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<br /> ACORD,. CERTIFICA TE OF LIABILITY INSURANCE OP ID P9 DATE (MM/DDIYYYY) <br /> ORANG 9 08/09/07 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA TIO" <br />Chapman & Associates ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License #0522024 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND O~ <br />P. O. Box 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELO <br />Pasadena CA 91117-0455 <br />Phone: 626-405-8031 Fax:626-405-0585 INSURERS AFFORDING COVERAGE NAIC# <br />--------- -~ - ~- -_.~- - - ----- ~ -~-_.----_._--- _..~--- - ---- --- ---- -- --..------- -~ <br />INSURED INSURER A Great American Insurance Co 16691 <br /> INSURER 8~ <br /> -- <br /> Orange County Conservation Cor INSURER C <br /> - -~ <br /> 1853 N. Ra~ond Ave. , INSURER D~ <br /> Anaheim CA 92801 <br /> 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 INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />PDlICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />I'~T~ rNs~t TYPE OF INSURANCE POLICY NUMBER PD~~~fJ~~E : Pgk~CEY(~f!t&f}trA~N LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 ,000,000 <br /> - UAMAGl::: I U KeN I l:::U <br />A X COMMERCIAL GENERAL LIABILITY PAC515468001 07/20/07 07/20/08 PREMISES (Ea occurence, $100,000 <br /> - - <br /> CLAIMS MADE X OCCUR MED EXP (Anv one person I \ 5,000 <br /> -- - - <br /> f----' PERSONAL I. ADV INJURY \, 1,000 ,000 <br /> I GENERAL AGGREGATE \2,000,000 <br /> - <br /> , GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 1,000,000 <br /> - - PRO - <br />, POLICY JEC" LOC <br /> AUTOMOBILE LIABILITY i i <br /> - I i COMBINW SINGLE L1MI, S <br /> AN' AUTG lEa acciaent I <br /> - <br /> All OWNED AUTOE BODILY INJUR" <br /> - \ <br /> SCHEDULED AUTOS (Per- person} <br /> - <br /> HIRED AUTOS BOOll Y INJURY <br /> ~ , <br /> NO~-OWNED AUTOS (Per aCcldentl <br /> ~- <br /> - PROPERTY DAMAGE S <br /> (Per accujent <br /> GARAGE LIABILITY i AUTO ONLY - EA ACCIDEN~ \ <br /> - <br /> AN" AUTC, OTHER THAN EA ACe s <br /> - AUTO ONLY. <br /> AGG \ <br /> EXCESS/UMBRELLA LIABILITY ! EACH OCCURR"NCE \ <br /> ~ <br /> OCCUR CLAIMS MADE AGGRE GATE \ <br /> - - <br /> $ <br /> - <br /> DEDUCTIBLE ! \ <br /> - <br /> R~Tt:NTION $ . ! \ <br /> WORKERS COMPENSATION AND _ TOR/LIMITS1-J.'!~~ <br /> EMPLOYERS' LIABILITY --~- <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ; E.L EACH ACCIDEN" is <br />; OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE \ <br />i If yes, describe under I <br /> SPECIAL PROVISIONS below I EL DISEASE ~ POLlCv LIMIT \ <br /> OTHER I <br /> , <br /> . <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />The City of Santa Ana, its officers, employees, agents and volunteers are <br />named additional insured with respect to the operations of the named insured <br />per the attached CG 2026 endorsement. Such insurance is pr imary and <br />non-contributory. 10 days notice of cancellation for non-payment of premi urn. <br />XX <br /> <br />CERTIFICA TE HOLDER CANCELLATION <br /> <br />CITYSAl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATlO <br /> <br />DATE THEREOF, THE ISSUING INSURER WILL <br /> <br />TO MAIL 30 <br /> <br />OAYS WRITTEN <br /> <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />APPROV b <br /> <br /> <br />Lorena aloza <br />Assistant City Attorney <br /> <br />ACORD 25 (2001/08) <br /> <br />