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<br />ACORD," <br /> <br />If - ;Joó:7~ J-/<?. <br />CERTIFIC.E OF LlABII,.ITY INSU.\NCE D~;;i~~~~;V1 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMENIJ. EXTEND OR <br />ALTER THE COVERAGE AFFORIJED BY THE POLICIES BELOW. <br /> <br />FRODUC<R The Master Insurance Agency, Inc, <br />18053 VALLEY BLVD <br /> <br />CITY OF INDUSTRY <br />(626) 854-9541 <br /> <br />CA 91744 <br /> <br />INSURERS AFFORDING COVERAGE <br />INSURER A Everest National Insurance Company <br /> <br />- <br /> <br />INSURED <br /> <br />SOFTMASTER INC. <br />20640 OAK CREST DR. <br />DIAMOND BAR, CA 91765 <br /> <br />INSURER B <br />INSURER C <br /> <br />---- <br /> <br />INSURER D <br />INSURERE <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUR 0 NAMEO ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANv REQUIREMENT, TERM OR CONDITION OF ANv CONTRACT OR OTHER DOCU ENT WITH RESPECT TO WHICH THIS CERTIFICATE MAv BE ISSUED OR <br />MAv PERTAIN, THE INSURANCE AFFORDED Bv THE POLICIES DESCRIBED HEREI IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAv HAVE BEEN REDUCED Bv PAID CLAI S, <br /> <br />1m.. ~PEDFINSURANCE I Ip LlCVE;FECT~ ¡VE PDLlCYEXPIRAT~~DN ,LIMITS <br />LTR ,. POLICY NUMBER ATEIMM/DDIYVI DATEIMM/DDIYVI <br /> <br />~NERAL LIABILITY I EACH OCCURRENCE' -- <br /> <br />COMMERCIAL GENERAL LIABILITY " W",RE DAMAGE IAny 000 t"'1 . <br /> <br />= =:J CLAIMS MADE 0 OCCUR I I I MEDEX;;-(!;-';;;'P"'O~~C;----'- <br /> <br />~.ADV INJUR.:'.......f-'--___- <br /> <br />GENERAL AGGREGATE S <br /> <br />PRODUCTS - COMP/OP AGG . <br /> <br />~'L AGGREGATE LIMIT APPLIES PER <br />.....J PDLlCY 0 j:!?! 0 LOC <br />~TOMOBILE LIABILITY <br />~ ANV AUTO <br />~ ALL OWNED AUTOS <br />~ SCHEDULED AUTOS <br />~ HIRED AUTOS <br />- NON-OWNED AUTOS <br /> <br />COMBINED SINGLE LIMIT <br />IE"""""'I <br /> <br />. <br /> <br />BDDIL Y INJURV <br />IP"P"'COI <br /> <br />. <br /> <br />BODILY INJURY <br />IP"'œid,",) <br /> <br />. <br /> <br />L,) " <br /> <br />iU FORi'! <br /> <br />PROPERTY DAMAGE <br />IP"'"eld'"t) <br /> <br />. <br /> <br />GARAGE LIABILITY <br />=1 ANV AUTO <br /> <br />EXCESS LIABILITY <br />=:J OCCUR D CLAIMS MADE <br /> <br />=:J DEDUCTtBLE <br />-I RETENTIDN . <br />WORKERS COMPENSATION AND <br />EMFLOYERS' LIABILITY <br /> <br />kí~--- --,------ <br /> <br />:iI" <br /> <br />AUTOONLV-EAACCIDENT S <br />EAACC S <br />AGG . <br />. <br />. <br />. <br />S <br />. <br />X WCSTATU- I 'OTH- <br />TORY LIMITS 1 I'ER <br /> <br />DTHER THAN <br />AUTO ONLY <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />A <br /> <br />3900037744021 <br /> <br />10/27/2003 <br /> <br />10/27/2004 <br /> <br />E,L EACH ACCIDENT <br /> <br />S <br /> <br />1,000,000 <br />1,000,000 <br />1,000,000 <br /> <br />ELDISEASE-EAEMPLOYEES <br />EL DISEASE - POLICY LIMIT' <br /> <br />OTHER <br /> <br />I <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESlEXCLUSIDNS ADDED BV ENDDRSEME T/SFECIAL PROVISIONS <br />SUBJECT TO POLICY TERMS. CONDITIONS AND EXCLUS IONS, INSURED FOR THE LOCATION AT: <br />2512 CHAMBERS RD" <br />TUSTIN, CA 92780 <br />'30 DAYS NOTICE SHOULD THE POLICY CANCEL FOR N N.PAYMENT <br /> <br />CERTIFICATE HOLDER <br /> <br />I I ADDITIONAL INSURED; INSURER LETTER' <br /> <br />CITY OF SANTA ANA <br />ITS OFFICERS, AGENTS AND EMPLOYEES <br />20 CIVIC CENTER PLAZA <br />P,O, BOX 1988-M12 <br />SANTA ANA <br /> <br />CA 92702 <br /> <br />CANCELLATION <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TD MAIL ~ DAYS WRITTEN <br />NDTICE TD THE CERTIFICATE HDLDER NAMED TO THE LEFT. BUT FAILURE TD DO SD SHALL <br />IMPOSE ND OBLIGATION DR LIABILITY OF ANV KIND UPDN THE INSURER, ITS AGENTS DR <br />REFRESENTATIVES, <br />AUTHORIZED REPRESENTATIVE <br /> <br />~ko <br /> <br />ACORD 25,S (7/97) <br />LM LPW.19,B co2l21/03-"'6by U",N,m, <br /> <br />LPLP",9,6co2l21/03-1548byU"fN,m, <br /> <br />@ACORD CORPORATION 19B8 <br />PF.,0 1 <br />