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<br />ACOBa. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDNYYY)
<br />11/03/2005
<br />PRODUCER (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 Valley Oak Systems Inc. ~- \ClClI\ -00'3 INSURER A: Federal Insurance/Chubb Ins.
<br /> 5000 Executive Pkwy., Suite 340 A''2.00~ ~oas INSURER B: Granite State Ins. Co
<br /> San Ramon, CA 94583 A . 2003 -OlD'l INSURER c:
<br /> INSURER 0:
<br /> l\ - zeos - 012- INSURER E:
<br />
<br />COVERA"'ES
<br /> THE POLICIES OF INSURANCE L1STEO BELOW HAVE BEEN ISSUED TO THE INSUREO NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DQCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br /> MAY PERTAIN, THE INSURANCE AFFORDEO 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 />INSR DO' TYPE OF INSURANCE POLlCY NUMBER POLICY EFFECl1VE P~~.fJ' EXP1RA nON LIMITS
<br /> GENERAL. LIABILITY 3582-10-16 PLE 07/28/2005 07/28/2006 EACH OCCURRENCE $ 1,000,000
<br /> Xl COMMERClAL GENERAL L1A81L1TY DAMAGE I9~~ENTED $ 1,000,000
<br /> I CLAIMS MADE m OCCUR MED EXP (Anyone person) $ 10,000
<br />A I-- PERSONAL & ADV INJURY $ 1,000,000
<br /> I-- GENERAL AGGREGATE $ 2,000,000
<br /> h'L AGGREGATE LIMIT AP~t PER: PRODUCTS. COMP/OP AGO $ 1,000,000
<br /> (nPRO-
<br /> POliCY JEer lOC
<br /> ~TOMOBILE LIABILITY 7499-64-69 07/28/2005 07/28/2006 COMBINED SINGLE LIMIT
<br /> (Eaaccident) $
<br /> - ANY AUTO 1,000,000
<br /> ~ All OWNED AUTOS BODILY INJURY
<br /> $
<br /> SCHEDULED AUTOS (Perpersonj
<br />A -
<br /> ~ HIRED AUTOS BODILY INJURY
<br /> $
<br /> ~ NON-OWNED AUTOS (Peraccidentj
<br /> PROPERTY DAMAGE $
<br /> (Per accident}
<br /> ~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
<br /> ANY AUTO OTHER THAN EAACC $
<br /> AUTO ONLY: AGG $
<br /> :=JESS/UMBRELLA LIABILITY 7983-41-70 07/28/2005 07/28/2006 EACH OCCURRENCE I 3,000,000
<br /> OCCUR 0 CLA1MS MADE AGGREGATE $ 3,000,Ooe
<br />A EXCLUDES PROFESSIONAL $
<br /> ~ DEDUCTIBLE LIABILITY .
<br /> X RETENT10N $ 10 , 00( $
<br /> WORKERS COMPENSA TlON AND CA we 184-37-90 10/16/2005 10/16/2006 X I T"X~ STtI,~~ I IOJ~-
<br /> EJ,lfl'U}Vi;;:Q<;' I lABILITY ~1I WC 184-40-07 1,000,00e
<br />B ANY PROPRIETOR/PARTNERIEXECUTIVE El. EACH ~.CCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? ALL OTHER STATES - E,L DISEASE ~ EA EMPLOYE $ 1,000,000
<br /> If yes, describe under WC 184-34-39 1,000,000
<br /> SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT $
<br /> p~THr. 3582-10-16 07/28/2005 07/28/2006 $3,000,000
<br />A ro ess;onal Liability (EXCLUDED FROM EXCESS $50,000 Deductible
<br /> LIABILITY POLICY)
<br />h-'iESCRIPTlON OF OPERATIONS I LOCA TlONS f VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I 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 />r'ldditional Insured applies to General Liability policy only
<br />'10 day notice of cancellation for non payment of premium shall apply.
<br />
<br />CERTIFICATE HOLD
<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 />'ROVED AS 1'0 ,t.
<br />
<br />~kaft/.
<br />
<br />. Ira Stitt SLc dy
<br />11 City Allor"
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
<br />JL 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 KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.
<br />AUTHORIZED REPRESENTATIVE
<br />
<br />C>:I ~
<br />'--'''1'1 .::::,-
<br />
<br />
<br />@ACORDCORPORATION 1988
<br />
<br />ACORD 25 (2001/08)
<br />
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