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•: Atci:.. ; <br />22045 DATE(MMIDD/YYYYI <br />�. CERTIFICATE OF LIABILITY INSURANCE:. , 09-03-2010, <br />THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS. <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES' <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE dSSUING INSURE R(S); AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND7HE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder is an.ADDITIONALINSURED,the policy(ies)must be endorsed. If SUBROGA710NIS WA1VM,%bbject.to. <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />.certificate holder in lieu of such endorsement(s). <br />EMPLOYEEMATTERS INSJXACTPAY WEB PHONEAx <br />250776 P: (877)287-1316 F: (888).443-6112 N 877 '287r1316i rw/CNo):- (88a)443-611 <br />PC BOX 33015 ADORESS: <br />SAN ANTONIO TX 78265 <br />INSURER(S) AFFORDING COVERAGE - NA1C Jr <br />""'SAD INSURER A.- Hartford Ins Co of the Midwest <br />REDLANDS SOFTWARE INC. INSURER B <br />2656 REDLAND S DR INSURER c <br />COSTA MESA CA 92627 INSURER D <br />INSURER E <br />2.00'7 13 O INSURER F . <br />rr)VFPArSFfi rrPTirtrATC IJf worm. ne�ncrnu.rr rt<e'ncn- . <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />WWSR <br />tTR <br />TYPE OF Or3(1R4NCf <br />POLICY NUMBER <br />7MAr/DD/YYYYJ <br />WKID&Vr"I <br />OF,A W4 UAd/t/JY <br />EACH OCCURRENCE <br />t <br />PREMISES tEa oxuesnca <br />• <br />COMMERCIAL G04ERAL LIABILITY - <br />MED EXP (My one person) <br />_ - <br />CLAIMS -MADE OCCUR <br />PERSONAL& ADV INJURY <br />t' <br />'' <br />GENERAL AGGREGATE <br />_ .. <br />- <br />'L AGG LIMIT_ AEMS PER <br />POLICY - PRO• LOCI <br />PRODUCTS - COMP/OP AGG <br />t' <br />', <br />- <br />'LN'CA108" <br />LMAXITY <br />ANYAUTO _ <br />ALL OWNED AUTOS <br />A C <br />r <br />► g0 Y AS <br />H } <br />- <br />COMBINED SINGLE UMIT <br />CIA student) <br />b . <br />BODILY INJURY Weer person) <br />BOOBY INJURY M. iteW..d <br />= <br />_ <br />SCHEDULED AUTOS <br />HIRED AUTOSy <br />NON -OWNED AUTOS <br />,,Stitt <br />f t Cit <br />h� �LC� ' <br />A� <br />PROPERTY DAMAGE <br />(Per sdcidenO <br />t <br />- <br />i . <br />CMrBRE1LR LIAd <br />HCLAIMS-MADE. <br />OCCUR <br />- <br />EACH OCCURRENCE <br />t <br />EXCESSLIAB <br />AGGREGATE <br />t <br />DEDUCTIBLE <br />t _ ' <br />. <br />s <br />RETENTION = <br />A <br />YIN <br />ANY PROPRIETOR/PARTN <br />OFRCBVMBABEREXCLUDM? <br />Wsrdirory kr ABO <br />It SC IPTIONdescribF O <br />DESCRIPTION OF OPERATIONS below <br />MIA <br />' <br />- <br />- <br />76 WEG LP1504 <br />08/03/2010,oe,lo3/soar <br />X WC STwTU• OTH'O. <br />.. <br />E.L. EACH ACCIDENT <br />=. 110001,000 <br />. <br />. <br />E.L DISEASE•EA EMPLov <br />:. 1 •000 000 <br />E.L. oisEASE - POLICY uMrr <br />= 1 0 0 0 .0 0 0 <br />DESCAOeTAOWOFOPERA 77orz LOCATIONSI V,EMMIS (AMK* ACORD LOT, Ad$b;P"Rwwrks SONWV406 A' mom spew r requAwi - - <br />The City of Santa Ana <br />Public Works Agency <br />20 CIVIC CENTER,PLZ # M21 <br />SANTA ANAr CA 92701. <br />l.ru1\.cuJa 1 IUN <br />SHOULD ANY. OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION. DATE THEREOF; NOTICE WILL BE <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />A&77 GA= RFPRESENrA77VE <br />. G 1988-2009 ACORD CORPORATION. All rights reserved .' <br />ACORD 25 (2009/09) The ACORD dame and logo are registered marks of ACORD <br />