VALLEY OAK SYSTEMS (AON) - 1999 (ORIGINAL)

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~ CERTIFICATE OF LIABILITY INSURANCE I PRODUCER (650)341-4484 Business Professional 1519 South B Street San Mateo, CA 94402 FAX (650)341-4465 Ins. Assoc. Inc. DATE (MM/DDIYYYY 08/25/2004 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. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO rHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICArE MAY BE ISSUED OR MAY PERrAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL rHE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D~~ TYPE OF INSURANCE POLICY NUMBER p~.Hi~ EFFECTIVE POLICY EXPIRATION GENERAL LIABILITY 3582-10-16 PLE 07/28/2004 07/28/2005 X COMMERCIAL GENERAL LIABILITY I CLAIMS MADE 0 OCCUR INSURED Valley OaK Systems Inc. 5000 Executive Pkwy., Suite San Ramon, CA 94583 INSURERS AFFORDING COVERAGE INSURERA' Federal Insurance/Chubb Ins. INSURER S Grani te State Ins. CO INSURER c: A-I'ffl-o°3 340 A- ;;\041.-0.35 "l'~ooa-o(,9 INSURER D: INSURER E: A LIMITS EACH OCCURRENCE $ DAMAGE TO RENTED $ MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ A GEN'LAGGREGATE LIMIT APPLIES PER I POLICY n ~f8T n LOC AUTOMOBILE LIABILITY - ANY AUTO X ALL OWNED AUTOS - SCHEDULED AUTOS tx HIRED AUTOS rx- NON-OWNED AUTOS r- r- PROPERTY DAMAGE {Per accident) 7499-64-69 07/28/2004 07/28/2005 COMBINED SINGLE LIMIT (Eaaccident) BODILY INJURY (Per person) BODILY INJURY (Per accident) 'LQ I) otf¿ 1'/2- t7 "':;:;X\V L 7 GARAGE LIABILITY R ANY AUTO EXCESS/UMBRELLA LIABILITY ::=I OCCUR D CLAIMS MADE I DEDUCTIBLE Xl RETENTION $ 10, DOC WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 8 ~~I~~~~~~~~~~~I~5~giECUTIVE If yes, describe under SPECIAL PROVISIONS below ..OTHIiI' 1. b'l' ~rotessiona Lla 1 lty A A AUTO ONLY - EA ACCIDENT . OTHER THAN EAACC S AUTO ONLY: AGG $ 7983-41-70 07/28/2004 07/28/2005 EACH OCCURRENCE S AGGREGATE . EXCLUDES PROFESSIONAL S LIABILITY . S CA we 311-14-75 10/16/2003 10/16/2004 X I we STATU. IOJ~' PA/FL WC 311-12-24 E.L EACH ACCIDENT S MI/MD WC 311-12-23 E.l. DISEASE - EA EMPLOYE $ E.l. DISEASE - POLICY LIMIT $ $3,000,000 $50,000 Deductible 3582-10-16 07/28/2004 07/28/2005 (EXCLUDED FROM EXCESS LIABILITY POLICY) L.RESCRlPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ~he City of Santa Ana, its officers, agents, employees, and volunteers 'n respects to insureds business operations. NAIC# 1,OOO,OO~ 300,OO~ 10. OO~ 1,000,001 2,OOO,OO( 2,OOO,OOC . 1,OOO,OO~ S S S 3,000,OO~ 3,OOO.OO~ 1,OOO,OO( 1,000,00 1,OOO,OO~ are named as Additional Insureds dditional Insured applies to General Liability policy only ~10 day notice of cancellation for non payment of premium shall apply. nl=" "'''I''~, tATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL JCr8:X~ MAIL JL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~JWOOöiXlJOOOOO()(j(III~XX 1IIOOOOIIOOIU:~Jt)(XiICIIIItJIIIIKJIi!'6"'~XXXXXXXX City of Santa Ana Jeff Stevens- Risk Mgr. 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE Debbie UDland/SANDEE ~~- @ACORD CORPORATION 1988 ACORD 25 (2001/08) rW}