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<br />ACORD. CERTIFIC~E OF LIABILITY INSu...tANCeE~~~~ s~ DATE (MM/DDIYY) <br />05/03/01 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />LPL Insurance Agency Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />4811 Eureka Avenue #F ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Yorba Linda CA 92886 <br />Phone: 714-572-9700 Fax:714-572-9880 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A" United States Liabilitv Ins <br /> INSURER B STATE COMPENSATION INS FUND <br /> GENERAL LEARNING CLIMATES INSURER C HARTFORD CASUALTY INS CO <br /> DAVID HARTL <br /> 180 E MAIN STREET #240 INSURER 0 <br /> TUSTIN CA 92780 <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE aEEN ISSUED TO THE INSURED NMtED 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 ISSUEO 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 />'~t',\'1 TYPE OF INSURANCE POLICY NUMBER DAtt'MMfDDIYY I DATE fMM/DDlYVI LIMITS <br /> f GENERAL LIABILITY , EACH OCCURRENCE .1000000 <br />C dCOMMERCIAl GENERAlUABILlTY 72SBAK09228 04/01/01 04/01/02 FIRE DAMAGE (Anyone fire) .300000 <br /> ,_-J CLAIMS MADE ~J OCCUR! , <br /> I MED EXP (Anyone person) $ 10000 <br /> f ---- ---------l--- ----- <br /> XI Business Owners PERSONAL & ADV INJURY $ 1000000 <br /> -- -- <br /> GENERAL AGGREGATE .2000000 <br /> - <br /> GEN'l AGGREGATE LIMIT APPLIES PER: PRDDUCTS.COM~OPAGG . <br /> I v I' PRO- - , <br /> POLlCY : JECT LOC <br /> , AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> i--l ANY AUTO (Eaaccident) . <br /> I AlL OWNED AUTOS I BODILY INJURY <br /> . <br /> .. SCHEDULED AUTOS , (Per person) <br /> ____ . ' HIRED AUTOS BODILY INJURY . <br /> NON-OWNED AUTOS (Per accident) <br /> -- <br /> -- ----.- - -- - - PROPERTY DAMAGE . <br /> (Per accident) <br /> GARAGE LIABILITY j AUTO ONLY - EA ACCIDENT . <br /> --=l ANY AUTO OTHER THAN EAACC . <br /> I AUTO ONLY' AGG . <br /> EXCESS LIABILITY EACH OCCURRENCE . <br /> ~~-_ OCCUR [J CLAIMS MADE AGGREGATE . <br /> . <br /> i-~-l ~EDUCT"LE . <br /> : RETENTION . I . <br /> I WORKERS COMPENSATION AND 1 TORY IUMY-rS ! IUER- <br />B EMPLOYERS' LIABILITY 1443563 04/01/01 04/01/02 E.L EACH ACCIDENT .1000000 <br /> , 1 ELDISEASE-EAEMPLOYEF, $1000000 <br /> I E.L. DISEASE. POLICY LlMIT I $ 1000000 -- <br /> ! OTHER , <br />A PROFESSIONAL I CE01002539 11/20/00 11/20/01 I GEN AGGR $2,000,000 <br /> I LIABILITY EACH OCC $1,000 000 <br />DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />ALL OPERATIONS OF THE INSURED AS COVERED BY THESE POLICIES. RE: CONSULTING <br />SERVICES. THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES, AND <br />VOLUNTEERS ARE NAMED ADDITIONAL lNUSRED PER ATTACHED CG2010 10/93. TEN DAY <br />NOTICE OF CANCELLLATION APPLIES FOR NON-PAYMENT OF PREMIUM. <br /> <br />CERTIFICATE HOLDER <br /> <br />i Y ADDITIONAL INSURED; INSURER LETTER: ~ <br /> <br />CANCELLATION <br /> <br />CITYOFS <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br /> <br />CITY OF SANTA ANA <br />ATTN: BETTY DANG <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92701 <br /> <br /> <br />REPRESENTATIVES. <br />AUTHORIZED REPRESEN <br /> <br />Owen S L <br /> <br />ACORD 25-5 (7/97) <br />