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CERTIFICATE OF LIABILITY <br />INSURANCE <br />DATE <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED <br />IYSa <br />LTR <br />12%292009 <br />PRODUCER <br />A CE Risk Services South, Inc. <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />Atlanta GA Office <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS <br />3565 Piedmont Rd NE,Blgl, #700 <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />Atlanta GA 30305 USA <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIL# <br />FHoNE- 866 283 -7122 FAx- 847 953 -5390 <br />INSURED <br />INSURERA ACE American Insurance Company <br />22667 <br />Sapphire Technologies, LP <br />INSURERB. Indemnity Insurance CO of North America <br />43575 <br />60 Harvard Mill Square <br />01/01/2011 <br />EACHOCCURRENCE <br />IINSORERC Zurich American Ins Co <br />16535 <br />Wakefield MA 01880 USA <br />INJURER D: <br />COta.9 IALGENERA.IIA BI-ITY <br />DISORER E. <br />DAMAGE TO RENTED <br />COVERAGES SIR aDDlies Der terms and conditions of the oolicv <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 MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED <br />IYSa <br />LTR <br />MHE <br />TYPE Or INSURANCE <br />POLICY NUMBER <br />POLICY EFrrcnVE <br />POLICY EXPIRATION <br />LIMITS <br />A <br />DA <br />c <br />ORAL IJAJI Y <br />GLO824974300 <br />01/01/2010 <br />01/01/2011 <br />EACHOCCURRENCE <br />55,000,000 <br />X <br />COta.9 IALGENERA.IIA BI-ITY <br />DAMAGE TO RENTED <br />55,000,000 <br />CLAIMS MADE OCCUR <br />PRP.NORES puurvrc <br />ova per on <br />® <br />PIRRDNAL A ADV INJURY <br />55,000,000 <br />GENERAL AGGREGATE <br />55,000,000 <br />GENT ACARPGAIE IAffT APPLES PPR <br />PRODUCTS - COMP/OP AGG <br />55,000,000 <br />® PoIICY E] M= ❑ LOC <br />A <br />AUTOMOBILE LIABI.IT <br />ISM08581824 <br />10/01/2009 <br />10/01/2010 <br />COINED SINGLE OMIT <br />ANY AUTO <br />(I.,camrc) <br />$1,000,000 <br />ALL OWNED AUJOS <br />PPROV <br />AS TO f <br />ORM <br />BODILY INJMY <br />SCHEDULED AUTOS <br />(Fap ) <br />HIRED AUTOS <br />NON OWNED AUTOS <br />/ <br />BooaYlNnmY <br />CA PPT <br />Jos <br />ph Strip <br />PROPERTY DAMAGE rn <br />. <br />Assistank <br />City Attor <br />mey <br />... <br />GARAGE LIAJK . <br />AUTO ONLY -EA ACCENT ; <br />ANY AUBO <br />OTHER THAN EA ACC;, <br />AUTO ONLV - <br />ERCP� /UMBRELLA I.I.ABdf1T' <br />IACH OCCURRENCE <br />❑ OCCUR ❑ CLAPTS MADE <br />AGGREGATE C1 <br />- <br />r <br />BDEDUCIBLE <br />RETENTION <br />A <br />A <br />A <br />WORKERSCOMPENRATION AND <br />PABLOVE0.5' WBdT1Y <br />ANY mcoPRETORIeARTNEII /eIELTIrve <br />OHacwMENEER EXCUIDED, <br />(Mmewgm NH) <br />wLRC <br />wLRC45703174 <br />sCFc45703186 <br />wcuc45703204 <br />W/ SIR 1500,000 (DH ONLY) <br />10/01/2009 <br />10/01/2009 <br />10/01/2009 <br />1010112010 <br />10/01/2010 <br />10/01/2010 <br />X <br />C STATLL <br />OIH- <br />E.L EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE-EA enEIDYee <br />11,000,000 <br />E.LDISEM&POLHCYLOIT <br />51,000,000 <br />If gdsa3e,mdv SPENIAL PROVISIONS blow <br />OTHER <br />DESCRIPTION OF OPERAIIONRRACATIONR /VEFICLESB'J(CLURIONR AOO® BY ENDORSPA�NDSPEL -UAL PROVISIONS <br />THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND <br />REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH REGARDS TO LIABILITY AND DEFENSE OF SUITS ARISING FROM THE <br />OPERATIONS AND USES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED PER ATTACHED CG2010 FORM. <br />V <br />'L <br />d <br />Y <br />9 <br />O <br />x <br />n <br />w <br />N <br />n <br />m <br />°o <br />e <br />z <br />Y <br />a <br />L <br />U <br />CERTIFICATE HOLDER CANCELLATION <br />CITY OF SANTA ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANOMLED BEFORE THE EXPIRATION - <br />ATTN: LORI SMITH <br />DATE TIEEREOF, THE ISSUING INS URFIR WILL ENDEAVOR TO MAD, <br />1439 s. BROADWAY <br />30 DAYS WRITTEN NOTICE TO TFE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />SANTA ANA CA 92707 USA <br />BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY RIND UPON THE INSURER, US AGENTS OR REPRESENTATIVES. <br />AUITIOIRIZCD REPRESENTATIVE !R� <br />The ACORD name and logo an nIllatered marks of <br />