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:4CQRLI.M CERTIFICATE OF LIABILITY INSURANCE 12/02/03DryY) PRODUCER Dealey, Renton 8 Associates P. O. Box 10550 Santa Ana, CA 92711-0550 714 427-6810 INSURED ,/-} - ~,OD~- 63~- !~ - ~Ou1 -03Jio -1 ~ - ~r7v3- Gk5 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. INSURERS AFFORDING COVERAGE INSURER A: Travelers Indemnity Co. of Illinois I wsuRER B: Hartford Fire Ins. Co. ___ _ _ INSURER c Fireman's Fund Insurance Co. wsuRERD:Underwriters a_t Lloyd's London INSURERE RBF Consulting PO Bax 57057 Irvine, CA 92619-7057 C(1 V FI]A(.FS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE T ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - ---- IPOLICY EFFECTIVETPOLICY E%PIRATION INSR rypE OF INSURANCE POLICY NUMBER LTR DATE MM/DD/YY DATE MM/DD/YV ~ T- _- LIMITS ,P:,3O50^D4O92O3 1?I~IJ/tl'! ??13QIO4 A ~ GENERALLIABIL!TV ': EACH OCCURRENCE I $1,000.000 X COMMERCIAL GENERAL LIABILITY' FIRE DAMAGE (Any one fire) $1,000,000 CLAIMS MADE X OCCUR INDP. CONTRACTORS ', MED EXP (Any one person/ $5,000 _ X'CONTRACTUAL ;INCLUDED. i, PERSONAL&ADVINJURV $1,000,000 __ X .BFPO, XCU, OCP _._ I, _- GENERAL AGGREGATE $2,000,000 _. ____ _ GENLAGGREGATE LIM ITAPPLIES PER:I II II PRODUCTS COMP/OP AGG 1$2,000,000 POLICY I X PECOT X LOC I I B AUTOMOBILE LIABILITY 57UENTLOI2O 111/3O/O3 11/3O/O4 'COMBINED SINGLE LIMIT I, 'X, ANV AUTO ~, $1,000,000 I (Ea accident) ' ALL OWNED AUTOS BODILY INJURY ' SCHEDULED AUTOS i i (Per person) I$ ._... _____. X HIRED AUTOS .:: RV D X NON-OWNED AUTOS it i __ Iy ~ - 4 ~ ~/~ '- PROPERTY DAMAGE I ) W $ (Per acc de i GAR Iry I AUTO ONLY ~EA ACCIDENT 4$ t I ANY AUTO OTHER THAN EA ACC $ _ __ '. I AUTO ONLY: AGG $ ESS LIABILITY XSM00097333165 11/30/03 '11/30/04 C EACH occuRRENCE 1$10,000 000 _ OCCUR i CLAIMS MADE ' XC I _ AGGREGATE $10,000,000 _ - PROFESSIONAL I I $ -- - I DEDUCnBLE ' LIABILITY IS _ _ __ $ RETENrioN $ 'EXCLUDED. '~ $ WCRY.cFS COPAPENSATION ANO '~, ' WC ^uTATU ~,•,-0TH~ ' ITORV LIMITS I ER. _ _. EMPLOYERS' LIABILITY i ~. E. L. EACH ACCIDENT $ EL. DISEASE-_EA_EMPLOYEE$ ' E L. DISEASE ~ POLICY LIMIT' $ D .OTHER professional ''IPI039400 .11/30/03 11/30104 ~ $1,000,000 Per Claim 'iLiability '' ~I I $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS20CATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVIBIONS General Liability policy excludes claims arising out of the performance of professional services. Re: JN 10-103090, On-call Services (See Attached Descriptions) City of Santa Ana Public Works Agency,Att: Zed Kekula 20 Civic Center Plaza Mail Station 43 Santa Ana, CA 92701 ACORD 25-5 (7/97)1 of 2 #M81822 SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL:EMa4nt~ipJrXfP MAIL 30__ PAYS WRITTEN NOTCE TOTHE CERTIFICATE HOLDER NAM ED TOTHE LEFT, B)(J(~yJL4RxJnnppZpxEtJAXx © ACORD CORPORATION 1988 ~72P(~