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Rb® CERTIFICATE OF LIABILITY INSURANCEOP ID— <br />°ATE("M DDv1YYV <br />CERTIFICATE MAY BE ISS UED OR MY PE RTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />O1/OS/11 <br />THIS CERTIFICATE IS 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 ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate ho er Is an ADDITIONAL INSURED, the po cy les must be endorse N 15 WAIVED, subject o <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 />PRO WC E. <br />Peter C. Foy 6 Associates <br />C0117ACT <br />NAME: <br />PHONE FAX <br />CA License #0803080 <br />(AIC. N.. E.1): cA`'NO: <br />—---___-- <br />E—IL <br />21650 Oxnard St-, Suite 1900 <br />ADDREss: <br />CUSTOMER FROOUCER IDA: CALIF -5 <br />Woodland Hills CA 91367 <br />INSURER'S/ AFFORDING COVERAGE N.C. <br />Phone: 818-703-8057 Fax: 818-703-0935 <br />SURE. <br />INSURERA. Zurich US 16535 <br />INSURERB'. <br />California Property Spec Inc <br />California Property Spec LLC <br />---------- <br />INSURER C. <br />600 W. Santa Ana Blvd Ste 115 <br />Santa Ana CA 92701 <br />INSURER' <br />y� <br />/WY A_J <br />INSURER E <br />_ <br />INSURER F' <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CE RTIFY THAT THE POLICIES OF INSURAN CE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE D NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED NOTWITHSTANDING A NY REQUIRE MENT, TERM OR CONDIT ION OF ANY CONTRACT OR OTHE R DOCUMENT WITH RESPECT TO WHICH T HIS <br />CERTIFICATE MAY BE ISS UED OR MY PE RTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDIT IONS OF `+UCH POLICIES LN ITS SHOWN MY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUER <br />WVD <br />POUCY NUMBER <br />POLICY EfF <br />(MMAWYYWI <br />POLICY EAI <br />IMMR%1IY WY) <br />UMITS <br />GENE R.L. LIFEIUTY <br />EACH OCCURRENCE i <br />DAMAGE TO RENTED <br />COMMERCIAL GENERAL LIA61LITv <br />PREM 1113 (E. xcvr.rc.) $ <br />E <br />r J CLAIMS MADE f J OCCUR <br />MED EAP(A, Pm Wool 3 <br />M <br />PERSONAL B ADV INJURY 3 <br />I <br />I <br />GENE ML AGGREGATE 3 <br />LGEN L AGGRE GATE LIMIT APPLIES PER <br />PRODUCTS-COMPIOP— <br />S <br />I PRp <br />POLICY JECT LOC <br />AUTOMOBILE <br />'— <br />LIABILITY <br />ANY AUTO <br />COMBINEDSINOLE UNIT <br />S <br />IE. acWOM) <br />BODILY INJURY (PNr IF—)3 <br />r — <br />+— <br />r— <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />HIRED AUTOS <br />'- S <br />1 <br />i o� <br />` Vito <br />3E <br />BODILY INJURY (P., •ccM.NI S <br />PROPERTY i' pNAAGE <br />S <br />- <br />NOM -OW HED AU i05IcN <br />3 <br />— <br />i <br />UMBRELLA LIAR OCCUR <br />• <br />EACH OCCURRENCE $ <br />E%CESS UAB <br />OLAIMSaAACE <br />.. <br />A\11`. <br />- <br />'-- <br />AGGREGATE f <br />i <br />OEWCTIERE_-_... <br />I <br />y <br />RETENTION 3 <br />WORKERS COMPENSATLGN <br />AND EMPLOYERS LIABILITY <br />YIN <br />WC STATV- OTH. <br />TORY LIMITS <br />ERTY <br />'—' <br />El EACH ACCIDENT y <br />ANY R RI RECUTIVE <br />OFFKERMEMBER EXCLUDED' <br />❑ <br />IA <br />— <br />EL DISEASE EA EMPLOYEE i <br />(M.nd—YInNH) <br />d..FRN <br />E. L. DISEASE POLICY UM IT y <br />F. Mm., <br />DESCRIPT IONOf OPERATIONS 1.1— <br />A <br />Errors 6 Omissions i X <br />EOC489184301 <br />oL/B3nL <br />BuD.n3 <br />Per Claim 1,000,000 <br />Retro: 1/4/06 <br />Aggregate 1,000,000 <br />(ANA#ACORD IBI—"1*—R.m.rk. SNMJU., Umonof <br />Santa Ana,its officers, emplys,agenta,volunteers S representatives <br />amed additional insured with regard to general liability coverage and <br />EC1111110111-1111LOCAT11111-1N;LES <br />eof suite arising from the operations and uses performed by or on <br />f of the named insured. Insurance is primary and non-contribtory. *10 <br />otice of cancellation due to non-payment of premium. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Public Works Agency <br />Judi Alvarado <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES EE CANCELLED BEFORE <br />THE ERAMER— DAYS TH EREOF. NOTICE MALL BE DELIVERED IN <br />ACCORDANCE WITH THE FOLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />All rights reserved <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />