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<br />ACORO <br />CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) <br />,M 1 11 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton ? Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />P. O. Box 10550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Santa Ana CA 92 711-05 5 0 ?l .-?_ ?. A R THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Ur 1. <br />[c, J <br /> INSURERS AFFORDING COVERAGE <br />INSURED T?J <br />(^- <br />Q <br />C <br />'' <br />?, x`?? <br />?'?? <br />IN :ACE American Insurance Com an <br />PSOMAS i l <br />. . <br />,. <br />555 S <br />h Fl ?+ <br />r <br />? <br />L ? <br />? <br />??' ) ? RB: Travelers Pro ert Casualty Co o£ Ameri <br />out <br />ower Street, Suite mi <br />440 <br />O <br />C ... <br />.. <br />LOS Angeles CA 90071 INSURER C: <br /> <br /> INSURER D: <br /> INSURER E: <br />COVERCGFS <br />HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN YSSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED- <br />OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />ERTZFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR rypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />B GENERAL LIABILITY 630265M676A 10/15/2011 10/15/2012 EACH OCCURRENCE $1 000 000 <br /> <br />X <br />COMMERCIAL GENERAL LIABILITY <br />FIRE DAMAGE (Any pna Flre) _ <br />$1 O O O O O O <br /> CLAIMS MADE ? OCCUR MED EXP (Any one parson) $ 1 Q Q 0 0 <br /> X OntraCtUal PERSONAL SADV INJURY 00 000 <br />$1 0 <br /> _ <br /> X BFPD XCU GENERAL AGGREGATE $ l7 n O (? O O <br /> <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $2 O O O O O O <br /> POLICY X PRO- LOC <br />B AUT OMOBILE LIABILITY 810265M676A 10/15/2011 10/15/2012 <br /> X ANV AUTO Ee aBCCitleDt SINGLE LIMIT $1 , 0 0 0 , O O O <br /> ALL OWNED AUTOS <br /> a0 OILY INJURY $ <br /> SCHEDULED AUTOS ,/ _ <br />'. ..1 _ ?? Person) <br /> t,? i. y <br />>y ' ,.. ? -. <br /> X HIRED AUTOS <br /> BODILY INJURY $ <br /> X NON-OWNED AUTOS t ? (Per accitlent) <br /> ? / <br /> ,_ PROPERTY DAMAGE $ <br /> / . L. ?,?Lly (Per accitlent) <br /> GARAGE LIABILITY ?.?15 LF 'I i. C it Fi LLO L']C ?' <br />Y <br />AUTO ONLY - EA ACCIDENT <br />$ <br /> <br />ANY AUTO <br /> <br />OTHER THAN EA ACC __ <br /> <br />S <br /> <br />AUTO ONLY: AGG __ _ <br />$ <br />B EXCESS LIABILITY EX265M676A 10/15/2011 10/15/2012 EACH OCCURRENCE $1 000 OOO <br /> X OCCUR ? ClA1M5 MADE AGGREGATE $1 _QQ O <br /> Professional $ <br /> <br />DEDUCTIBLE <br />Liabilit is __ <br />$ <br /> <br />RETENTION $ _ <br />$ <br />B WORKERS COMPENSATION AND <br />' UB 6A5 2 6 6 4 3 10 / 15 / 2 0 11 1 0 / 15 / 2 0 12 X We sTAru- X orH- <br /> EMPLOYERS <br />LIABILITY <br /> E.L. EACH ACCIDENT $1 OOO 000 <br /> E.L. DISEASE - EA EMPLOYEE $1 O O O 0 0 0 <br /> E.L. DISEASE -POLICY LIMIT $1 O O O O O <br />A OTHER 623638381003 10/15/2011 10/15/2012 <br />Per Claim <br />$1,000,000 <br /> Professional Liabilit <br />y Annual Aggregate $1,000,000 <br /> Claims Made <br />DESCRIPTION OF OPERATIONS/LOGATIONSNEHIGLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />eneral Liability policy excludes claims arising out o£ the performance of professional services- <br />Independent Contractors Included as respects to General Liability <br />2SOU410108 2SAN410107 RE: ON-CALL ENGINEERING DESIGN SERVICES FOR WATER F SEWER MASN REPLACEMENT PROJECTS, DHEI JOH <br />534-101-00. CITY OF SANTA ANA ITS OFFICERS EMPLOYEES AGENTS VOLUNTEERS S? REPRESENTATIVES ARE NAMED AS ADDL INSDS & <br />RIMARY CLAUSE APPLIES ON GEN LIAB POLICY-SEE ATTACHED ENDORSEMENT <br />VGR I Irl VI1l C IIVLLICR AUUITIONAL INSURED; INSURER LETTER: VAN{.,.CLLR I IVIV 21 £ <br />HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />EFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER '? <br />CITY OF SANTA ANA; PUBLIC WORKS AGENCY, ILL ENDEAVOR TO MAIL 30 DAYS WRSTTEN NOTICE TO THE <br />WATER RESOURCES DIV ERTIFICATE HOLDER NAMED TO THE LEFT, BUT FASLURE TO DO SO <br />CESAR E BARRERA; 220 S DAISY AVE (M-85) HALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON <br />Santa Ana CA 92703 HE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATI <br />ACORD 25S (7/97) O ACORD CORPORATION '1988