RICHARDS, WATSON & GERSHON (1999)

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ACORDN . ~- PRODUCER CERTIFICAT F LIABILITY INSURAN OP 10 DATE (MM/DDIYYYY) RICRA-8 09 02 04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Arroyo/Knauf Ins. Services P. O. Box 41498 Los Angeles CA 90041-0498 Phone: 323-550-7900 Fax:323-256-0800 INSURERS AFFORDING COVERAGE NAIC# INSURED )\-1 c,9.-;u~ INSURER A: INSURER B INSURER C' INSURER D' INSURER E: Vigilant Insurance Com an Federal Insurance Com any Richards Watson & Gershon 355 South Grand Avenue 40th Floor Los Angeles CA 90071-3101 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 ANO CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR[ POLICY NUMBER PO,;!~'f, EFFECTIXE Pgk!fEYt~~b~~~N LIMITS LTR TYPE OF INSURANCE DATE MM/DDfYY GENERAL LIABILITY EACH OCCURRENCE $1,000,000 - UAMAl;t: A X X COMMERCIAL GENERAL LIABILITY 3529 32 50 09/01/04 09/01/05 PREMISES (Ea occurence) $ Included I CLAIMS MADE !Xl OCCUR MED EXP (Anyone person) ~_J:O,OO_O___ --.- ----- PERSONAL & ADV INJURY $1,000,000 - GENERAL AGGREGATE $2,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ Included I n PRO- nLOC POLICY JECT AUTOMOBILE LIABILITY COMBINEO SINGLE LIMIT - $1,000,000 B ANY AUTO (Ea accident) - ALL OWNED AUTOS 7496 7929 09/01/04 09/01/05 BODILY INJURY - $ SCHEDULED AUTOS (per person) - X HIRED AUTOS BODILY INJURY - $ ~ NON-OWNED AUTOS (Per accident) X NO OWNED VEHICLES PROPERTY DAMAGE - $ APPLICABLE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ l ANY AUTO *20 DAYS NOTICE FOR OTHER THAN EA ACC $ NONPAYMENT OF PREMI UM AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 9,000,000 B ~ OCCUR D CLAIMS MADE 7961 15 86 09/01/04 09/01/05 AGGREGATE $ 9,000,000 $ l DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X I TORY LIMITS I IU.'H- EMPLOYERS' LIABILITY ER B ANY PROPRIETOR/PARTNER/EXECUTIVE 71603613 10/01/03 10/01/04 E.L EACH ACCIDENT $1000000 OFFiCE:R/MEMBER EXCLUDED" I $ 1000000 E.L. DISEASE - EA EMPLOYEE If yes, describe under SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT $ 1000000 OTHER A BUSINESS PERS PROP 3529 3250 09/01/04 09/01/05 SPEC FORM $9,313,250 A BUSINESS INCOME 3529 3250 09/01/04 09/01/05 BLANKET $3,691,250 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: All Operations of the Named Insured. Certificate Holder is named as an Additional Insured. Coverage afforded is considered primary and non-contributory. See Attached Additional Insured Endorsement. cc Y~~li((/) ,/--C / CERTIFICATE HOLDER CANCELLATION City of Santa Ana Office of the City Attorney Twenty Civic Center Plaza Santa Ana CA 92701 SANTA05 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AU ORIZ SENTA @ACORDCORPORATION 1988 ACORD 25 (2001/08) ,oj