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— oR <br />PRODUCERo CERTIFICATE OF LIABILITY INSURANCE - <br />UED A� �D myY <br />FOC RC <br />THIS CERTIFICATE IS ISSSBA MATTER OF NFORMATIC <br />United Captive Ins. Brokers ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />17151 Nev+hope St. , Ste 211 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Fountain Valley CA 92708 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOV <br />Phone:714-708-4370 Fax:714-7pg_2300 <br />INSURED INSURERS AFFORDING COVERAGE <br />INSURER A: NAIC # <br />U.S. Fideliua <br />ty and Graa <br />RBF Consulting INSURERS: Co.. 25887 <br />14725 Alton Parkway INSURERC: <br />Irvine CA 92618 <br />INSURER D: <br />:OVERAGES INSURER E: <br />THE POLICIES OF INSURANCE IISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICAT <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HA ED. NOTWITHSTANDING <br />VE BEEN REDUCED BY PAID CLAIMS. MAY BE ISSUED OR <br />7R�IEN.R.A,L <br />E OF INSURANCE CONDITIONS OF SUCH <br />BILITY POury w orn <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE ❑ OCCUR <br />GENL AGGREGATE LIMIT APPLIES PER. <br />POLICY n PRO <br />R T <br />- 1iCT n LOC <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />GARAGE LIABILITY <br />ANY AUTO <br />EXCESS/UMBRELLA UABIU <br />TY <br />OCCUR ❑ CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION y <br />WORKERS COMPENSATION AND <br />A EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />If yes. <br />D123WO0187 <br />LIMITS <br />EACH OCCURRENCE in <br />PREMISES (Ea otturenMEO EXP (Any one persPERSONAL 6 ADV tNJUGENERALAGGREGATEPRODUC__ T COMP/OP <br />COMBINED SINGLE LIMIT <br />(Ea accident) $ <br />BODILY INJURY <br />(Per person) S <br />BODILY INJURY <br />(Per accident) S <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />AUTO ONLY - EA ACCIDENT <br />S <br />OTHER THAN EA ACC <br />AUTO ONLY: <br />$ <br />AGG <br />S <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />S <br />S <br />07/01/09 X TORYLIMITS ER <br />07/01/10 <br />a <br />E.L. EACH ACCIDENT <br />$1000000 <br />E.L. DISEASE - EA EMPLOYE <br />$ 1000000 <br />F.L. OISEASE . POLICY LIMIT <br />a 1000000 <br />* 10 clays no Ce n '�'•, I LUL'ATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIC <br />f <br />Re: Environmental ServicesaandnTecfor <br />nOn s paymen ment of premium. <br />City of Santa Ana <br />Attn: Tonia Zerba <br />20 Civic Center Plaza <br />P.O. Box 1988'M-20 <br />Santa Ana CA 92702 <br />CITSAN2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAME <br />D TO THE LEFT, BUT FAILURE TO 00 SO <br />IMPOSE NO OBLIGATION OR LIABILITY SHALL <br />AJ 'V1 +3J�+/ r F TY OF ANY KIND UPON THE INSURER, P S. ITS AGENTS OR <br />AU IZED REPRESENTATIVE <br />F c let As;:.:,, !. N © ACORD CORPORATION <br />�::��nt C�,1 <br />