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<br />ACORD.. CERTIFICATE OF LIABILITY INSURANCE ~'& 16 I DA11! (MWIDO/'I'YY'fJ <br /> n.-l 03/05/10 <br />I'ROOII<:Ell THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Call:fornia Insurance Centar ONLY AND CQNFSRS NO RIGHTS UPON THE CERTIFICATE <br />AJG , Co Ins. Brok.~s of CA HOLDER. THISCl:RTlFICATE DOES NOT AMEND. EXTEND OR <br />3697 Mt. Diablo Blvd. , 1300 At TER THE COVERAGE AffORDED 8YTHE POliCIES BELOW. <br />Lafayette CA 94549 <br />Phone: 925-299-1112 Fax: 925-299-0328 INSURERS AFFORDING COVERAGE NAJC* <br />INSUIW) lNWIWtA lW11W1 UIIIIll\IllU"N lll8. llO. <br /> INSUIlER II; LIIWl7r _ J'IM ).... co. <br /> ~Sfil.~ .1'nfiiiv~rt~, fgg. IItSUREll <:: ~ NS1lXCAll OtClALtt <br /> P o.nix AZ i 085~ i~4 \IISURfR 0: ~IBIllft I<<1'NNo nIIlI ntJI.. co. <br /> INSIJRl!R !: l'MWUU ~f't , ~n' co 31194 <br /> <br />CAHCI!LLATlON <br />ctTSAm\. SHOULD AItf OF.lllUeOW DElCAlIlO f'QLIQIS BI! CANCIU.1;D IlEfOllf THE W'lAAnOH <br />DATI! TIIEREOP, TIlIISIUlIKINURl!R WlU.I!Hll&AVOUO IIAI\, ~ PAYS WllfTTEH <br />NOllCE TO TH8 CeJtTIFICATIUIOLDERHAMIID TO TIlIl LUT. IlUTFALUU lOCO 1I08HAlL <br />"'POSI! NO OI~IOAT1ON OlnJAlIII.ITY OF Nf'( IlIIID UPON THIlIHSIIIlEfl. mt Mlrtrl OR <br />IW'MSEHTAlMS. <br />AUTltOllIZI! Rllae <br /> <br />COVI:RAGES <br />lltl POllCII!8 Of' 1H8UFWlCl! l18TED aJ;LOW HAW llaN lllS\EI) "TO '01& IItS\IREO AANEO N!av8. fOR TlII: POLICY I'VUOllIND~T1iO.IiO'JWm\ST/lllIlIiO <br />Nlt REQUI~HT. TERM DR CONDmoN~" NlY COHTAACT OR 0THSl OOCUMENTWIJH RlSPECT TO WHiCH Tl11S CeRTIFICATE /MY BE ISSUI!D OR <br />WOV Pl!RT"'". Tl1E 1ll$I.lAAHCE NfOROeo BY TMIl POLIClEll Pi,eRlBED H!R!.IN I$6IJBJItCT TO NJ. lKll TiR/.l8, &xCl.\JSIOH8 N<<J ~NnrrIOllB OF suc~ <br />fOlIC Ie!. AOORE~~ lallTS SHOWIl IMV HAVE BEEH REDUCED BY PAID ClAIIol$. <br /> <br />l.T NS eOI' lHsuilANcl POUC'l HUMBEIt <br />Gl!IleAAL UAIIIUTY <br />A X X COMMERClALGeHEIW.UABllITY 'l'BJZ91453980030 <br />elAll.lS ~ ~ OCCUR <br />X A.M. eeat: A 2N <br />X fer proj.o~/~oo <br />GEH'l AGGReGA. Te LIMIT I\PPllES PEII: <br />POlICY Pit X Lot <br />AUTOl108.L.aLlAlllUlY <br />X ~AUTO <br />IIU. ~l!Q AUTO$ <br />SCHEDULED AlITOS <br />HIftEO AUTOS <br />NQN.QWIIEO AUTOS <br />X A.M.8eat A XV <br /> <br /> <br />IEACHOCCURRENCl! <br /> <br />03/15/1~ <br /> <br />03/15/11 <br /> <br />P eMlSEB E'~ <br />t.reD tllS' (Anf .....1*1M1 <br />PEf\SOfW.