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<br />ACORQ.. CERTIFICATE OF LIABILITY INSURANCE I DA TE (MM/DDIYYYY) <br />08/09/2007 <br />PRODUCER Phone: 916-987-2071 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Sorci Commercial Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 9266 Madison Ave HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Orangevale, Ca 95662 <br /> license #: 0707817 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: Lincoln General Insurance Company <br /> Robert Schaefer INSURER B: <br /> DBA: RLS General Contractor & Build INSURER C: <br /> 18372 Gothard Street INSURER D: <br /> IHuntington Beach, CA 92648 INSURER 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 I'NSURANCE 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 />IN;: ~'~ POLICY NUMBER P.?AL?~~~~gtWf Pg~IfJ EXPIRATION <br />A Y ~ERAL LIABILITY 6320017981 02 12/27/2006 <br />X COMMERCIAL GENERAL LIABILITY <br />= =:J CLAIMS MADE ~ OCCUR <br /> <br />LIMITS <br /> <br />12/27/2007 <br /> <br />EACH OCCURRENCE <br /> <br />$ 1 000 000 <br />$ 100000 <br />$ 5 000 <br />$ 1 000 000 <br />$ 2000.000 <br />$ included <br /> <br />PREMISES (Ea occureneet <br />MED EXP (Anyone person) <br /> <br />- <br /> <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS-COM~OPAGG <br /> <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />Xl POLlCyn- ~fg: n LOC <br /> <br />AUTOMOBILE LIABILITY <br />- <br /> <br />- <br /> <br />r- <br /> <br />ANY AUTO <br />ALL OWNED AUTOS <br /> <br />Ree eived BV <br />City 0 Santa J~na <br /> <br />A J6 14 2007 <br /> <br />COMBINED SINGLE LIMIT $ <br />(Ea accident) <br />BODILY INJURY $ <br />(Per person) <br />BODILY INJURY $ <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />AUTO ONLY - EA ACCIDENT $ <br /> <br />f-- SCHEDULED AUTOS <br />f-- HIRED AUTOS <br />NON-DWNED AUTOS <br />r- <br />r- <br /> <br />GARAGE LIABILITY <br />R ANY AUTO <br /> <br />EXCESSlUMBRELLA LIABILITY <br />P OCCUR 0 CLAIMS MADE <br /> <br /> <br />R DEDUCTIBLE <br /> <br />RETENTION $ <br /> <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERlMEMBER EXCLUDED? <br /> <br />~P~(;I~S~~~~~NS below <br />OTHER <br /> <br />uuWnTO~ n LJevelc pmenr <br />IDivisinn <br /> <br />OTHER THAN <br />AUTO ONLY: <br /> <br />EA ACC $ <br />AGG $ <br /> <br />A. '- _' <br />.... /. j~j <br /> <br /> <br />---~..4 ~j;Io'3 <br />.:,./ <br /> <br />v <br /> <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />$ <br />$ <br />$ <br /> <br />I T~2,n~Ws I [OJ~- <br />EL EACH ACCIDENT $ <br />EL DISEASE - EA EMPLOYE $ <br />EL DISEASE - POLICY LIMIT $ <br /> <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Desc: general construction I commercial jobs <br />Loc: AIUOps Santa Ana, Ca. 92701 <br />City of Santa Ana named as additional insured per endorsement to follow from carrier. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa Ana <br />Attn: Ken Silva <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENOEAVOR TO MAlL~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> <br />REPRESENTA TlVES. <br />AUTHORIZED REPRES <br /> <br /> <br />ACORD 25 (2001108) <br /> <br />- <br />