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<br />ACORDrn CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDfYY)
<br />09/05/07
<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />199 S Los Robles Ave Ste 540 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
<br />Pasadena, CA 91101 , J
<br />626 844.3070 INSURERS AFFORDING COVERAGE
<br /> --~
<br />INSURED INSURER A: Travelers Indemnity Co. of Connectic
<br /> Elizabeth Maule & Stefanos Polyzoides INSURER B: SI. Paul Protective Insurance Co.
<br /> 180 E. California Blvd. INSURER c: Evanston Insurance Company
<br /> Pasadena,CA 91105 ".--
<br /> INSURER D:
<br /> --... ~-
<br /> INSURER E;
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<br />Clienl#' 12718
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<br />MOULEPOLY
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<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 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 />I~~: ,- ~~~Y, EFfECTIVE POLICY EXPIRATION ""--
<br />TYPE Of INSURANCE POLICY NUMBER LIMITS
<br />A ~NERAL LIABILITY 6802094L798 06/30/07 06/30/08 EACH OCCURRENCE $1 000 000
<br /> ~ pMERCIAL GENERAL LIABILITY FIRE OAMAGE (Any one ~r.!1._ 1300,000
<br /> - CLAIMS MADE [i] OCCUR i MED EXP (Anyone person) $5000
<br /> I PERSONAL & ADV INJURY $1 000000
<br /> I ~~NERALAGGREGATE $2 000 000
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<br /> ~-~AGGR.EnE ,LIMIT APASPER: PRODUCTS -COM PlOP AGG $2 000 000
<br /> POliCY ~~g: LOC
<br />A AUTOMOBILE LIABILITY BA4797L872 06/30/07 06/30/08 COMBINED SINGLE LIMIT
<br /> ANY AUTO (Eaaccidant) $ t ,000,000
<br /> -
<br /> r ALL OWNED AUTOS BODILY INJURY
<br /> $
<br /> SCHEDULED AUTOS (Per person)
<br /> ~-
<br /> ,X HIRED AUTOS BODILY INJURY
<br /> ~ ! (Peraccidenl) $
<br /> ~ NON.OWNED AUTOS '---- ~,._......~_...
<br /> - - ,\ , " . ~... i , I PROPERTY DAMAGE $
<br /> ^ , ^ ., i (Peraccidenl)
<br /> i":G'LIABILlTY A //3 ! ~~n?ONLY - EAACCIDENT $
<br /> ANY AUTO - -,'I OTHER THAN EA ACC $
<br /> . .. -_.. ..--.
<br /> AUTO ONLY: AGG $
<br /> EXCESS LIABILITY '.'- ~(, L \.. d\ " EACH OCCURRENCE $
<br /> ::J-OCCUR ~ CLAIMS MADE AGGREGATE $
<br /> $
<br /> =1 ~EDUCTlBLE $
<br /> RETENTION $ $
<br />B WORKERS COMPENSATION AND UB7t24Y374 09/01/07 09/01/08 X IT~~3T~1,~::, I _ J~.m~
<br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000
<br /> E.L. DISEASE - EA EMPL aYEE $1,000,000
<br /> E.L. DISEASE - POLICY LIMIT $1,000,000
<br />C OTHER Professional AE813423 06/16/07 06/16/08 $2,000,000 per claim
<br /> iability $2,000,000 annl aggr.
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<br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES,lEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
<br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701;
<br />its officers, employees, agents, volunteers, and representatives are named
<br />as additional insured as respects general liability for claims arising from
<br />the operations of the named insured.
<br />CERTIFICATE HOLDER I I ADDmONALlNSUREO-INSURERLETTER: CANCELLATION ' .._".. <._ .J__. ."
<br /> SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br /> City of Santa Ana DATE THEREOF, THE ISSUING INSURER WINxfftlDXb TOMAIL3.0.--DAYSWRITTEN
<br /> Alln: Lucy Llnnaus NOllCE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT~k
<br /> Planning and Building Agency. M20 JIIIl:gw,Ilan~.KX_~d : 0GXa1WUUA1lAWd(
<br /> 20 Civic Center Plaza
<br /> Santa Ana, CA 92701 A';;J:ZED R~RESENT~I: c. If)
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<br />ACORD 25-5 (7/97)1 of 1
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<br />#S204740/M203148
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<br />TLV
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<br />@ ACORD CORPORATION 1988
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