JONES & STOKES ASSOCIATES 08-2007

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jJ-ZOO7,/6/ L /{CCJRD CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 I DATE '" 10/03/2007 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# INSURED Jones & Stokes Associates, Inc. INSURER A: American International Specialty Lines In 26883-003 Attn: Pam .Lampkin INSURER B: Commerce and Industry Insurance Company 19410-004 2600 V Street Sacramento, CA 95818 INSURER c: American International Specialty Lines In 26883-002 INSURER D: American Home Assurance Company 19380-001 , INSURER E. L COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POL.ICY EFFECTIVE POLICY EXPIRATION LIMITS 10/1/2007 10/1/2008 EACH OCCURRENCE $ 1 000 000 ~~~~~~~9E~~~Jir~ncel $ 500 000 MED EXP (Anyone person) S 5 000 PERSONAL&ADV INJURY $ 1 000 000 GENERAL AGGREGATE $ 2 000 000 PRODUCTS - COMPIOP AGG $ 1 000 000 INSR iADD' TYPE OF INSURANCE POLICY NUMBER A!, ~ERALLlABILlTY I PROP2027883 \-X I COMMERCIAL GENERAL LIABILITY I ~ CLAIMS MADE [i] OCCUR X pollution Liab Incl. X Contractual Liability '~'LAGGRE~E LIMIT AP~S PER: . IpOLlcYIX.~~,9.,: I ILOC ~TOMOBILE LIABILITY x.. , ANY AUTO _ ALLOWNEDAUTOS _ SCHEDULED AUTOS HIRED AUTOS f--, b--- NON-OWNED AUTOS B CA5054198 10/1/2007 10/1/2008 / I.,.' i'-.J 1-,. );.(i\] . :l!,V, I /~:;~--- i I ~iGE L.IABILlTY ~ ANY ALITO ~.,' ,I c I ,~'~1.1 '\1tor.c C PROU8085646 10/1/2007 10/1/2008 EXCESs/UMBRELLA LIABILITY ~ OCCUR D CLAIMS MADE f--j DEDUCTIBLE ~ RETENTION $ 10 OOt WORKERS COMPENSATION AND CA WC3 4 2 61 0 7 EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ADS WC3 42 61 0 6 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below A OTHER I Professional Liability i Claims Made DESCRIPTION OF OPERATlONSJLOCATlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: On-Call Services D D 10/1/2007 10/1/2007 10/1/2008 10/1/2008 10/1/2008 PROP2027883 10/1/2007 COMBINED SINGLE LIMIT $ 1,000,000 (Eaaccident) BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY. EAACCIOENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ 5 000 000 AGGREGATE $ 5 000 000 $ $ $ I WCSTATU-_ \ 10TH. ~_ TORY llMlTSl. I ER E.L. EACH ACCIDENT S E,L. OISEASE- EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ 1 000 1 000 1 000 000 000 000 $3.000,000 Each LOBS $3,000,000 Aggregate I ~ 50 000 Deductible The City of Santa Ana. its officers. agents. employees. volunteers and representatives are included as Additional Insured as respects General Liability. as required by written contract. If required by insured contract. such insurance as is afforded by this policy is primary and no other insurance of the Additional Insured will be called upon to contribute to a loss. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT, BUT FAIL.URE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Santa Ana Planning and Building Agency 20 Civic Center Plaza. Ross Annex M-20 P.O. Box 1988 Santa Ana, CA 92702 ACORD 25 (2001108) Co11:2129470 Tp1:690109 @ACORDCORPORATION1988