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ACORD", CERTIFICATE OF LIABILITY INSURANCE I DATE 03-09-2005 I PRODUCE' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH CO OF METROPOLITAN WASHING/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ,630070 P: (866)467-8730 F: (877) 538-8526 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I P. O. BOX 29611 INSURERS AFFORDING COVERAGE CHARLOTTE NC 28229 ~'ED INsuRERA,Hartford Fire Ins CO INSURER B, The Hart ford Ins Group THE FERGUSON GROUP, LLC INSURER c: 11130 CONNECTICUT AVENUE NORTHWEST, SUIT INS?Ol(h rWASHINGTON DC 20036 INSURER E: 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. INSR TYPE OF INSURANCE POUCY NUMBER ~~rMf.~~~&r.:.~E '"8k'fEY ~~W~J.J~~ LIMITS LT. GENERAL L1AIULlTV I EACH OCCURRENCE 1.1,000,000 A - 42 SBA DE4944 04/08/05 04/08/06 FIREOAMAGEIAnyor>eliTe) \ ~300, 000 COMMERCIAL GENERAL LIABILITY ! CLAIMS MADE l1U OCCUR MED EXP (Anyone person) 1.10,000 ~- Business Liab I PERSONAL & ADV INJURY \ $1,000,000 I - i GENERAL AGGREGATE .2 , 000 , 000 ~'L AGGREGATE liMn APPUES PER: I PRODUCTS - COMP/OP AGG .2,000,000 -I POLICY i -I j~2T 1- X-I LaC r ~TOMO&lLE \.IA&n.m 04/08/05 I COMBINED SINGLE LIMIT .1,000,000 A - ANY AUTO 42 SBA DE4944 04/08/061""""'"" - ALL OWNED AUTOS BODILY INJURY . SCHEDULED AUTOS (Per personl X HIRED AUTOS BODilY INJURY X lPer<lccldent) . ~ NON-OWNED AUTOS - PROPERTY QAMAGE . lPeraccidentl I GARAGE LIABILITY ' ., nc, tV ~ORM ! AUTO ONLY - EA ACCIDENT ~ ANY AUTO . I /.r~-0 OTHER THAN EAACC . c,.~ AUTO ONLY: AGG . /v I EXCESS UABlLlTY I )(1[1 Sheedy EACH OCCURRENCE . ~-OCCUR U CLAIMS MADE ,',d 1: City Attorn y AGGREGATE . ~ DEDUC1lBLE. L . L . J RETENTION . . WORKERS COMPENSATION AND 1r'X~yST~~< r X rOJ.i' B EMPlOYERS' LIABILITY 42 WEC BR0303 04/08/05 04/08/06 .500,000 E.L. EACH ACCIDE.NT E.L. DISEASE - EA EMPLOYEE .500,000 , EL DISEASE, POLICY LIMIT ,500,000 OTHER DESCRIPTION OF OPfRA1lONS/LOCATIONStvEHIClESIEXClU&IONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. Certificate holder the City of Santa Ana, its officers, employees, agents, volunteers, and representatives are named as Addtional Insured on behalf of work performed by The Ferguson Group per the Business Liability Coverage Form SSOO08. please see cover page for add'l wordinq. CERTIFICATE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NoTICE 110 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE The City of Santa Ana HOLDER NAMED TO THE LEFT, BUT FAilURE TO DO SO SHALL IMPOSE NO OBUGA TlON OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Civic Center Plaza REPRESENT A TIVES. Santa Ana, CA 92701 AUTHORIZED REPRESEN~~ T.?..OS-e..: ~__ ACORD 25-S (7/971 ~ ACORD CORPORATION 1988