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<br />ACORD. CERTIFICA~ OF LIABILITY INSUR..J"C~~K~~ S~ DATE (MM/DDIYY) <br />04/03/01 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />LPL Insurance Agency lnc 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 INSURERS AFFORDING COVERAGE <br />Phone: 714-572-9700 Fax:714-572-9880 <br />INSURED --..-- United states Liabi1itv Ins <br /> INSURER A- ,- <br /> INSURER B STATE COMPENSATION INS FUND -- <br /> GENERAL LEARNING CLIMATES <br /> JERENE JOHNSON INSURER c' HARTFORD CASUALTY INS CO <br /> 180 E MAIN STREET #240 - <br /> INSURER 0 <br /> ,TUSTIN CA 92780 - - <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 />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I~f:! TYPE OF INSURANCE POLICY NUMBER DATEIJfMM/DDfYY <br />GENERAL LIABILITY <br />C ~"COMMERCIAlGENERALLlA8ILITY 72SBAKD9228 <br />~+) CLAIMS MADE D OCCUR <br />~ Business OWners <br /> <br />,~'L AGGREGA~E LIMIT AP~S PER: <br />I I POLlCY-I~1 j~2T : I LOG <br />~TOM08ILE LIABILITY <br />ANY AUTO <br /> <br />DATE MMIDDfYY'i' <br /> <br />LIMITS <br /> <br />04/01/01 <br /> <br />04/01/02 <br /> <br />PERSONAL & ADV INJURY <br /> <br />.1000000 <br />.300000 <br />.10000 <br />, 1000000 <br />$ 2000000 <br /> <br />,- <br />- <br /> <br />I <br /> <br />EACH OCCURRENCE <br /> <br />11/20/00 <br /> <br />11/20/01 <br /> <br />FIRE DAMAGE (Anyone fire) <br /> <br />MED EXP (Anyone person) <br /> <br />GENERAL AGGREGATE <br /> <br />PRODUCTS - COMPIOP AGG $ <br /> <br />COMBINED SINGLE LIMIT <br />(Eaaccident) <br /> <br />c- <br />_ ALL OWNED AUTOS <br /> <br />_ SCHEDULED AUTOS <br /> <br />_ HIRED AUTOS <br /> <br />NON-OWNED AUTOS <br /> <br />~ <br /> <br />BOQIL Y INJURY $ <br />(Per person) <br />BODILY INJURY $ <br />(Per accident) <br /> ,- <br />PROPERTY DAMAGE $ <br />(Per accident) <br />AUTO ONLY - EA ACCIDENT $ <br /> <br />~AGE LIABILITY <br />R ANY AUTO <br /> <br />EXCESS LIABILITY <br />O'OCCUR 0 CLAIMS MADE <br /> <br />~ DEDUCTIBLE <br />! "1 RETENTION $ <br />. i WORKERS COMPENSATION AND <br />B ! EMPLOYERS' LIABILITY [1443563 <br /> <br />EACH OCCURRENCE <br /> <br />EA ACC $ <br />AGG $ <br />. <br />. <br />$ <br />. <br /> <br />,- <br /> <br />OTHER THAN <br />AUTO ONLY' <br /> <br />-- <br /> <br />AGGREGATE <br /> <br />-- <br /> <br />, <br /> <br />I TORy'L1Mn:S 'I .,I'ER' <br /> <br />04/01/00 <br /> <br />04/01/01 <br /> <br />,--- <br />E.L. EACH ACCIDENT $1000000 <br />,,-- --.- ,..-- --., ..,-- --- ' .. <br />E L. DISEASE - EA EMPLOYE~ $ 1000000 <br />EL. DISEASE-POLICY LIMIT $ 1000000 <br /> <br />OTHER <br /> <br />A PROFESSIONAL <br />LIABILITY <br />DESCRIPTION OF OPERATIONSfLOCATIONSNEHICLES/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 INUSRED. TEN DAY NOTICE OF CANCELLLATION <br />APPLIES FOR NON-PAYMENT OF PREMIUM. <br /> <br />CE01002539 <br /> <br />11/20/00 <br /> <br />11/20/01 <br /> <br />GEN AGGR <br />EACH OCC <br /> <br />$2,000,000 <br />$1,000,000 <br /> <br />CITY OF SANTA ANA <br />ATTN: BETTY DANG <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92701 <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATlm <br />DATE THEREOF, THE ISS..A~ INSURER WILL~AIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFI fj E HOLDER NAMED TO THE LEFT, BUT~~!X. <br />~~!:lPJelI;LjQJ[K! .!lOOQK~l4IJ:!lKIXll<1~IK~:mK <br />JI!~~m>!\l'l'RX -11- I 1 - <br />AUTHORIZED "EP"'j '''trf711T h d. I. T7 /i <br />Owen S L -f '''''"/1 7C/ <br />1 / '91 CORD CORPORATION 1988 <br />{J <br /> <br />CERTIFICATE HOLDER . I Y I ADDITIONAL INSU"EO, INSU"ER LETTE"' A <br />CITYOFS <br /> <br />ACORD 25..8 (7/97) <br />