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<br />ACORD~ CERTIFICATE OF LIABILITY INSURANCE GS 31 CA~
<br /> UOBB 07-09-2004
<br />PRODUCJ;;R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />HRH CO OF METROPOLITAN WASHING/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />630070 P:(866)467-8730 F:(877)538-8526 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />P. o. BOX 29611
<br />CHARLOTTE NC 28229 INSURERS AFFORDING COVERAGE
<br />I"NBURE:D A- ;),CXY-! -133 INSURER A,Hartford Fire Ins CO
<br /> INSURER B I The Hartford Ins Group
<br />THE FERGUSON GROUP, LLC ;4. d003 ~ /3? INSURER c:
<br />1130 CONNECTICUT AVENUE NORTH WEST, SUI Ef,"a~.o
<br />WASHINGTON DC 20036 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. NOTWITBSTANDIN
<br />AN' REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERT=FICATE MAY BE ISSUED OR
<br />KAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUC
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />I;~R TYPE OF nlSURAl'ICE POLICY NUMBER ~:;;CY EPFECT:VE POLICY EXPIRATION LIMITS
<br /> ~ERAL LIASr:Lay EACH OCCa:<1l.RNCE ,1 000 000
<br />A COMMElICIAL GENERAL LIABILITY 42 SEA DE4944 04/08/04 04/08/05 FIRE DAMA;;E (Ar.y one h ,300 000
<br /> - t=J CLAIMS MA:lE W OCCUR ,10.000
<br /> X MED EXP (Anyon.. ""son)
<br /> Business Liab PERSONAL ~ ADV INJURY ,1. 000, 000
<br /> = ,2.000 000
<br /> - GENERAL AGGREGATE
<br /> ~'::' AGGREFl LIMIT APIilES PE , PRODUCTS - COMP/OP AGe ,2.000 OQQ..
<br /> POLICY PRO- X LOC
<br /> ~TO~ILE:LIABILITY COMBINED SINGLE LIMIT ,1,000,000
<br />A ANY AUTO 42 SBA DE4944 04/08/04 04/08/05 (E.. accidant)
<br />-
<br /> - ALL OWNED AllTOS 1I0DU.Y INJURY
<br /> (Pe" p..rs~nJ ,
<br /> X SCHEDULED AOTOS
<br /> HIRED Alr.'OS 1I0DU.Y INJURY
<br /> ~ ,
<br /> eX NON-OWNED AllTOS (P",,,aC!,,ij":lti
<br /> r- PROPERTY JAMA.GE ,
<br /> (Pe" ...""i;1ent:
<br />HOE UAB"'" --
<br /> 71f:Jt ( AUTO ONL Y - EA ACCIDEm ,
<br /> ~ ANY AUTO OTHER THA~ EA ACC , --
<br /> ei( l' AUTO ONLY, A'" ,
<br /> ~~SSL:ABILITY " / ~ClJRRENCE ,
<br /> ~ OCC:UR 0 CLAlMS MADE AGGREGATE ,
<br /> ~ f----- ,
<br /> ~DEDUC'l'IBLE ,
<br /> ! RETEN'l'ION $ ,
<br /> WORKE:R1l COMPE:IISATLDfl AND 1~llysr;~?MU~-'l'.c;1 X IOIH- 000-
<br />B EMPLOYERS- LIABILITY 42 WEC BR0303 04/08/04 04/08/05 ,500
<br /> E.L. EJl.CH ACCIDEN'l
<br /> ~~ISEASE -,EA EMPLO ,500 ~_
<br /> E.L. DISEASE _ POLICY L ,500 000
<br /> OTHER.
<br /> I
<br /> . . . ._~-'------------._-
<br />DESCRIPTIO'N OF OPE:RATIOlIlSfLOCATIOlfS!VEHtCLES/EXCLUS:ONS ADDED BY l>IlDOR.'lEMEN'l'/SI'ECIAL PRCNIiHO'NS
<br />Those usual to the Insured's Operations. Certificate holder the City of Santa
<br />Ana, its officers, employees, agents, volunteers, and representatives are
<br />named as Addtional Insured on behalf of work performed by The Ferguson Group
<br />per the Business Liability Coverage Form 8S0008. Please see cover page for
<br />add'l wordina.
<br />CERTIFICATE HOLDER I X I ADDITIONAl. nrSURED; INSURER. LE'l'TE:R: A CANCELLATION .______ _____ _.__~
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
<br /> 30 DAYS WRITTEN NOTICE (10 ~AYS FOR NON-PAYMENT) TO THE CERTH'ICAT
<br />The City of Santa Ana HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
<br /> OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS 0
<br />20 Civic Center Plaza REPRESENTATIVES.
<br />Santa Ana, CA 92701 '----._--- --
<br /> ~ORQPRESEN~~
<br /> .-,.-. I ~ Jl._ ~"-
<br />
<br />ACORD 25-5 (7/97)
<br />
<br />C ACORD CORPORATION 1988
<br />
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