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<br />ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE IMM/DOfYYVYj
<br /> '" 01/03/2008
<br />PRODUCER (949)756-5730 FAX (949)756-5740 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Spectrum Risk Mgmt. & Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />CA Lie. #OC77485 A-:;too 5-;u.. 8" HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />74 Discovery A'.;!oO"-O;l.3
<br />Irvine, CA 92618 A - iU>CJ<. - 3;;25 INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED TSCM Corp. A-::lO07 - 005 INSURER A Navigators Ins. Co. 42307
<br /> 18281 Gothard St. ,Ste.l09 N-I'j"1'1-:2-1) INSURER B. General Ins. Co. of America
<br /> Huntington Beach, CA 92648 INSURER C St.Paul Fire & Marine Ins. Co.
<br /> A - ;2.003- ;l- 3l?" INSURER 0: Cypress Insurance Company 10855
<br /> A-;;J..O04 -0;2.3 INSURER E
<br />
<br />COVERAGES
<br />
<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 TO WHICH THIS CERTIFICATE MAY BE 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 />I,N~~ ~e.~: TYPE OF INSURANCE POLICY NUMBER POLlCY EFFECTIVE PQ~!f",Y EXPIRATION
<br />~NERAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY
<br />I CLAIMS MADE [K] OCCUR
<br />
<br />LIMITS
<br />
<br />B
<br />
<br />-"lGEN'L I AGGR_EFGAT'fEI LIMIT APPLIES PER
<br />PRO- r---l
<br />POLICY JECT I I LaC
<br />
<br />~TOMOBILE LIABILITY
<br />
<br />~ ANY AUTO
<br />
<br />ALL OWNED AUTOS
<br />-
<br />_ SCHEDULED AUTOS
<br />~ HIRED AUTOS
<br />~ NON-OWNED AUTOS
<br />
<br />1,000,001
<br />50,000
<br />5,OO(
<br />1,000,000
<br />2,000,000
<br />1,000,000
<br />
<br />A
<br />
<br />1,000,000
<br />
<br />~~~GE LIABILITY
<br />H ANY AUTO
<br />
<br />C
<br />
<br />~ESSIUMBRELLA LIABILITY
<br />0J OCCUR D CLAIMS MADE
<br />
<br />h DEDUCTIBLE
<br />Ix1 RETENTION $ 10 , 001
<br />
<br />4,000,000
<br />4,000,000
<br />
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY
<br />D ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />!f yes descr;b8 u:"\de~
<br />SPECIAL PROVISIONS b810w
<br />OTHER
<br />
<br />1,000,000
<br />I,OO()~
<br />1,000,000
<br />
<br />L...o_ESCRIPTlON OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
<br />~e: Parking lot sweeping services.
<br />~he City its officers, agents, employees are named additional insureds
<br />iability per the attached forms.
<br />
<br />with resepect to the GL and auto
<br />
<br />e: Notice below: 10 days notice for
<br />
<br />CERTIFICATE HOLDER
<br />
<br />'" ,
<br />
<br />non-payment of premium and/or non-reporting of payroll.
<br />. .., . .
<br />, ,.' '.' ,'" ';"ANCELLATll"IN
<br />
<br />~~~n~i~~r~fy~a~~~1:~~oMn_2~5 ,'. '~'~'.I' .../..,'./~' -
<br />
<br />20 Civic Center Plaza ~.'.
<br />Community Development Agency
<br />Santa Ana, CA 92701
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />~~PJ~JION DATE THEREOF, THE ISSUING INSURER WILL IllsE 8R TO MAIL
<br />~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />
<br />., P"T r." ,'~~~... ..." co,...." .'?T'..... <'"., , ",n"""',,, "':' Q~' ....A........'...n' 'An., 'TV
<br />
<br />~. ..... IUlm tlf 81JTII! 1118b1AEfl,lT8
<br />
<br />BErna BR REPRE&Ern "'FI"li>:EI.
<br />
<br />AUTHORIZED REPRESENTATIVE
<br />Jim Waterhouse/GINNIE
<br />
<br />9-rl~
<br />
<br />ACORD 25 (2001/08)
<br />
<br />@ACORDCORPORATION 1988
<br />
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