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Attachment E ACORiDM CERTIFICATE OF LIABILITY INSURANCE 0 D1/31/I20001 01 /31 / 01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY X111111111 01/01/2001 01/01/2002 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL L?IABILITY FIRE DAMAGE (Any one fire) $ 50,000 CLAIMS MADE L-? OCCUR MED EXP (Any one person) $ 5,000 - PERSONA 1 000 000 L & ADV INJURY , $ , - GE 2 000 000 NERAL AGGREGATE , , $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY LOC AUTOMOBILE LIABILITY X ANY AUTO X222222222 01/01/2001 01/01/2002 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON-OWNED AUTOS BODILY (Peer r accident) nt) $ PROPERTY DAMAGE (Per accident) $ SEE ATTACHED ADDITIONAL GAR AGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO INSURED ENDORSEMENT EA ACC OTHER THAN $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE COVERAGES DEPEND ON TYPE AGGREGATE $ OF AGREEMENT/CONTRAC $ DEDUCTIBLE T RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY XXX333333333 01/01/2001 01/01/2002 X 'y`/C Srnru- oTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 OTHER Professional Liability PL444444 01/01/2001 01!01/2002 E.L. DISEASE - POLICY LIMIT $ 1,000,000 Each Occurrence 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHIC LES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holder is additional insured per attached. Project No.. (_F;0TICI!`ATC Unl MOO City of Santa Ana 20 Civic Center Plaza - Ross Annex (M- Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25-S (7/97) (a ACORD CORPOROTInN 19RA 19E-45