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<br />Clienl#: 6184
<br />
<br />PSOMAS
<br />
<br />ACORD,.
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />DATE (MMIDDNY)
<br />OS/27/05
<br />
<br />THIS CERTIFICATE IS ISSUED AS A MATTER DF INFDRMATIDN
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />
<br />PRODUCER
<br />Dealey, Renton & Associates
<br />P. O. Box 10550
<br />Santa Ana, CA 92711-0550
<br />714427-6810
<br />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />INSURED
<br />
<br />PSOMAS A- ,Cf.('05_ oqS
<br />11444 West Olympic Blvd.,Suite 750
<br />West Los Angeles, CA 90064-1549
<br />
<br />INSURER A:
<br />INSURER B:
<br />INSURER c:
<br />INSURER 0:
<br />
<br />Hartford Fire Ins. Co.
<br />----.-
<br />Travelers Property Casualty Co of Am
<br />American Automobile Ins. Co.
<br />Great American Assurance Co.
<br />
<br />INSURER E:
<br />
<br />COVERAGES
<br />
<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 WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />~,OLlCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CL~~S._____,=- '^"-',____ ------ -~ -
<br /> - - ----- -
<br />~~: 1- TYPE OF INSURANCE POL.ICY NUMBER P~~!f",Y.~';f~g~~ Pc:,~~Y EXPIRATION LIMITS
<br />A ~~RAL. L.IABILITY 57CESOA1659 10/15/04 10/15/05 EACH OCCURRENCE '1 000 000
<br /> ~MERCIALGENERALLlABILITY FIRE DAMAGEJ~_nt~!:1~~r~l '1 ,00j),00L ~ .
<br /> CLAIMS MADE =xJ OCCUR INDP. CONTRACTORS MED EXP (Anyone person) .10000
<br /> X CONTRACTUAL ,INCLUDED PERSONAL & ADV INJURY .1 000 000
<br /> X_BFPD, XCU --- GENERALAGGREGATE .2,000,000
<br /> I GEN'LAGGRE~f LIMIT APPLlE_f ~ER: ~~~TS -COMP~~AGG .2 000,000 - --
<br /> : POLICY X ~r-,9.;. I X LOC
<br />B ~O.OBILE LIABILITY P810153D892803 ,10/15/04 10/15/05 i COMBINED SINGLE LIMIT
<br /> , i '1,000,000
<br /> X ANY AUTO (Eaaccldent)
<br /> ALL OWNED AUTOS BODILY INJURY
<br /> (Per person) .
<br /> ~ SCHEDULED AUTOS
<br /> X HIRED AUTOS
<br /> ,~ NON~OWNED AUTOS ' BODILY INJURY .
<br /> Ii"!' (per accident)
<br /> _\.PI)RO\iEl) ;\S TO - ------ ~ ~ -----
<br /> PROPERTY DAMAGE
<br /> " (PBraccident) .
<br /> i
<br /> , ',. . ,I / /..:C~
<br /> ~~GE LIABILITY ., AUTO ONLY - EA ACCIDENT . ---- -
<br /> ANY AUTO _._--/~~~., Sl ~tt Shc((ly OTHER THAN EAACC .
<br /> <_,Hira
<br /> , '., AUTO ONLY: AGG .
<br /> ",
<br /> EXCESS L.IABIL.ITY EACH OCCURRENCE .
<br /> ;------! D CLAIMS MADE
<br /> OCCUR ~~T.5_ .
<br /> . -- -
<br /> ~ ~EDUCTIBLE .
<br /> , RETENTION . .
<br />C WORKERS COMPENSATION AND iWZP80925342 10/15/04 10/15/05 ):U~~TATU- _L IOTH-
<br /> __n yJ..lMll.S....__----EB..._
<br /> EMPLOYERS' L.IABILlTY , .1,000,000
<br /> ' E.L EACH ACCIDENT
<br /> I .1 000,000
<br /> E.L DISEASE - EA EMPLOYEE
<br /> I E.L DISEASE - POLICY LIMIT .1 000,000
<br />D OTHER Professional EDN5850409 10/15/04 10/15/05 $1,000,000 per claim
<br /> Liability , $1,000,000 annl aggr.
<br />DESCRIPTION OF OPERATIONSIL.OCATlONS/VEHICL.ES/EXCL.US10NS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
<br />General Liab. policy excludes claims arising out of the performance of prof. services
<br />2SAN050800
<br />2005 Urban Water Management Plan
<br />City of Santa Ana, its officers, employees, agents, volunteers and
<br />(See Attached Descriptions)
<br />CERTIFICATE HOLDER I I ADDmONALINSURED'INSURERLETTER: CANCELLATION Ton Dav I - ',,-
<br /> SHOULD ANYOFTHEABOVE DESCRIBED POlICIES BE CANCELL.ED BEFORE THE EXPIRATION
<br /> City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILLg~XJI)MAIL.3.0..--DAYSWRITTEN
<br /> All: Thom Coughran NOTICE TOTHE CERTIFICATE HOLDERNAM ED TOTHE LEFT, BKJlBAIIXtlIJ()(JtJ/.".Ji)UOXXX
<br /> PO Box 1988 IInealIX~Jl8Ql()1)(.X."XKIJIJlXll'JDJ(XXX~
<br /> Santa Ana, CA 92702 DIlBeaKlMJlEJlX
<br /> AUTHORIZED REPRESEN7:E /J
<br /> , I~ . ..l..
<br />ACORD 25-5 (7/97)1 012 #S128570/M113620 ~ '" r. rV"--RLL @ ACORD CORPORATION 1988
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