/2009 6/15/2010 EACH OCCURRENCE $ $3 000 000 <br /> OCCUR [Z] CLAIMS MADE AGGREGATE $ $3000.000 <br /> $ <br /> l DEDUCTIBLE $ <br /> RETENTION $10000 $ <br />A WORKERS COMPENSATION 4382M136UB 6115/2009 6/15/2010 .; 1.r,(~mI.~;, I I OJ~. <br /> AND EMPLOYERS' LIABILITY VI. $1 000000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE 0 E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? $1 000000 <br /> (Mandatory In NH) E.L. DISEASE. EA EMPLOYE $ <br /> g~~~I~s~~~01~1~tNs below E.L. DISEASE. POLICY LIMIT $ $1 000000 <br /> OTHER $2,000,000 <br />A E&O Claims Made TT05801148 6/15/2009 6/15/2010 <br />DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICI.ES J EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL. PROVISIONS <br />City of Santa Ana, its officers, em~lo~ees, ~ents, volunteers & representative are Additional Insured as respects <br />General Liability per attached CG 0 0 118 Additional Insured Endorsement. *10 day notice of cancellation <br />for non-payment of premium. <br /> <br />'- <br /> <br />ura Stitt Sheedy <br />o'\ssistant City Attorney <br /> <br /> <br />CANCELLATION <br />SHOUL.D ANY OFTHE ABOVE DESCRIBED POL.ICIES BE CANCELL.ED BEFORE THE EXPIRATION <br />ATE THEREOF, T1iE ISSUING INSURER WILL ENDEAVOR TO MAIl. ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOL.DER 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 />PRESENTATIVE8- <br />AUTHORIZED REPRESENTATIVE <br /> <br />CERTIFICATE HOLDER <br />Client <br /> <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br /> <br />APPROVED AS TO FOR <br /> <br />Peter J. Elliott <br /> <br />~-Ah...S} ~ <br /> <br />ACORD 25 (2009/01) <br />CERT NO.: 5107754 Ch:de Herald 6/10/2009 7,24:59 AM Page 1 of 3 <br /> <br />@ 1988-2009 ACORD CORPORATION. All rights rBSBrved. <br />