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<br />Hc;uH[~ CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DD/YYYY
<br />PRODUCER (510) 273-8888 FAX: 6/30/2009
<br />{510) 273-8867 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Saylor & HiII Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />CA License • 0003950 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES RFI nw
<br />1999 Harrison St St 1
<br />e 230
<br />Oakland CA 94612
<br />INSURED INSURERS AFFORDING COVERAGE NAIC #
<br />Sent INSURERA:Travelers Pro Cas of Am 25674
<br />ry Control Systems, Inc. INSURERB:Everest National
<br />9842 Glenoaks Blvd
<br />Sun Valley CA 91352
<br />INSURER E:
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A
<br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT BOVE FOR THE POLICY PERIOD IN
<br />DICATED. NOTWITHSTANDING AI
<br />OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PE
<br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT
<br />A R G
<br />
<br />INSR ADD'
<br />TO ALL
<br />A LI IT H Y V E R D P IM
<br />THE TERMS, EXCLUSIONS AND CONDITIONS OF RTAI
<br />SUCH P
<br />
<br />
<br />L
<br />,
<br />
<br />TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
<br />DgTE MM/DD/YY OLICIE
<br />
<br />GENERAL LIABILITY DgTE MM/D LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH RREN E $ 1 , OOO , OO
<br />A X
<br />CLAIMS MADE a OCCUR 6606276M384 9/1/200$ PREMISESaocTBence S 300,00
<br /> 9/1/2009
<br /> MED EXP An one arson S lO, OO
<br /> PERSONA 8 ADV INJURY E 1 , 000 , 00
<br />GEN'L AGGREGATE LIM
<br />IT APPLIES PER: GENERAL AGGREGATE E 2 , OOO , OO
<br />pp
<br />POLICY X PECT LOC PRODUCTS -COMP/OP AGG S 2 , OOO , OO
<br />AUTOMOBILE LIABILITY
<br />X ANY AUTO COMBINED SINGLE LIMIT
<br />p~
<br />ALL OWNED AUTOS 8106501M567 9/1/2008 (Ea accident) S
<br />9/1/2009 1, 000, OOI
<br />SCHEDULED AUTOS BODILY INJURY
<br />X HIRED AUTOS (Per person) S
<br />X NON-0WNED AUTOS BODILY INJURY
<br /> (Per accident) $
<br /> PROPERTY DAMAGE
<br />GARAGE LIABILITY
<br />(Per accident) S
<br /> ANY AUTO AUTO ONLY - EA ACCIDENT S
<br /> OTHER THAN EA $
<br />
<br />EXCESSlUMBRELLA LIABILITY AUTO ONLY:
<br />AGG S
<br />X OCCUR ~ CLAIMS MADE CH R E E 5, OOO, OOO
<br /> AGGREGATE S 5, OOO, OOO
<br />A DEDUCTIBLE CUP6501M579
<br />9/1/2008 $
<br />9/1/2009
<br />X RETENTION 0 $
<br />B WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY
<br />
<br />ANY PROP X T STAT
<br />U- 07H-
<br />Y
<br />RIETOR/PARTNER/EXECUTIVE I
<br />OFFICERIMEMBER EXCLUDED?
<br />If yes, describe under ~'-a-20011303081 10/31/2008 E.L. EACH ACCIDENT $
<br />10/31/2009 1 , OOO , OOO
<br />SPECIAL PROM ION below E.L. DISEASE - EA EMPLOYE $ 1 , OOO , OOO
<br />OTHER E.L. DISEASE -POLICY LIMIT $ _ 1 , OOO , OOO
<br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHK:LES/EXCLUSION3RDDED BY ENDORSEMENT/SPECIAL PROVISIONS
<br />The City of Santa Ana and the County of Orange, its respective officers,
<br />representativess are included as Additional Insured pith respect to Work employees, agents, volunteers and
<br />contract/agreement, performed by the Named Insured per pritten
<br />*10 day Notice of Cancellation for non-payment of premium
<br />City of Santa Ana
<br />Attn: Purchasing Department
<br />20 Civic Center Plaza
<br />santa Ana, CA ,~QOVED AS TO FORM
<br />a-
<br />ACORD 25 (2001/08) ` Flu-~..Y.~e~. /~ •-_~_ _......_._.
<br />wco~c,,,,,,e,,,o., Laura :.._::.:y
<br />Assistant Lay ~°.L:Llrncy.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL
<br />30 aE°~iX'°~I~C~d( MAIL
<br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~WEX
<br />~x~caca{T~~ac~x~cx~aGxB~asx~xT~x~a~ay-~In>~~c,~,~~~d~acac-~l~c
<br />~~f~-~+-~FsYoYeaf 126~Ye~a(Il(aE-ua~.
<br />AUTHORIZED REPRESENTATIVE
<br />John V. Stock/SL ~ ~~_~~ ~,_
<br />©ACORD CORPORATION 1988
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