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.~ <br />cue.,+~t-~~ <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM7DpfYYYy) <br /> 3127/2007 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Sky Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />1695 Indian Wood Circle <br /> <br />M <br />OH 43537 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />aumee, <br />419-720-7900; Fax 419-321-1622 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />SMS S <br />t <br />M <br />i <br />t <br />S <br />i INSURER A: Fedefal lRSUrance Company 20281 <br />ys <br />ems <br />a <br />n <br />enance <br />erv <br />ces, ]nc. <br /> <br />455 River R <br />d INSURER B: <br />oa <br />Hudson <br />MA 01749 INSURER C: <br />, INSURER D: <br /> INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATFp, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 /> <br />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE MM1DD POLfCY EXPIRATION <br />TE MMIDDIYY <br />LIMITS <br />A GENERAL LIABILITY 35844149 10/26/06 10/26/07 EACH OCCURRENCE 51 OOO 000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $1 OOO OOO <br /> CLAIMS MADE ~ OCCUR <br /> MEO EXP (Any one person) 51 O OOO <br /> PERSONAL 8 ADV INJURY $1 OOO QOO <br /> <br /> GENERAL AGGREGATE 2 OOO <br /> $ <br />OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO PROOUC7S -COMP/OP AGG $2 OQO,QOO <br /> - <br />POLICY <br />JECT LOC <br />A AU TOMOBILE LIABILITY 73544129 10/26/06 10/26/07 <br /> <br />X <br />ANY AUTO COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1,000,000 <br /> <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> <br /> X HIRED AUTOS <br /> <br />X <br />NON-0WNED AUTOS BODILY INJURY <br />(Pet accident) $ <br /> <br /> <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br />OTHER THAN EA ACC <br />b <br /> AUTp ONLY: AGG $ <br />A EXCESSNMBRELLA LIABILITY 79854043 10!26/06 10/26/07 EACH OCCURRENCE <br />~ $4 QOO OOO <br /> X OCCUR ~ CLAIMS MADE AGGREGATE $4 QOO 000 <br /> b <br /> DEDUCTIBLE <br /> X RETENTION b O <br /> $ <br />A WORKERS COMPENSATION AND 717141 QQ 10!26106 10/26/07 ~( WC STATU- OTH- <br /> EMPLOYERS' LU1BILrfY V I IT <br />FR <br /> ANY PROPRIETORIPARTNER/EXECUTIVE „ <br />E.L. EACH ACCIDENT $1 OOO OQO <br /> OFFICER/MEMBER EXCLUDED? <br />If yes, describe under E. L. DISEASE-EA EMPLOYEE $1,000,000 <br /> SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 <br />A OTHER information 35844149 10/2fi106 10/26/07 $3,000,000 <br /> & Network $50,000 Deductible <br /> Technolo E&O <br />DESCRIPTION OF OPERATiON51 LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS <br />General Liability: The City of Santa Ana, its Officers, Employees, Agents and Volunteers <br />are included as additional insureds as required by written contract per attached <br />endorsement form 80-02-2367. Ten day notice of cancellation for non-payment of premium- ` ~ /~~ j <br />'l~G_2~ r <br />rvnTicrnwTC u....~.-., <br />The City of Santa Ana, its <br />Officers, Employees, <br />Agents and Volunteers <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACARn 75 19nM1nu1 . <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE 193UiNG INSURER WILL ENDEAVOR TO MAIL _~ DAYS WRITTEN <br />NOT]CE TO THE CERTIFEGATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR L1ABfLRY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />FRIZED REPRESENTATIVE <br />:~~...e ~4.J ~'~e <br />- ~• .. av r . t wvnn i vJ<-,ac TRKA O ACORD CORPORATION 1988 <br />1 • <br />