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ACORDr„ CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDD/YYYY) <br />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 <br />12/4/2007 <br />PRODUCER Phone: 559-432-1800 Fax: 559-436-2500 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HRH of Central California Insurance Services <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />5 River Park Place West, Suite 303 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Fresno CA 93720 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURED <br />LLC <br />MunAttn: <br />INSURERA: Hart ford Insurance GrouD 19682 <br />12/5/2008 <br />Patricia <br />PatricDunn ph: 559-271-6852 <br />INSURER B: Hartford Fire Insurance Co 19682 <br />INSURER C: Columbia CasualtyCo 1127 <br />7335 <br />7335 N. Palm Bluffs Ave. <br />INSURER D: <br />Fresno CA 93711 <br />INSURER E: <br />DAMAGEORENTED <br />PREMISES jEa occurencee) $300_00'0 <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />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 <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />D'L <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />(MM/DD <br />POLICY EXPIRATION <br />A M <br />LIMITS <br />A <br />GENERAL LIABILITY <br />51UUNIZ2782 <br />12/5/2007 <br />12/5/2008 <br />EACH OCCURRENCE $ 1 000000 <br />$ COMMERCIAL GENERAL LIABILITY <br />DAMAGEORENTED <br />PREMISES jEa occurencee) $300_00'0 <br />CLAIMS MADE j OCCUR <br />_ <br />MED EXP (Anyone person) $10,000 <br />PERSONAL & ADV INJURY $1,000,000 <br />GENERAL AGGREGATE $2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO- <br />PRODUCTS - COMP/OP AGG $ <br />POLICY JECT I7 LOC <br />A <br />AUTOMOBILE <br />LIABILITY <br />51 UUN I Z 2 7 8 2 <br />12/5/2 0 07 <br />12/5/2 0 08 <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) $ 1,000,000 <br />ALL OWNED AUTOS <br />BODILY INJURY $ <br />SCHEDULED AUTOS <br />(Per person) <br />X <br />HIREDAUTOS <br />BODILY INJURY $ <br />X <br />NON-OWNEDAUTOS <br />(Per accident) <br />PROPERTYDAMAGE $ <br />(Per accident) <br />_ARAGELIABILITY <br />AUTO ONLY -EA ACCIDENT $ <br />ANYAUTO <br />OTHER THAN EAACC $ <br />AUTO ONLY: AGG $ <br />A <br />EXCESSIUMBRELLA LIABILITY <br />51RHUI Z 16 7 8 <br />12/S/2007 <br />12/5/2008 <br />EACH OCCURRENCE $10,000,000 <br />}{ OCCUR El CLAIMS MADE <br />AGGREGATE $10,000,000 <br />$ <br />DEDUCTIBLE. <br />$ <br />X RETENTION $10.000 <br />B <br />WORKERS COMPENSATION AND <br />SlWETN1710 <br />12/5/2007 <br />12/5/2008 <br />X I oRVLIMITS! ER <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT $ 1,000, 000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDE117 <br />If yes, describe under <br />E.L. DISEASE - EA EMPLOYEE $ 1 0 0 0 0 0 0 <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />SPECIAL PROVISIONS below <br />C <br />**HER <br />**Errors & Omissions <br />287086489 <br />12/5/2007 <br />12/5/2008 <br />$5,000,000 Aggregate <br />$5,000,000 Per Claim <br />$100,000 Retention <br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />**Umbrella Policy does not provide excess limits over the Errors & Omissions Limits of Liability. *30 Days Cancellation <br />Notice for Non -Payment of Premium applies to all Hartford Insurance Company coverage policies only.Waiver of <br />Subrogation applies for all scheduled policies except Worker's Compensation for the State of New Jersey. <br />The City of Santa Ana, its agents, officers, servants and employees are named as additional insureds with respect to <br />he operations and work performed by the named insured as required by contract. <br />CERTIFICATE HOLDER CANCELLATION*1 Days for Non -Payment of Premium- <br />SHOULD <br />r miumSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />City of Santa Ana BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER <br />WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE <br />Attn: Finance Director �F n /IiLt V,,,;; CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO <br />20 Civic Center Plaza SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON <br />Santa Ana CA 92702-1988 THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2001/08) f f ©ACORD CORPORATION 1988 <br />