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<br />ACORD. CERTIFICATE OF LIABILITY INSURANCE OP IDDV I OAn(MMlDOiVYYV)
<br />LIEBE-l 05/13/09
<br />PRODuCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Narver Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />641 W. Las Tunas Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />PO Box 1509 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />San Gabriel CA 91776
<br />Phone: 626-943-2200 Fax: 626-299-1010 INSURERS AFFORDING COVERAGE NAIC#
<br />IOISURSD INSURER. V.H.y........'.....n.._~y
<br /> 1000URER ~. Co"u.n_.to! "".....uy C<ooo>""y
<br /> Liebert Cassidy Whitmore INllUREAC: Westport Insurance Company
<br /> Danielle M. MQlette
<br /> 6033 W. Cen tury 81 vd. , Ste.SOD lNSURERO"
<br /> Loa Angeles, CA 90045
<br /> INSURERE
<br />
<br />COVERAGES
<br />
<br />THEPOlIClESOFIR8VR,f,NCEUSTED9ELOWH"VEBE'EN'SSUEDTOTItEIHSUREDN.o.liIED"SOIIE FORTHE POUC'l' PERIOD INOICIlT w. NOTWITHST"WOIND
<br />ANYREOOIREIoIENT.TERIoIORCONDITIl.>NOF...NYCONTRACTOROTHERPOCUW:NT WlTHRElIPECTTOWHICHTHI8CERTIFlCIITEW\Y8EI8IUEDO/l
<br />.....VPERTAIH.THEIOI8URAMCEMFORDE08VTHEPOllCJUOESCRlIIEDHEOIElNIS8UIlJECTTO"'LLTHETERMS.EXClU'IQN'~NDCONOlTIONSOfsUCH
<br />POUClES_AaaREGATElNITS8NOWNM"YHIlVEBEE"REDUCECBYP~ICCLAlM8
<br />
<br />INSR DD'l
<br />LTII SRD
<br />
<br />TYl'ED~lf\I5UIlANCE
<br />
<br />I'OUCYNUIlI~
<br />
<br />I'OUCYEFI'ECTIYE
<br />I>>.TE(MMIDl>IY'1
<br />
<br />I'OUCYEXPlllAnON
<br />OIITE(MIM>O/YT)
<br />
<br />UMITS
<br />
<br />A
<br />
<br />x
<br />
<br />GENEIlALU....,UTY
<br />l-
<br />X COIdMERC"-LCENER"lUABILlTY
<br />I ct.A1~ MMlE C!.J OCCUR
<br />
<br />2099768453
<br />
<br />12/14/08
<br />
<br />12/14/09
<br />
<br />E"CHOCCURIIENCE
<br />OMlMlETORENTEC
<br />PIIEMI8SS(Eoo""""n,.)
<br />
<br />, $2,000,000
<br />1$300,000
<br />1$10,000
<br />, $2,000,000
<br />, $4,000,000
<br />, $4,000,000
<br />
<br />MEDEXPV...,..........n)
<br />
<br />~
<br />
<br />P'ER.OO"L."DVINJUIIY
<br />
<br />GENEIl.O.lMOREC"TE
<br />
<br />~cEN'L"",OREGATEUMIT~P""'ESPH'n
<br />r-l PRO-
<br />X POlICY ~__lJECT WC
<br />
<br />PROOUCTE_COMPH)/>I<GC
<br />
<br />x
<br />
<br />~TOMOBIUL"""lITY
<br />I<N'f,o,uTO
<br />-
<br />~lLOWNEOl<UTO'
<br />-
<br />-
<br />X HIIIEC~UTOS
<br />-
<br />X NON.cmNEOAUTOS
<br />~
<br />-
<br />
<br />COMEINE08INOLELlMIT
<br />(Eo ""''''''''l
<br />
<br />, $1,000,000
<br />
<br />8CHEDULEO"uTos
<br />
<br />BOOIlYI.....URY
<br />!P.,p....'"
<br />
<br />A
<br />A
<br />
<br />2099768453
<br />2099768453
<br />
<br />12/14/08
<br />12/14/08
<br />
<br />12/14109
<br />12/14/09
<br />
<br />BOOILYINJUIIY
<br />lPo,o"""Onl)
<br />
<br />PRCPERTYDAMACE
<br />!P.,oooido"'l
<br />
<br />~F:7::~n
<br />
<br />I<UTOONLV-E,O,.o,cCIOENT
<br />
<br />OTHERTH~N
<br />~UTOONLY
<br />
<br />E"~cc
<br />
<br />'00
<br />
<br />B
<br />
<br />EJ(CEBS/uMBREU-IllIAllIUTY
<br />~OCCUR o CLANs "'''DE
<br />
<br />IIOSO\JCTIBLE
<br />~RETENTION
<br />
<br />E~CH OCCURRENCE
<br />
<br />$ $2,000,000
<br />$ $2,000,000
<br />
<br />2099769408
<br />
<br />12/14/08
<br />
<br />12/14/09
<br />
<br />""'GREG.OTE
<br />
<br />,10,000 I
<br />
<br />\YQIIKElUCOMPEN$AnON~ND
<br />Er.lPlDYEIIS'UABIUTY
<br />"NYPROPRIETOIUP"RTNEFUEXECUnllE
<br />OmCERlME"'BERE!\CLUDEO?
<br />
<br />IT:;:'~~:I~~. I 10::,
<br />
<br />E_l,E"CH"CcrDENT
<br />
<br />or,...d,,<rlbou_,
<br />.PEClAl PROVI.,ONS b......
<br />
<br />E.L.OISE,O,SE.E"E"'PLOVEE
<br />
<br />E,LDI8t"1<8E-POLICYU"'1T
<br />
<br />0_'
<br />
<br />c
<br />
<br />Professional Liab.
<br />
<br />WLL301009307100
<br />
<br />12/10/08
<br />
<br />~a CI?m /"7 $2,000,000
<br />A\q~ate/ / $2,000,000
<br />~PR~VEy',h">-/F
<br />'j X<
<br />Jose Sando't.ol
<br />f Jenior Assistant City Attorney
<br />CANCELLATIONV
<br />
<br />12/10/09
<br />
<br />CE8CIIIPTlONOfOPEAAnONSILOc"nONSIVEHICLU'UCLUSIONS"OlIECBYENOOllIEMENTISPEC,,,lPRQYISIONS
<br />
<br />*10 day notice of cancellation in the event of a non-payment of premium.
<br />Certificate holder is named as an additional insured in regardm to the
<br />
<br />general liability policy.
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CITYSAA
<br />
<br />SHOULD.~YQFTHE".DY~IIliSC""BEO~QlICIEliaEC.~CEllEOBEF<I"'''THEEXP'R.T1O''
<br />
<br />llATETHEREllF, THEIESUI~\;IINSURERWlLLENDEAYDRTQ M"IL
<br />
<br />30'
<br />
<br />Q.YSWRfTTEN
<br />
<br />City of Santa Ana
<br />20 Civic Center Pla~a
<br />P.O, Box 1988
<br />Santa Ana CA 92702
<br />
<br />NQTlClITQTHECERTlflC.TEHOLOEM....".EDTOTHEUlFT,8UTF.,LURETQOOSOSH.LJ,.
<br />
<br />'MfOUNQ08uo.nCNORUMIUTYOF.NYKINDUP"NTHE'NSUIlU.IT1I."ENTSCR
<br />
<br />RE~SENT..nVES.
<br />
<br />ACORD 25 (2001/08)
<br />
<br />
<br />--d
<br />
<br />
<br />@ACORD CORPORATION 1888
<br />
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