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<br />.I.r <br /> <br />ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/WYY) <br />1/19~zooe <br />PRODUCER (301)733-2530 FAX: (301)791-1478 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />N THE CERTIFICATE <br /> ONLY AND CONFERS NO RIGHTS UPO <br />Keller-Stonebraker Insurance, Inc. A ~~,.-,/_~~„r HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />l C <br />t <br />i ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />our <br />ona <br />1120C Profess <br />A-~~ ~W~ <br />PO Box 609 <br />Ha erstown t~ID 21741-0609 A'~-005- INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A:HB.rtfOrd C88nalt 29424 <br />CARL Corporation, <br />The Library Corporation INSURER B:HatrtfOrd Flre Insurance 19682 <br />, <br />ETAL <br />ic Corporation <br />Tech-Lo INSURERC:Twin Cit Eire Insurance 00914 <br />, <br />g <br />Research Park INSURER D: <br /> <br />IIIWOOCI WV 25428 INSURER E'. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE N1AY BE ISSUED OR MAY PERTAIN, <br />REQUIREMENT <br />, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />RE TE ITS SH MAY EEN RE ED BY PAID CLAI <br />INSR AOD'L <br />TYPE OFINSURANCE <br />POLICY NUMBER POLICY EFFECTNE <br />DATE MMIDDIYY POLICY EX%RATION <br />DATE MMIDD/YY LIMITS <br /> GENERAL LU\BILITY $ 1,000,000 <br /> DAMAGE TO RENTED 000 <br />S 300 <br /> X COMMERCIAL GENERAL LIABILITY cwrre , <br />A MADE <br />UR 42UUNI7A1381 5/26/2007 5/26/2008 MEO EXP one arson $ 10,000 <br /> CLAIMS <br />OCC P R $ 1,000,000 <br /> GENERAL AGGREGATE $ 3,000,000 <br /> GEN'L AGGREGATE LIMITAPPLIES PER: P T - $ 3r000, 000 <br /> <br /> POLICY X PRO- LOC <br /> <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMB S 1 , 000 r 000 <br /> X (Ea evident) <br />B ANY AUTO <br />ALL GAMED AUTOS 42UENUA1452 5/26/2007 5/26/2008 BODILY INJURY <br />$ <br /> X A <br />TOS (Per person) <br /> SCHEDULED <br />U <br /> X HIRED AUTOB -, 1, c BODILY INJURY $ <br /> - (Per ealtlenq <br /> NON-0WNEO AUTOS <br /> PROPERTY DAMAGE $ <br /> l,~ (Per accitlenq <br /> GARAGE LIABILRY AUTO ONLY-FA ACCIDENT S <br /> <br /> OTHER THAN S <br /> ANY AUTO AUTO ONLY qGG $ <br /> EXCESS/UMBRELLA LIABILITY $ 6, 000 r 000 <br /> LAIMS MADE <br />X <br />~ A GREGATE $ 6 r 000, 000 <br /> OCCUR <br />C <br /> <br />A 62RBWA1427 5/26/2007 5/26/2008 $ <br /> DEDUCTIBLE <br /> X RE NTION 10,000 $ <br />( <br />' WORKERS COMPENSATION AND X WC STATU- X OTH - <br />~ EMPLOVERS' LIA&LITY <br />E. L. EACH ACCIDENT 1 000 , 000 <br />$ r <br /> ANY PROPRIETOR/PARTNERIEXECUTIVE <br />OFFICERIMEMBEREXCWDE09 q2w&NJ6407 1/29/2008 1/29/2009 EL DISEASE-EA EMPLOYE ES 1, OOOrOOO <br /> It yea, tlescnbeuMer <br />SPEC P VI I N belox <br />E.L DISEASE-POLICY LIMIT 1,000 000 <br />$ , <br />g DTHER professional Liab o0Ta0222619-07 9/2/2007 9/2/2008 3z,ooo, 000 Per claim <br /> Claims Made Foam 52,000,000 Aggreqate <br /> 325 000 Deductible <br />DESCRIPTION OF OPERATONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />City of Banta Ana, Its OEficara, employees, agents, volunteers and repraeentativea are additional insured ae respects <br />the general liability policy 30 flay cancellation accept notice of cancellation Por non-payment oP the premium sill be <br />10 days. <br />_ _ __ ceucsa I erlnN <br />l.CR11rRiXIC 1'IVLYCR -"' <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLIOIES BE CANCELLED BEFORE THE <br />City of Santa Ana EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />20 Civic C6nter Plaza M-3O 3O DAYS WRITTEN NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT, BUT <br />P. O. BOR 1988 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANV KIND UPON THE <br />Santa Ana, CA 92701 INSURE ITS AGENTS OR REPRESENTATVES. <br /> AUTHORIZED REPRESENTATVE <br />~~~' <br />~"- <br /> - <br />Kent Reynolds /KREYN <br /> eennwtrnu •eee <br />ACORD 25 (2001105) "" """'""""" """"'-'~ '""" <br />Papa i of 2 <br />INS025 (otoe).Dee <br />