& ICJ lI4J\IR"( <br />GfNERAL AGGREGATe <br />PROlIU(:T8. COIllPIQI> AGO <br />Ban. <br /> <br />ISO Ii'ORM 000001 <br /> <br />A <br /> <br />ASJZ91453980020 <br /> <br />03/15/10 <br /> <br />COMSINED 8lNOl!! LIMIT <br />03/15/11 IUtclti6ri) <br /> <br />OAAAGE UAaUTY <br />N<< NJJO <br /> <br /> <br />8OD\l..YINJURV <br />(1'<< panon) <br /> <br />TO FORM <br /> <br />8001. Y INJURY <br />1'61 .cci\tn) <br /> <br />10 <br /> <br />PROPERlY rwu.oe <br />(PIt 1ICddOnl) <br /> <br />AUTO OHlY . EA MlCIOl!Hl' <br />Eo\ ACe <br />AGO <br /> <br />QJHER THAN <br />A\IrOOHlY: <br /> <br />EXCUIlUIIBRf.U.A lIAIIIU'I'Y <br />B OCCUIl 0 ClAlMSw.oe TH2Z91453980040 <br /> <br />03/15/11 <br /> <br />EACH OCCURR~ <br />AGGREGATE <br /> <br />03/15/10 <br /> <br />IKbUClIBU! <br />X RI;TIlIIJ'ION $10 000 <br />WORKliRB COMI'EHSAl1OH AND <br />~PLOYl!R8' LlMlUrY <br />1\ N<< PROP.RIETORIPAATNER/fJ(fCIltMl <br />OFFICEAlMfM81!R eJlCLUOfO'l <br />Im~s_11lW <br />O'mU <br /> <br /> <br />03/15/11 <br /> <br />X T fl.1( <br />!.L. ~ ACCIDENT <br />E~. O.SfAB~.l!I.Et,lPLO <br />"'L. DlllfASl!.POlICYLIMIT <br /> <br />03/15/10 <br /> <br />WCJZ91453980010 <br />Jl.M BEST A XV <br /> <br />03/15/10 <br /> <br />C Errors & Omissions PPL10001967500 <br />berliabili AM smST A XV <br />~ Of' OPEMtION8. t L0CA1lOf($/VEtICl.ESl EXl:l.UIlOHS ADDm In' l!NllO/lAt,IllHT I 8P1!CA1. PIl.O\/lSIONS <br />Per I.GI3234090'1 !l'he Oi ~ otSlmt:.ll Ana, CA, it. officers, empJ.oy.... <br />vo1unteere are named .e Additio~_~n8ured a8 re.peots to General <br />Coverage i8 primar,y & non-contributDry. <br /> <br />03/15/3.1 <br /> <br />:&&0 <br />Ra1:lehUon <br /> <br />81\d <br />Liability . <br /> <br />CERTIFICATE HOLOER <br /> <br />City of Santa Ana <br />Paul... Coleman <br />20 Civio Canter Pla~a <br />Santa. l\na CA 92702 <br /> <br /> <br />ACO~O 25 (2001/08) <br /> <br />UMITI <br />a1 000 000 <br />. 1 000 000 <br />'5,000 <br />s 1 000 000 <br />s2 000 000 <br />.2,000,000 <br />1 000 000 <br /> <br />11,000,000 <br /> <br />, <br /> <br />. <br /> <br />. <br /> <br />. <br />I <br />. <br />,19 000 000 <br />_19 000 000 <br />sIlK Seat AX\' . <br />$ <br />I <br /> <br />11 000 000 <br />s 1 000 000 <br />.1 000 000 <br /> <br />.$2,000,000 <br />35 000 <br /> <br />ClACQRD CORI>ORATION 19811 <br />