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A~ORD,M CERTIFICATE OF LIABILITY INSURANCE DATE <br /> <br />PROnucER 03--26-2009 <br /> THIS CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION <br />WTAA INSURANCE SERVICES/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />251467 P: (866)467-8730 F: (877)905-0457 ALTERI'HECOVERAGEAFFORDEDBYTHEPOLDf IESBE OW <br /> <br />PO BOX 33015 . <br />SAN ANTONIO TX 7$265 INSURERS AFFORDING COVERAGE <br />INSURED <br />INSURERA:HartfOrd Casualt Ins CO <br /> <br />O'RETLL INSURER B: <br />Y & ASSOCIATES <br /> <br />753 0 S INSUAERC: <br />UNNYWOOD LN . <br /> <br />LOS ANG INSURER D: <br />ELES CA 9 0 04 6 <br /> <br />COVFRGGFG INSURER E: <br />O C ES OF INSUAANCE LISTED BELOW HAV1= RFFN Iscllcn rn'ruc urcrrorn .~~..~r . .......... ...... _.,_ __.. <br /> - - ---~- ------ • - ~ • ••- ••~~+~••~.+ ,..,,.•w nuvvc rvn me rvLlcT rtKluu INUICAIED. NOTWITHSTANDING <br />REQUIREMENT, TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSUAANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT T <br /> <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. O ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> INSR <br /> LTR TYPE OF INSURANCE POLICY NUMBER DATE MNi DDNYE PnATf h9Xh7 DDTION LIMITS <br /> <br /> <br />A GE NERAL LIABILITY <br /> <br />COMMERCI <br /> <br />7 2 <br />EACH OCCURRENCE <br />51 , 0 0 0, Q Q Q <br /> AL GENERAL LIABILITY SBA AE4 8 6 6 0 6/ 0 5/ 0 9 0 6/ x 5/ 1 a l FIRE DAMAGE (A <br />f I <br />3 Q 0 <br />0 0 0 <br /> ny one <br />ire} , <br />S <br /> CLAIMS MADE I ~> I OCCUR <br /> <br />X <br />General L <br />b MED EXP {Any one person) S1 0 , 0 0 0 <br /> la <br /> PERSONAL&AOVINJURY 51, OOO, O0O <br /> <br /> <br />GEN <br />'L A GENERAL AGGREGATE S2 , 0 0 0, O O O <br /> GGREGATE LIMIT APPLIES PER: <br />POLICY jEC X PROQUCTS - COMPIOP AGG S2 , O O O , O O 0 <br /> LOC <br /> AUTOMOBILE LIABILITY <br />A ANY AUTO 72 SBA AE4866 06/05/09 06/05/10 COMBINEpSINGLELIMIT <br />(Ea accident) Slr ~00, 000 <br /> ALL OW <br /> NED AUTOS <br /> SCHEDULED AUTDS BODILY INJURY <br />IPer persons S <br /> X HIRED AUTO <br /> S <br /> <br />X <br />NON-OWNED AUTOS ~~, BODILY INJURY <br />{Perx<identl S <br /> O <br />~ <br /> <br /> ~ <br />O PROPERTY DAMAGE <br /> , <br />leer accident) S <br /> GAR AGE LIABILITY <br /> <br />ANY AUTO <br /> <br />~ <br />~ AU70 ONLY - EA ACCIDENT S <br /> Q <br />~O `` <br />~~0~ <br />~ ~e7 <br />EA ACC <br />S <br /> " <br />~ ~ AUTO ONLYN <br /> <br />EXCESS LIABILITY ~`Cj <br />I G~ AGG S <br />EACH OCCURRENCE <br />~ <br />OCCUR U CLAIMS MADE P5y`C~~a` i I ~ <br />Lf4 $ <br />AGGREGATE <br />S <br />DEDUCTIBLE <br />5 <br />RETENTION S <br />S <br /> <br />SVORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY S <br />WC STATU- OTH- <br />TO Y LI ITS ER <br /> E.L. EACH ACCIDENT $ <br /> E.L. DISEASE - EA EMPLOYEE S <br />OTHER E.L. DISEASE- POLICY LIMIT S <br />DESCRFPTIDN OF OPERATIONSlLOCATIONSNEH]CLESlEXCLUSIONS AODfD BY ENDORS EM ENTlSPECIAL PROVISIONS <br />City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are included as additional insured with respects to the <br />liabilit <br />cov <br />i <br />y <br />erage <br />ndicated under policy number 72SBAAE4866 for those <br />operations usual t <br />th <br />o <br />e insured. <br />CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCFLL~TMN <br />City of Santa Ana <br />Santa Ana W/0/R/K Center <br />ATTN: Lydia Morgan <br />1000 E. Santa Ana Blvd. Suite 200 <br />Santa Ana, CA 92701 <br />uuw AIVY yr 1 HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />PIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />DAYS WRITTEN NOTICE i10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE <br />LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO <br />LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />'RESENTATIVES. <br />HGVKU Z5-5 (7/97) <br /> <br />e ACORD CORPORATION 1988 <br />