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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />ACORO <br />e CERTIFICATE OF LIABILITY INSURANCE <br />DATE ( VYYY) <br />12/16/12011 2011 <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 />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 endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />Marsh Risk & Insurance Services <br />PHONE FAo <br />4695 MacArthur Court, Suite 700 <br />IM <br />AAIC c No); <br />EMAIL <br />ADDRESS: <br />(949) 399 -5800 <br />License #0437153 <br />S 1,000,000 <br />Newport Beach, CA 92660 <br />INSURERS) AFFORDING COVERAGE <br />NAIC M <br />_ <br />INSURER A: Travelers Property Casualty Co. Of America <br />25674 <br />117700 -STND- GAWU -11 -12 <br />I BURIED <br />INSURER B: NIA <br />NIA <br />Environmental Systems <br />INSURER C : NIA <br />NIA <br />Research Institurm, Inc. <br />INSURER D: NIA <br />NIA <br />380 New York Street <br />Redlands, CA 92373 <br />NIA <br />NIA <br />INSURER E: <br />INSURER F: NIA <br />N/A <br />COVERAGES CERTIFICATE NUMBER: LOS- 001387884 -19 REVISION NUMBER:I <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 />INSR <br />TR <br />TYPE OF INSURANCE <br />AODL <br />ima <br />SUBR <br />JIM <br />POLICY NUMBER <br />POLICY EFF <br />(MMVDD1YYYY1 <br />POLICY EXP <br />IMWDD1YYYYI <br />LIMITS <br />A <br />GENERAL LIABILITY <br />660013OP85A <br />1211512011 <br />1211512012 <br />EACH OCCURRENCE <br />S 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />MA ETb_R_ifRT_ff <br />PREMISES E occurr nce <br />$ 1,000,000 <br />CLAIMS -MADE M OCCUR <br />MED EXP (Any one person) <br />$ 10.000 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />X BLANKET CONTRACTUAL <br />X <br />OWNERS& CONTRACTORS <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER <br />PRODUCTS COMPIOP AGG <br />$ 2,000,000 <br />$ <br />X POLICY PRO- LOC <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea.nv1,:iM) <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />BODILY INJURY (Per accident) <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />PROPERTYDAMAGE <br />(Per a iden <br />$ <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />S <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION <br />S <br />A <br />WORKERS COMPENSATION <br />HJUBBA84328711 <br />1211512011 <br />1211512012 <br />X I We STATOS <br />I'M T JOTH ITOR ER <br />AND EMPLOYERS' LIABILITY Y <br />ANY PROPRIETOR/PARTNER/EXECUTIVE N] <br />OFFICEWMEMBER EXCLUDED? <br />(Mandatory in NH) <br />NIA <br />E.L. EACH ACCIDENT <br />1,000,000 <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />1,000,OW <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />1,000,000 <br />$ <br />Ilyes de scribe under <br />DESCRIPTION OF OPERATIONS below <br />- rrn <br />r <br />DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more apace is rpulrml <br />ity of Santa Ana, its officers, employees, agents, volunteers and representatives are included as addaional insured as respects general liabiltty as their interest may appear. 1 <br />W <br />v <br />IV <br />CERTIFICATE HOLDER L: f CANCELLATION '� <br />City of Santa Ale �I ` ' _ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Atin Clerk of the City Council <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza (M -30) <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />P.O. Box 1988 <br />Santa Ana, CA 92702 -1988 <br />AUTHORIZED REPRESENTATIVE <br />of Marsh Risk & Insurance Services <br />John Graef <br />ACORD 25 (2010105) <br />®1988 -2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />