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Q '7i7/17-1/17 <br />\. r- <br />t <br />CERTIFICATE OF LIABII <br />Dealey, Renton & Associates <br />P. O. Box 12675 <br />Oakland, CA 94604.2675 <br />510 465-3090 <br />INSURED <br />LSA Associates, Inc. <br />20 Executive Park, Suite 200, <br />Irvine , CA 92614 <br />LJAHJJVI.II — — <br />DATE (MMIDDNY) <br />LITY INSURANCE D9114167 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />ALTISO ERLDE RTHEHCOOR <br />VERAGE AFFORDED BYCERTIFICATE DOESOTHE POLLIICIESTEND BELOW. <br />INSURERS AFFORDING COVERAGE <br />EINSURERrich American Ins. Co. <br />erican Automobile Ins. C.O. <br />rtford Fire Ins. Co. <br />COVERAGES <br />ANY <br />MAY <br />POLICIES. <br />LTR <br />A <br />REQUIREMENTS TERM ORS CONDITION <br />PERTAIN, THE INSURANCE AFFORDED <br />AGGREGATE LIMITS SHOWN <br />TYPE OF INSURANCE <br />GENERALLIABILITY <br />TO THE <br />OF ANY CONTRACTDOR OTHER NDOCUME <br />BY THE POLICIES DESCRIBED HEREIN <br />MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICY <br />POLICY NUMBER <br />GL09157444 <br />TMWITH�RE <br />IS SUBJECT <br />EFFECTIVE <br />D TE MIDD <br />09/30/07 <br />PECOVE FOT TOEWHICH <br />TO ALL THE TERMS, <br />POLICY EXPIRATION <br />DATE M D <br />YTHIS IOCERTIIFCA CERTIFICATE MAY BE I DI <br />ISSUED <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />LIMITS <br />09130/08 <br />EACH OCCURRENCE <br />$1 000 000 <br />FIRE DAMAGE(Any one fre) <br />$100000 <br />MEOEXP(AM -- Person) <br />$5000 <br />X COMMERCIAL GENERALLIABILITY <br />CLAIMS MADE Fj] OCCUR <br />PERSONAL BADV INJURY <br />$1 OOO OOO <br />GENERAL AGGREGATE <br />$2 000 000 <br />PRODUCTS-COMPIOP AGG <br />$2 000 000 <br />GENL AGGREGATE LIM ITAPPI.IES PER', <br />X POLICY PRO LOC <br />AUTOMOBILE LIABILITY <br />57UUNIF1488 <br />09/30/07 109130108 <br />COMBINED SINGLE LIMIT <br />(Ea awident) <br />$1,000,000 <br />C <br />X ANY AUTO <br />ALL OWNED AUTOS <br />(PeressonM)) I <br />(Per Par <br />$ <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />r°V� <br />BODILY INJURY <br />(Per awdent) <br />S <br />X NON-OWNEDAUTOS <br />'q <br />�3'" <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />j <br />.:) <br />AUTO ONLY - EA ACCIDENT <br />$ <br />EA ACC <br />OTHER THAN <br />AUTO ONLY: AGG <br />$ <br />$ <br />EXCESS UABIUTV <br />OCCUR F7, CLAIMS MADE <br />/- <br />!Y <br />` <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />8 <br />DEDUCTIBLE <br />RETENTION $ <br />WORXERSCOMPEN SATIONAND <br />EMPLOYERS' LIABI <br />WZP80954268 <br />09130/07 <br />09130108 <br />WC STATU- OTH- <br />X <br />B <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />EL. Oi3EASE EA EMPL CYEE'$1_000,DDD <br />�E L. DISEASE -POLICY LIMIT <br />I $1,000,000 <br />A <br />OTHER Professional <br />EOC916093500 <br />09/30/07 <br />09130/08 <br />$2,000,000 per claim <br />$4,000,000 annl aggr. <br />!ability <br />DESCRIPTION OF OPERATIONWLOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />General Liability policy excludes claims arising out of the performance of professional <br />services. <br />Project: On -Call Services for the City of Santa Ana. <br />See attachment. <br />HOLDER ADDRIONALMSURED INSURERLETTER: <br />CANCELLACERTIFICATE <br />HOOD ANYOFTTH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />20 Civic Center Plaza M-2ION <br />City of Santa Ana <br />Attn: Tonic Zerba <br />DATE THEREOF, THE ISSUING INSURER "WXWKXV$tRlx TO MAIL 311 DAYSWRIITEN <br />NOPCE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT,Jpu'(x�$BkR <br />�grX0L0.tCRR%CDI <br />P.O. Box 1988 <br />AUTHORIZE REPRESENTATIVE <br />Santa Ana, CA 92702 <br />_ <br />KNImN .........,.:,nu . eos <br />JLN 9 ACORD <br />ACORD 25S (7197)1 of 1 #M204203 <br />