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.AalBD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDDfYY) '" 11/12/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR p, O. Box 10550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Santa Ana, CA 92711.0550 714427.6810 I INSURERS AFFORDING COVERAGE INSURED I INSURER A United States Fidelity & Guaranty Michael Brandman Associates if 1 INSURER B St. Paul Fire & Marine Ins. Co, 220 Commerce Center #200 /\!-;J.ro -/3 INSURER c: Fireman's Fund Insurance Co. Irvine. CA 92602 INSURER D Great American Assurance Co. , INSURER E" Client#' 6005 MICHABRAN COVERAGES 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 ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, Irf~ TYPE OF INSURANCE POLICY NUMBER I Pgk'fEY ~~~%~~E- -p~~~J ~~~6'»~N LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY BK01565071 ,11/15/04 11/15/05 I EACH OCCURRENCE FIRE DAMAGE (Anyone lire) GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- , LOC EOT B AUTOMOBILE LIABILITY :BA01574185 X ANY AUTO ALL OWNEO AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY OCCUR ' CLAIMS MADE DEDUCTIBLE H[IENTlON S C WORKERS COMPENSATION AND WZP80917294 EMPLOYERS' LIABILITY GENERAL AGGREGATE PRODUCTS -COMPIOP AGG '1,000,000 .300,000 .10,000 .'1,000,000 .2,000,000 .2,000,000 CLAIMS MADE X OCCUR , MED EXP (Anyone person) PERSONAL & ADV INJURY X Blk't. Contr'l. 11/15/04 111/15/05 ¡ COMBINED SINGLE LIMIT , {Eaaccident} , '1.000,000 BODILY INJURY (Per person) . BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident} . i AUTO ON~ Y . ~A ACCIDENT $ ! OTHER THAN EA ACC ! $ AUTO ONLY' AGG 1$ EACH OCCURRENCE AGGREGATE . $ . $ 11/15/04 : 11/15/05 x ;T~~$ItJI~S °J~- E.L. EACH ACCIDENT 81,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L DISEASE - POLICY LIMIT $1,000,000 $1.000,000 per claim I I $3,000,000 annl aggr. 0 OTHER Professional Liability EDN5656247 11/15/04 11/15/05 ! DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESfEXCLUSIONS ADDED BY ENDORSEMENTfSPECIAL PROVISIONS Re: All Operations as pertains to named insured. The City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional Insured as respects to General Liability. CERTIFICATE HOLDER ADD ITIONAL INSURED; INSURER LETTER: CANCELLATION City of Santa Ana Public Works Agency Altn: Taig Higgins 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILll:')(~XJ() MAIL 30 DAYS WRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE lEFT, BN~nJl!»)UUIÞtøx..xx Ml)fØX~X[XJillKK1XJCIJtKDtX!R:aOtJ:btlk)N$)(!"JI:~JIIJ:"alkx HII:Be6':t~X AUTH RIZED REPRESENTATIVE u;.¿¡z- ACORD 25-S (7/97) 1 of 1 #M115130 JMC @ ACORD CORPORATION 1988