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Sal?IU n?-}?# <br />AtE?!Rb® CERTIFICATE OF LIABILITY INSURANCE OPID PC DATE(LIMDOIYYYY) <br />ORANG-9 07/23/10 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Chapman ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License #0522024 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. 0. Box 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Pasadena CA 91117-0455 <br />Phone:626-405-8031 Eax:626-405-0585 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURERA: Osuc Amsican xnaovanea C. 16691 <br /> INSURER B: Carolina Casualty Ins CO 10510 <br />Oran COURt99 Conservation COL <br />po@ ny Hu <br />T i <br />y <br />T <br />l <br />h INSURER C: <br />yI <br />?1 <br />Q(p <br />99 <br />Q <br />1,yATnaheim CA 9Z8$lAVe. <br />l INSUflER O: <br /> NSURER E: <br />COVERAGES <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 TOW HICH THIS CERTIFICATE MAYBE 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 />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />O[?OpRUMMY) <br />Lip NSR TYPE OF INSURANCE POLICY NUMB ER GATE MhVODIY Y DATE LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br />A X X COMMERCIAL GENERAL LIABILITY FAC5154680 07/20/10 07/20111 DJUXASE5 Eaocwrance $100,000 <br /> CLAIMS MADE O OCCUR _ MED FXP (Arty one person) $5,000 <br /> _ PERSONAL B ADV INJURY $1,000,000 <br /> GENERALAOGREGATE s3,000,000 <br /> :GENL AGGREO_ATELIMIT APPLIES PER: PRODUCTS - COOAPIOP AGG s3,000,000 <br /> 7 <br />Parov JEROi Loc <br />C <br />Em Benef <br />1,000,000 <br /> AUT OMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br />$ <br /> ANY AUTO (Ea amtleal <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per pereen) 4 <br /> HIRED AUTOS ?} <br /> gg <br />fro F? $ <br /> NON-0WNED AUTOS a dens) <br />(ParacCtlanlj <br />(Per <br /> J? PROPERTYDAJ.IAGE $ <br /> (PeracddenU <br /> GARAGE LIABILITY <br />OSA <br />' S <br />neY <br />AUTO ONLY - EA ACCIDENT <br />$ <br /> ANYAUTO AttDT <br />CItY A EAACC $ <br /> tant <br />I OTHER THAN <br /> S <br />ASS AUTO ONLY: <br /> AGO S <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ? CLAIMS MADE l <br />/1 <br />- AGGREGATE g <br /> I $ <br /> DEDUCTIBLE S <br /> RETENTION $ S <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS' LIABILITY YIN TOflV LIMITS ER <br /> ANY PROPRIETORIPARTNERVXECUTIVF? <br /> <br />OFFICERMEMBER EXCLUDED? EL. EACH ACCIDENT <br />$ <br /> u <br />(MarKIM.'YM NM <br />I <br />E.L. DISEASE- EA EMPLOYE <br />$ <br /> I yes, desaibe urx <br />SPECIAL PROVISIONSbelole <br />E.L. DISEASE - POLICY LIMB <br />S <br /> OTHER <br />A Property coverage PAC5154680 F07/20/10 F07/20/11 <br />DESCRIPTION OF OPERATIONS T LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT ( SPECIAL PROVISIONS <br />City of Santa Ana, its officers, agents, employees and volunteers are named <br />additional insured with respect to the operations of the named insured per <br />the attached CG 2026 endorsement. 10 days notice of cancellation for <br />non-payment of premium. XX <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />CITYSAN DATE THEREOF, THE ISSUING INSURERMLL-MAR 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />City of Santa Ana <br />Communit <br />Develo <br />ment A <br />enc <br />y <br />p <br />g <br />y <br />P.O. Box 1988 <br />AU R¢EDR PRESENTATIVE <br />anta Ana CA 92702 <br />ACORD 25 (2009101) 01988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD