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<br />ACORD ';ERTIFICA TE OF LIABILITY INSURANC~Tf6!g oi DATE (MMfDDIVY) <br />10/31/01 <br />PROD'leER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />VAN OPPEN " CO. INS. SERV. , INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />LIC# OB10732 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2248 N State College Blvd ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. <br />Fullerton CA 92831 <br />Phone. 714-255-9800 Fax:714-255-9899 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: American Int'l Specia1tv Lines <br /> INSURER B: Hartford Insurance Companv <br /> National Egon Co~oration INSURER c: American Motorist Ins Co <br /> 730 El Cam1no Rea INSURER 0: <br /> !ustin CA 92780 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. NOT'NITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTJFICA TE 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 /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />l~t: TYPE OF INSURANCE POUCY NUMBER DATE MMID~ DATE MMlDDlYVr LIMITS <br /> ~NERAL LIABILITY EACH OCCURRENCE $ 1, 000,000 <br />A X COMMERCIAL GENERAL LIABILITY 2673016 07/01/00 07/01/02 FIRE DAMAGE (Anyone fire) $50,000 <br /> l CLAIMS MADE [!J OCCUR MEO EX? (Anyone person) $ 5,000 <br /> X CONTR. POLLUTION PERSONAl & ADV INJURY $1,000,000 <br /> ---- GENERALAGGREGATE $2,000,000 <br /> ;l'L AGG~EnE ~~~ APrlS PER: PROOUCTS.COM~OPAGG $2,000,000 <br /> X POLICY JECT LOC <br /> ~OMOBllE L1ABlL.ITY COMBINED SINGL.E LIMIT $1,000,000 <br />B ~ ANY AUTO (Eaaccidenl) <br /> e- AL.L OWNED AUTOS BODILY INJURY <br /> $ <br /> >-- SCHEDULED AUTOS 57UECG12544 03/12/01 03/12/02 {Per person) <br /> e- HIRED AUTOS BODILY INJURY <br /> $ <br /> >-- NON-OWNED AUTOS (Per accident) <br /> e- PROPERTY DAMAGE $ <br /> . (Peraccldenl) <br /> r=rGE LIABILITY , alf6~ :::=- AUTO ONLY. EA ACCIDENT $ <br /> ~~~~13 J .- <br /> ANY AUTO r; OTHER THAN EAACC $ <br /> t : , ~~.....--~ ~ AUTO ONLY: AGG $ <br /> EXCESS LIABILITY I SiORC~ EACH OCCURRENCE $ <br /> t~j'OCCUR 0 CLAIMS MADE - \..\S'" t ~iW "'ttorne'1 AGGREGATE $ <br /> Assistant 1...- (7.-) $ <br /> R DEDUCTIBLE ~D $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND X 1 TORY L1MrrS 1 IUJ~- <br />C EMPLOYERS' LIABILITY $ 1, 000,000 <br /> E.L. EACH ACCIDENT <br /> 7CW30544702 12/01/00 12/01/01 E.L. DISEASE. EA EMPLOYE $ 1, 000,000 <br /> E.L. DISEASE. POLICY LIMIT '1.000.000 <br /> OTHER <br />A PROFESSIONAL 2673016 07/01/00 07/01/02 EA. LOSS $1,000,000 <br /> LIABILITY GEN.AGG. $1,000,000 <br />DESCRIPTION OF OPERATIONSJLOCATlONSNEHICLES/EXCLUSIONSADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />The City of Santa Ana, its officers,Agents,and Employees are named as <br />Additional Insured per the attached endorsement, with respect to all job <br />operations perfoDmed by the named insured. *10 day notice of cancellation <br />for non-payment of premium. <br />CERTIFICATE HOLDER I y I ADDITIONAL INSUREDj INSURER LETTER: A CANCELLATION <br /> SANTAMN SHOUL.D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRATIOt <br /> DATE THEREOF, THE ISSUING INSURER W1LL.~L. ...!.l.O.. DAYS WRITTEN <br /> City of Santa Ana NOTICE TO THE CERTIFICATE HOL.DER NAMED TO THE LEFT,~ <br /> Bldg. Mntnce Div. <br /> 20 Civic Center Plaza #M-1 ~ <br /> Santa Ana CA 92702 <br /> AUTHORl NT <br /> , "7 <br /> <br />ACORD 25-5 (7/97) <br /> <br />@ACORDCORPORATION 1988 <br />