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<br />ACORD", CERTIFICATE OF LIABILITY INSURANCE Page 3 \ DATE
<br />1 of OS/24/2007
<br />PROOUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> willis North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br /> 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> P. o. Sox 305191
<br /> Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED Jones & Stokes Associates, Inc. INSURERA: American International Specialty Lines In. 26883-003
<br /> 2600 V Street INSURERS: Commerce and Industry InsurAnce company 19410-004
<br /> Sacramento. CA 95818
<br /> INSURERC: American International Specialty Lines In 26e83~OO2
<br /> INSUREA 0: American Home Assurance Company 19380-001
<br /> INSURi:A 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 SUBJFCT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />1'f".P:"~~~ ~- - P.?l-iCY EFFECTIVE P~~~"Y{~.~r.~.!',!l~N
<br /> TYPE OF INSURANCE POLlCY NUMBER LIMITS
<br />A ! ~ERAl..UABIl..1TY PROP2027883 10/1/2006 10/1/2007 EACH OCCURRENCE $ 1 000 000
<br /> I I X I CO~MERCIAl GENERAL LIABILITY ~~~~~~~9E~~~~~nce\ $ 500 000
<br /> I CLAIMS MADE [iJ OCCUR I MED EXP (Anyone person) $ 5 000
<br /> tiJPOllution Liab Incl. PERSONAL&ADV INJURY $ 1 000 000
<br /> X Contractual Liabilitv GENERAl AGGREGATE $ 2 000 000
<br /> ~'l.. AGG:E~E LIMIT APAS PER: PRODUCTS.COM~OPAGG S 1 000 000
<br /> POLICY X ~.B.9.; LOC
<br />B AUTOMOBIl..E LIABILITY CA5054198 10/1/2006 10/1/2007 COMBINED SINGLE LIMIT
<br /> ,X (Eaaccidenl) $ 1,000,000
<br /> ANY AUTO
<br /> ALL OWNED AUTOS BQDIL Y INJURY
<br /> 8 SCHEDULED AUTOS (Per person) $
<br /> HIRED AUTOS BODILY INJURY
<br /> I H NON-OWNED AUTOS jPeracclClenl) i$
<br /> I PROPERTY DAMAGE
<br /> (Paraccidant) $
<br /> I qAGElIABlllTY AUTO ONLY. EA ACCIDENT ,
<br /> ANY AUTO OTHER THAN EA ACC S
<br /> 1 AUTO ONLY: AGG $
<br />C I I EXCESS UABtl..ITY PROUBOB5646 110/1/2006 10/1/2007 EACH OCCURRENCE , 5 000 000
<br /> ~ OCCUR :J Cl..AIMS MADE AGGREGATE S 5 000 000
<br /> i h , ,
<br /> I ~ DEDUCTIBLE I I I I,
<br /> 1 X RETENTION S 10 oor ,
<br />D : WORKERS COMPENSATION AND California WC3423144 110/1/2006 10/1/2007 X TT~~~;~W, I IOJ!;'"1
<br /> : EMPl.OYERS'LIA8/1..1T'1'
<br />D I ANY PROPRIETOR/PARTNER/EXECUTIVE IAll Other WC3423143 110/1/2006 10/1/2007 EL EACH ACCIDENT I, 1 000 000
<br /> , OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE. $ 1 000 000
<br /> I If yes. aescribeunoer E.L. DISEASE - POLICY LIMIT ,I $
<br /> , SPECiAl PROVISIONS below 1 000 000
<br />A OTHER PROP20278B3 10/1.12006 19/)./~0.?7,J,'" 'b
<br /> Professional Liability , ."}, ,I l"". 1 ' l'~-'$'3'"/b 0,000 Each LOBS
<br /> f ..... 1 -....,) ,~,
<br /> ,Cl.ims ....de ~ $3,000,000 Aggregate
<br /> I ~ - -;0 000 Deductible
<br />DESCRIPTION ~FoPERAnoNSllOCAnON~7HICLESlEXClUSIONS ADDED..YENDORSEM~NTISPECIAL .ROVISIO~~ ". (Ji'1 / '.:f
<br />Re; EnvJ.ronmental Tra~n~ng and ConsultJ.ng Serv1g.ea..-.-..~., ,.-, -, ,--.. _ _" 'I
<br /> '- ,.-.". '. - .
<br />THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATIil' ,,,;;, It ,;;y Actu:,,,,
<br />The City of Santa Ana, its officers, agents, employees, volunteers and representatives shall be
<br />named as additional insured for General Liability if required by written contract.
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br />City of Santa Ana
<br />Planning and Building Agency
<br />20 Civic Center Plaza, Ross Annex M-2D
<br />P.O. Box 1988
<br />Santa Ana, CA 92702
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELl..ED BEFORE THE EXPIRATION
<br />DATE' THEREOF, THE ISSUING INSURER WIl..l.. ENDEAVOR TO MAll.. ~ DAYS WRITTEN
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE l..EFT, BUT FAILURE TO DO SO SHAl..l..
<br />IMPOSE NO OBLIGATION OR UABll..lTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
<br />
<br />ACORD 25 (2001/08)
<br />
<br />Co11:1993945 Tp1:542217 Cert:8986 23
<br />
<br />
<br />@ ACORD CORPORATION 1988
<br />
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