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<br />AJ;{lBO,. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDOfYY) <br /> 03/01/04 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MAlTER OF INFORMATION <br />Comml Support. Irvine ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE <br />SullivanCurtisMonroe #0721187 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />2100 Main Street, Suite 350 I <br />Irvine, CA 92614 Þ INSURERS AFFORDING COVERAGE <br />-- - ---------'--- ---.---',.---..---..-- a__- ---~_.. ... -.-".--- . -----.,..- <br />INSURED INSURER A: Peerless Insurance Company <br /> Fullmer Contract Furniture :~~~RB: Gold~~ Eagle I~s~_rance ComPê!~Y ----.------ <br /> 400 N. Tustin Avenue ~~~~.~§RC: Zen!!h Insuranc~.-~ompany --. -- - - ._-------,- <br /> Santa Ana, CA 92705 INSURER D: Firem~n's_~nC!!~~~!a~c! Company <br /> ---- ----"'----- <br /> INSURER E: <br /> <br />Client#: 10486 <br /> <br />FULLMCON3 <br /> <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOA THE POLICY PERIOD INDICATED. NorWITHSTANDING <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 />~f: ' . --;;-PE O;~~SURANCE ! . -'- POUC-;-N~~BER I P8~CV E:5~~E- <br /> <br />A <br /> <br />. GENERAL LIABILITY ! CBP9821629 <br />iCOMMERCIALGENEAALLIABILITY I <br />CLAIMS MADE X:J OCCUR! <br /> <br />03/01/04 <br /> <br />. POLlCV EXPIRA1ÏõNT-- --------- <br />DATE MMlDDlVV ' LIMITS <br />03/01/05 I :,:~H~~~~:~~;~;;~n !:~:O~~~OOOO <br /> <br />I_M_~_D E~~ (Any ~~ ~~-_+-~,Q09- <br />~~E_A_~~AL & ~D,! I~JU4~_1-,Q90.000 <br />; GENEA_A~_~§GAEGATE s2,Oo.(},o.o.O <br />~~_~OD,lJ~~--~n~~~!,IOP AGe;. ~_~LQ.o9 OOO <br />I <br /> <br />GEN'L AGGREGATE LIMIT APPLIES PEA: : <br />0--1 POLICY 1'-- jAg !i LOG I <br />A ¡ ~~!OMOBILE LIABILITY ,CBP9821629 <br />, X ' ANY AUTO <br />ALL OWNED AUTOS <br /> <br />03/01/04 <br /> <br />03/01/05 <br /> <br />COMBINED SINGLE LIMIT <br />I (Eaacciden1) <br />I~~~I~-~~~~~- <br />: (Per person} <br /> <br />$1,000,000 <br /> <br />.------- - <br /> <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON-OWNED AUTOS <br /> <br />$ <br /> <br />-------- <br /> <br />BODILY INJURY <br />(Peraccidenl) <br /> <br />$ <br /> <br />GARAGE LIABILITY <br />ANY AUTO <br /> <br />.L-.Á.- <br /> <br /> <br />B <br /> <br />EXCESS LIABILITY <br />X OCCUR <br /> <br />: CU9822929 <br /> <br />03/01/04 <br /> <br />03/01/05 <br /> <br />PROPERTY DAMAGE <br />(Per accident) IS <br /> <br />I' _AUTO ONl Y_:.~~ ACCIDENT J-.' <br />OTHER THAN EA ACC $ ___n___-. <br />AUTO ONLY: AGG -¡ $~ <br /> <br />1-"-.~qf:l2Ç~URREI!..C. -~-----. ._I.S1 o.,!H~9,9.0.0 - <br />_~c;.~REGATE_- ----- s1o.,OOQß.Q!L- <br />, , $ <br />n___-¡- - <br /> <br />CLAIMS MADE <br /> <br />DEOUCTIBLE <br />RETENTION <br /> <br />C <br /> <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br /> <br />Z065461501 <br /> <br />101/01/04 <br /> <br />I <br />01/01/05 <br /> <br />$ <br />,wc STATU- OTH-' <br />_.JIQBY lIM!T.S--"__-- ~8 -¡ n--__--- <br />E.L EACH ft-CCIDENT ' $1,000,0.00. <br />i ~::~:.oI_~~-~-~-~-~-~-E~~~Q~Eõ_~_~_1! QgO ,o.9~9 <br />I E.L DISEASE - POLICY LIMIT 151,000,0.00. <br />$5.000.000 <br /> <br />$ <br /> <br />D <br /> <br />OTHER Comm' Exces <br /> <br />IXTMOO076332626 <br /> <br />. 03/01/04 <br /> <br />! <br />03/01105 <br />I <br /> <br />DESCRIPTION OF OPERATIONSIlOCATlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />** Supplemental Name ** <br />Fullmer Contract Furniture & Services <br />Contract Furniture Installation Services, LLC <br /> <br />(See Attached Descriptions) <br /> <br />CERTIFICATE HOLDER <br /> <br />, <br />1 ADDITlONALINSURED;INSURERLETTER: <br /> <br />CANCELLATION <br /> <br />City of Santa Ana Community <br />Redevelopment Agency <br />20 Civic Center Plaza M-21 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br /> <br />SHOULD PJ.jYOFTHE ABOVE DESCRIBED POLICIESBECANCELLED BEFORE THE EXPlRATlQl'll <br />DATE THEREOF, THE ISSUING INSURER WILL~J(~MAIL3D--DAYSWRITTEN <br />NQT1CETOTHE CERTIFICATE HOlDERNAMEDTOTHELEFT, B)(J{lJØlJt&'DC]OI'U!~liUl:Þ(lGXX)( <br />MeQlX~J(tI{X.KØ)ØJí(Þ(II:JØX«Þ(DIt)tØXi:~)(n:!lit:II{X <br />BUG"~x <br />AUTHORIZED REPRESENTATIVE <br /> <br />ACORD 25-S (7/97) 1 <br /> <br />of 3 <br /> <br />#M6200 <br /> <br /> <br />D CORPORATION 1988 <br />