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AC-DRt7 CERTIFICATE OF LIABILITY INSURANCE Dn, i °A E( <br />o` <br />PRODUCER <br />California xnaursnce Center <br />0"O <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />AJ'G & Cc Ins. Brokers of CA <br />ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3697 Mt. Diablo Blvd., #300 <br />ALTER THE COVERAGE AFFORDED By THE POLICIES BELOW, <br />Lafayette CA 94549 <br />A <br />Phone: 925- 299 -1112 Irax:925- 299 -0328 <br />INSURERS AFFORDING COVERAGE NAIL # <br />DlsuRen <br />INSURERA Team ilMDYAVA1n" INS. Co. <br />03/15/10 <br />INSURER B: LISMV MDTULI rlvx INS. CO. <br />22�lex Traf is 8 pagstIea�s n¢. <br />50 <br />INSURLRC: aNMAWKI #Ja=CAN 6"emry <br />I?hoenix'AZ3 085 854316 <br />INSURER 6: mum MnWJ6 rim IHa. Co. <br />Cf]VFRAf:pC <br />WSURERE: rAkwung CkeWLrr c 6vnsTr ca 31194 <br />1HE POLICIES Of INSURANCC LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCYPERIOOINDICATED. HOTWTHSTANO]NO <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VM RESPECT TO WFSCH THIS CERTIFICATE MAY BE I$$UED OR <br />MAY PERTAIN. THE *4VRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS or SUCH <br />POLICFES. AGGREGATE LIMITS SO" MAY HAVE BEEN REDUCED Sy PAID CLAIMS. <br />LTR <br />NSRI <br />TYPE OF INSLIRANCE <br />POLICYNUMBER <br />WOMMUMMW <br />umm <br />A <br />X <br />GEHERALUAmury <br />X <br />COh9NERCW GENERAI.LIABILITY <br />CLAM MADE ® OCCUR <br />A�M�Best; A XV <br />TB&TZ91453980030 <br />ISO rORM CGOOO1 <br />03/15/10 <br />03/15/x1 <br />EACH OCCURRENCE <br />PREMISE <br />$1,000,000 <br />si 000 000' <br />AAeOEXP {Airy orttpNtdt) <br />X <br />PER$O!ALAAOVINWRY <br />.$5,000 <br />f 110()0, 000 <br />X <br />Per project /loc <br />GENERA. AGGREGATE <br />42 1000,000 <br />GEN'L AGGREGATE �LIMIT .APPLIES PER <br />POLICY 2& X LOG <br />ALHTOY081U1 L.IAb1LTTY <br />PRODUCTS- COHgP10PAG0 <br />; 2 ODD, p0O <br />1,000 000 <br />A <br />X AwAuro <br />AsJZ91453980020 <br />43/15/10 <br />03/15 j1l <br />cDMBkIE MoteLBNT <br />{Ea eeadsnl} <br />31,000,000 <br />AU. OWNED AUTOS <br />BODLYINJURY <br />(Parporow) <br />f <br />SCHEOULEDAUTOS <br />ZSO EORti CAO O ? <br />HIREDAUT08 <br />NON-OWNEFAUTOS <br />X A.M.Best A XV <br />AP V <br />S TO FORM <br />3 <br />•& <br />BODILY IIQURY <br />(Pff —M 4) <br />~ <br />s <br />(P,O AA4WE <br />_ <br />GARAGE LIABILITY <br />ANYAUTO Puty ty A#Orney AUTO ONLY -EA ACCIDENT s <br />ATHEIr EAACC : <br />AVTO Y. AGO S <br />EXCESSAIYBROOIAL.IABIUTy EACH OCCUARENCE $19,000,000 <br />B OCCUR ❑ CLA>MSMADE TH2Z91453980040 03/15/10 03/15/11 AGGREGATE f 19 000 000 <br />TAM fast AXV " <br />DEDUCTIBLE <br />ORETENTION <br />$10,000 s <br />f <br />WORMS COMPENSATION AND X T Y <br />H.MPLOYERB''=r A Y WCJZ91453960010 03/15 10 03/15/11 E.L PACHACCIDINT s 1 000, 000 <br />A ANYPROPRIETOWPAJiTNER /EJ(ECIJTIVE j <br />OyFtaFIICEIVMEMSEREXCLUOIDi AM fL�3T A XV <br />SPECG11fPR0V191Ot186ekw EL.01WASE- EAEMPL0IE S 1 000 000 <br />OTHER &LDISEASE- POLICYLBAIT $ 1 000 000 <br />C Errors & omissions PPL10001967500 03/15/10 03/15/11 1 &0 $2,000,000 <br />berliabili AM BEST A XV RateHStioa $35,000 <br />DiSCF1PT10N aF OPPIHATION6! LOCATIONS / Y4sCLE8 / EXCLUSONS ADDED sY ENDDRBEgIIHUHr I SPLt7Al ►ROVrSwt+s <br />Per LG32340907 The City of Santa Ana, CA, its officers, OMPIoye" Band <br />volUntawrs are named as Additional Xnsured as xespeote to Cenral Liability. <br />Coverage .is primarir & non- aontributo=y. <br />CERTIFICATE HOLDER CANCELLATION <br />CI TSANA <br />City of Santa Ana <br />PaulA ColegL&n <br />20 Civic Canter plaza <br />Santa Ana CA 92702 <br />SHOULD ANY Of THE AHOYE DESCRIBED POLICIES DE CANCSLL EO BEFORE TR£ LVWnOA <br />DATE THP. REOF- INS MANiiIN >lURMR WILL ENOEAVORTOMAIL 30 DAYSw "EN <br />NOTICHTOTNECERTWCA TRHQLOER NAMED TO THIS LfffT BUT FAILURE T000SoaHALL <br />NA POS ENO09LIOATIONORWe(UTYOF ANY KOM UPON THB INSURER ff EN <br />SAOTaOR <br />REPRE$ENTAnm. <br />AUTHORIZE RE <br />ACORD 2r, (2ooma) <br />' ®ACORDCORP�RATION 1888 <br />