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DATE (MM/DD/YY) <br />?`? °® CERTIFICATE OF LIABILITY INSURANCE <br />os/ol /1 l <br />PRODUCER Yorba Linda Insurance Services, Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PO Box 661 A / l'"7/ / _?7 <br />?? LJ / - O(J OG ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND <br />EXTEND OR <br />/(/ <br />Yorba Linda, CA 92885 , <br />_ ALTER THE COVERAG E_AFFORDE D. BY THE POLICIES BELOW. <br />Phone (714) 777-8388 Fax (714) 777-8389 INSURERS AFFORDING COVERAGE NAIC # <br /> <br />INSURER A _ <br />Travelers Casualty Ins Co of America - <br />INSURED On Time Consulting Services ? <br />g <br />' <br />F -- <br />Travelers Pr <br />C <br />lt <br />C <br />f A _ <br />? ? = ? I I t= ? 2 <br />? <br />? t ???? INSUREa <br />s op <br />asua <br />y <br />o o <br />menca <br />PO Box 580 - <br /> <br />Or a Inda, A 92885 INSURER C <br />_ INSURER D <br />{ ?? 1 ?t INSURER E <br />-__ <br />-__ <br />COVERAGES ? ? -?" I ( INSURER F: <br />THE POLICIES OF INSURANCE LISTED 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 R ESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />.T _.. ___ _-_ _.. _._ _. <br /> <br />INSR ADD'L TYPE OF INSURANCE <br />_LTR INSRD ___ __ __ _ <br />POLICY NUMBER <br />_ __ _ _ <br />POLICY EFFECTIVE <br />DATE MM/_D D/_YY?. _ <br />POLICY EXPIRATION <br />DATE (MM/DD/YYZ <br /> <br />LIMITS <br />GENERAL LIABILITY EACH OCCURRENCE 2,000,000 <br />??J COMMERCIAL GENERAL LIABILITY <br />16809490R516ACJ10 <br />12/l 4/10 <br />12/14/11 DAMAGE TO RENTED <br />PREMISES-?aoccurence) { <br />_ 300,000 <br />CLAIMS MADE ? ] OCCUR MED EXP (Any one person) 5,000 <br />? r? PERSONAL 8 ADV INJURY 2,000,000 <br />?J _____ _ ___ ___ <br />GENERAL AGGREGATE 4,000,000 <br /> <br />GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG 4,000,000 <br /> <br />POLICY [? PROJECT n LOC _____ ___ <br />AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 2 <br />000 <br />000 <br />17 ANY AUTO i 16809490R51 6ACJl O l2/l4/1 O l2/l 4/1 1 (Ea accid_ent)_ _ , <br />, <br /> <br />ALL OWNED AUTOS _ <br />I I <br />B L?J ?... ? SCHEDULED AUTOS BODILY INJURY <br />(Per person) <br />L? HIRED AUTOS -- -- <br />[?/? NON OWNED AUTOS BODILY INJURY <br />(Per accident) <br /> -- ? - <br />_--- --- <br />? ? ?P?RU?? -' PROPERTYDAMAGE <br />(Pe <br />a <br />d <br />t <br />____. <br />_. _ _. ___. __.... <br />??3'E}- <br />RM - r <br />cci <br />en <br />) ___-._. <br /> <br />-- <br />GARAGE LIABILITY AUTO ONLY - EA ACCIDENT <br />?. ] n ANY AUTO 1 <br />,? _ OTHER THAN EA ACC <br /> <br />-- -- <br />..? ,- <br />- -- <br />? <br />? __ <br />AUTO <br />ONLY: <br />._AGG _ _..._ <br /> <br /> <br />EXCESS/UMBRELLA LIABILITY <br />allra <br />tltt .Stl Y __._ <br />_ __ . <br />_ - __ <br />__ <br />EACH OCCURRENCE __. <br /> <br />_._.J I__] OCCUR I ] CLAIMS MADE !?SS1StaIIt Clt <br />Y ttorne <br />AGGREGATE <br />?_ _ ] DEDUCTIBLE 1 <br />[_.? RETENTION $ - _ <br />WORKERS COMPENSATION AND I <br />EMPLOYERS' LIABILITY IJUBl373X8711 O 12/14/1 O 12/14/11 ??? TORY LIMITS ? I OqH- <br />B ANY PROPRIETOR /PARTNER /EXECUTIVE E.L. EACH ACCIDENT l ,000,000 <br />OFFICER /MEMBER EXCLUDED? <br /> <br />If yes, describe under E.L. DISEASE - EA EMPLOYEE l ,000,000 <br />SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT 1 ,000,000 <br />OTHER <br />A BUSINESS PERSONAL PROPERTY 16809490R516ACJ10 12/14/10 12/14/11 1,000 Deductible 20,000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />1 O day notice of cancellation for non-payment of premium. <br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are hereby recognized as additional insured <br />per attached endorsement. <br />CERTIFICATE HOLDER <br />City of Santa Ana <br />Clerk of the City Council <br />20 Civic Center Plaza (M-30) <br />PO Bxo 1988 <br />'? Santa Ana CA 92702-1988 <br />ACORD 25 (2001/08) OF <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO <br />THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REP ENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />ACORD CORPORATION 1988