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,4`oRv CERTIFICATE OF LIABILITY INSURANCE <br />°oil <br />/2011 <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 holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject 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 endorsements . <br />PRODUCER 1-804-000-0000 <br />Arthur J. Gallagher Risk Management Services, Inc. <br />4860 Cox Road, Suite 200 <br />w►ME CT Carolyn O. Vernier <br />PHONE <br />804-916-6846 No; 804-916-6897 <br />ADD <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIL II <br />Glen Allen, VA 23059 <br />Carolyn O. Vernier <br />INSURER A: LM INS CORP <br />33600 <br />INSURED <br />JONES a STOXES ASSOCIATES, INC. <br />INSURER B <br />INSURER C : <br />9300 LEE HIGHIDIY <br />INSURERD: <br />INSURER E: <br />FAIRFAX, VA 22031 <br />INSURER F : <br />------- - - --- ----- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED <br />RCYWIVPI 17UIIItlGK: <br />NAMED ABOVE FOR THE <br />POLICY <br />PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />HEREIN IS SUBJECT <br />WHICH THIS <br />TO <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ALL THE TERMS, <br />INSR ADDL UBR <br />POLICY EXP LTR TYPE OF INSURANCE'Nas <br />MID <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />j <br />COMMERCIAL GENERAL LIABILITY <br />IYNUMBERVM <br />-MADE OCCUR M <br />TO6 <br />ES <br />_CLAIMS <br />MEDPR9MEXP CAM one verso )n <br />$ <br />PERSONAL 3 ADV INJURY <br />j <br />GENERAL AGGREGATEGEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />PRO-LOC <br />PRODUCTS - COMP/OP AGG <br />$ <br />POLICY <br />j <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO C Aflame <br />Ea eu Ment <br />BODILY INJURY (Per person) <br />j <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) $ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />j <br />er acdden <br />j <br />UMBRELLA LlAS <br />OCCUR <br />EACH OCCURRENCE <br />j <br />O(_ LIAR <br />.-C—C:-MADE <br />AGGREGATE <br />j <br />DED RETENTION j <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS LIABILITY <br />1105-E31-508381-011 <br />06/25/1 <br />06/25/12 <br />wcSTATU- OTH- <br />X ER <br />j <br />YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIIuEMBER EXCLUDED? IN I <br />N / A <br />E.L. EACH ACCIDENT <br />j 1,000,000 <br />(Mantory <br />deco In <br />If <br />M Yea descdbs under <br />and <br />DESCRIPTION <br />E.L. DISEASE - EA EMPLOYE <br />$ 1 000, 000 <br />E.L. DISEASE -POLICY LIMIT <br />s 1,000,000 <br />OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ARaeh ACORD 101, Additional Remarbs Schedule, if mom apses Is required) <br />Re: On -Call Services <br />r'COTICId' ATC Unl nGn <br />City of Santa Ana <br />Planning and Building Agency <br />20 Civic Center Plaza, Ross Annex M-20 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />nl.arl�u cD IcaTUNUD) <br />carclynvar <br />21948995 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATWE <br />USA I 1. && ' C. 6"kfil <br />01988-2010 ACORD CORPORATION- All rinhte roe. —A <br />the ACORD name and logo are registered marks of ACORD <br />3:4 <br />