|
CERTIFICATE OF LIABILITY
<br />INSURANCE
<br />DATE
<br />sACORQM
<br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSq - - -, - -_ -- - — I POLICY EFFECTIVE - 'POLICY EXPIRATION -- -- -- -_- - -
<br />PRODUCER
<br />- �' rJ��r
<br />A GENERAL LIABILITY I.PG30500D409203 11130103 ,111311
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Dealey, Renton & Associates
<br />FIRE DAMAGE (Anyone tire) $1,000,000
<br />CLAIMS MADE ' X I OCCUR INDP, CONTRACTORS
<br />ONLY
<br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />PERSONAL & ADV INJURY $1,000,-000
<br />X BFPD, XCU, OCP -. _
<br />GENERAL AGGREGATE $21000,000
<br />HOLDER.
<br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />P. O. Box 10550
<br />J-(9 Cad _ U 4�
<br />B AUTOMOBILE LIABILITY 57UENTLO126 111/30/03 111130/04
<br />ALTER
<br />THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Santa Ana, CA 92711 -0550
<br />4 10C, - 0 ��
<br />(Ea accident)
<br />ALL OWNED AUTOS
<br />BODILY INJURY URY
<br />714427.681.0
<br />) I
<br />X HIRED AUTOS.. I
<br />11
<br />INSURERS AFFORDING COVERAGE
<br />INSURED
<br />(Per accident) -
<br />INSURER A'
<br />Travelers Indemnity CO of Illinois
<br />REF Consulting 1 INSURER B. Hartford Fire Ins. Co.
<br />PO Box 57057 INSURER Fireman's Fund Insurance Co. _
<br />Irvine, CA 92619 -7057 INSURER D: Underwriters at Lloyd's London
<br />COVERAGES
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
<br />WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE
<br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSq - - -, - -_ -- - — I POLICY EFFECTIVE - 'POLICY EXPIRATION -- -- -- -_- - -
<br />LTR TYPE OF INSURANCE POLICY NUMBEq PATE MM /DD/VY DATE MM /DD/YY
<br />LIMITS
<br />A GENERAL LIABILITY I.PG30500D409203 11130103 ,111311
<br />1 EACH OCCURRENCE Sip)%000
<br />X COMMERCIAL GENERAL LIABILITY '
<br />FIRE DAMAGE (Anyone tire) $1,000,000
<br />CLAIMS MADE ' X I OCCUR INDP, CONTRACTORS
<br />MED EXP(Any one Person) 1$5,000
<br />X CONTRACTUAL _ INCLUDED.
<br />PERSONAL & ADV INJURY $1,000,-000
<br />X BFPD, XCU, OCP -. _
<br />GENERAL AGGREGATE $21000,000
<br />GEN L AGGREGATE LIMITAPPLIES PER
<br />PRODUCTS COMP /OP AGO 52r 000,000
<br />�._ -_
<br />POLICY � JECT X LOC
<br />-. _-
<br />B AUTOMOBILE LIABILITY 57UENTLO126 111/30/03 111130/04
<br />COMBINED SINGLE LIMIT '$1,000,000
<br />X ANY AUTO
<br />�..
<br />(Ea accident)
<br />ALL OWNED AUTOS
<br />BODILY INJURY URY
<br />SCHEDULED AUTOS
<br />) I
<br />X HIRED AUTOS.. I
<br />11
<br />BODILY INJURY $
<br />X NON -OWNED AUTOS �r
<br />(Per accident) -
<br />I
<br />-• ��. // -
<br />PROPERTY DAMAGE $
<br />(Per accident)
<br />GARAGE LIABILITY -I
<br />AUTO ONLY EA ACCIDENT
<br />$
<br />ANY AUTO
<br />- -_.I.
<br />OTHER THAN EA ACC$
<br />AUTO ONLY: AGG
<br />1$
<br />C EXCESS LIABILITY XSM00097333165 11/30/03 11/30104
<br />EACH OCCURRENCE $10,000 000
<br />X', OCCUR I CLAIMS MADE
<br />AGGREGATE $10:000,000
<br />PROFESSIONAL
<br />$
<br />DEDUCTIBLE LIABILITY IS
<br />F- is
<br />RETENTION $ EXCLUDED. 1
<br />S
<br />- ----- - --..— ..— .— T—
<br />WCnF.ERSCOMPENSATIONAND
<br />• ----�-
<br />WC LIMITS 01 ER
<br />TORY LIMITS _i_ER
<br />I - 1
<br />EMPLOYERS'LIABILITV
<br />E.L. EACH ACCIDENT i, $
<br />E.L. DISEASE - EA EMPLOYEE $
<br />E L. DISEASE POLICY LIMIT I $
<br />D OTHER Professional P1039400 11130103 11130/04
<br />$1,000,000 Per Claim
<br />(Liability 1.
<br />$2,000,000 Annl Aggr.
<br />DESCRIPTION OF OPERATIONSILOCATIONS EHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
<br />General Liability policy excludes claims arising out of the performance of professional
<br />services.
<br />Re: JN 10- 103090, On -call Services
<br />(See Attached Descriptions)
<br />City of Santa Ana
<br />Public Works Agency,Att: Zed Kekula
<br />20 Civic Center Plaza
<br />Mail Station 43
<br />Santa Ana, CA 92701
<br />ACORD 25 -S (7/97)1 of 2 #M81822
<br />SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER WILL XI(kiiiii A1rXTP MAIL 30 -. _.. DAYSWRITTEN
<br />NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFT, B)D([ApX>6AxInQiQJ$AAE(CS7LXX
<br />0 ACORD CORPORATION 1988
<br />
|