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<br />ACOBa, CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYVY)
<br />11/03/2005
<br />PRODLfcER (6~0)341-4484 FAX (650)341-4465 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Business Professional Ins. Assoc. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />1519 South B Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />San Mateo, CA 94402
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED Va 11 ey Oak Systems Inc. A- \(\QC\ -00"3 INSURER A Federal Insurance/Chubb Ins.
<br />5000 Executive Pkwy., Suite 340 A-UXl',;, ~oas INSURER 8: Granite State Ins. Co
<br />San Ramon t CA 94583 '" . '2.~ -OlD'i INSURER c:
<br /> INSURER 0:
<br /> A . 2COS - 012- INSURER E:
<br />
<br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANOING
<br /> ANY REQUIREMENT. TERM OR CONDITION OF ANY CQNTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br /> MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br /> POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />t,Nii: !l,'1,9;~ TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE PRi:!fl EXPIRATION LIMITS
<br /> GENERAL LIABILITY 3582-10-16 PLE 07/28/2005 07/28/2006 EACH OCCURRENCE $ 1,000,000
<br /> e-
<br /> X COMMERCIAL GENERAL LIABILITY DAMAGE I9~~ENTED $ 1,000,000
<br /> .j CLAIMS MADE m OCCUR MED EXP (Anyone person, $ 10,000
<br />A PERSONAL & ADV INJURY $ 1,000,000
<br /> e-
<br /> e- GENERAL AGGREGATE $ 2,000,000
<br /> M'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 1,000,000
<br /> (nPRO- n
<br /> POLICY JECT LOC
<br /> ~TOMOBILE LIABILITY 7499-64-69 07/28/2005 07/28/2006 COMBINED SINGLE LlMIT
<br /> (Eaaccidenti $
<br /> ANY AUTO 1,000,000
<br /> f-cc-
<br /> 0- ALL OWNED AUTOS BODlL Y INJURY
<br /> $
<br /> SCHEDULED AUTOS (Per person)
<br />A 7
<br /> HIRED AUTOS BODILY INJURY
<br /> 'x $
<br /> NON-OWNED AUTOS (Per accident}
<br /> --"-
<br /> PROPERTY DAMAGE $
<br /> {Per accident)
<br /> ~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
<br /> ANY AUTO OTHER THAN EA ACC $
<br /> AUTO ONLY: AGG $
<br /> ~ESSfUMBRELLA LIABILITY 7983-41-70 07/28/2005 07/28/2006 EACH OCCURRENCE $ 3,000,000
<br /> OCCUR D CLAIMS MADE AGGREGATE $ 3,000,000
<br />A EXCLUDES PROFESSIONAL $
<br /> ~ DEDUCTIBLE LIABILITY $
<br /> X RETENTION $ IO,OOl $
<br /> WORKERS COMPENSATION AND CA WC 184-37-90 10/16/2005 10/16/2006 X I :';~,ST~T.~;, I IOJb'-
<br /> EJ,IIPUW~-'!S' I.IABIUTY MI WC 184-40-07 1,000,000
<br />B ANY PROPRIETORlPARTNERfEXECUTIVE E_L. EACH .A_CCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? ALL OTHER STATES - E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br /> If yes, desc:rioo under WC 184-34-39 1,000,000
<br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
<br /> OT",!,: Li abi 1 ity 3582-10-16 07/28/2005 07/28/2006 $3,000,000
<br /> Pro essional
<br />A (EXCLUDED FROM EXCESS $50,000 Deductible
<br /> LIABILITY POLICY)
<br />Ir~ESCRIPTlON OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS are named as Additional Insureds
<br />he City of Santa Ana, its officers, agents, employees, and volunteers
<br />n respects to insureds business operations.
<br />~dditional Insured applies to General Liability policy only
<br />'10 day notice of cancellation for non payment of premium shall apply.
<br />
<br />COVERAGES
<br />
<br />CERTIFICATE HOLDER
<br />
<br />C
<br />
<br />City of Santa Ana
<br />. Jeff Stevens- Risk Mgr.
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />
<br />'ROYED AS 1'0 l'
<br />
<br />~~;if/~
<br />
<br />1t City Attnr'i'
<br />
<br />L
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
<br />~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
<br />
<br />OF ANY KINO UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
<br />AUTHORIZED REPRESENTAllVE
<br />
<br />QQ,,~
<br />
<br />ACORD 25 (2001/08)
<br />
<br />
<br />@ACORDCORPORATION 1988
<br />
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