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<br />AC()RD. ' CERTIFICATE OF LIABILITY INSURANCl;,u¥~?S I DATE IMMlDDIYY) <br />09/29/04 <br />PRDDUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Freeman 0; Pearce Ins. - COCIA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Lic. #0559854 HOLOER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1216 N. Tustin Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Orange CA 92867 INSURERS AFFORDING COVERAGE <br />Phone: 714-558-1334 Fax: 714-628-1330 <br />INSURED ~og~i~~c~ommunications INSURER A' Golden Eagle Insurance Corp. <br /> DBA:SOUTHLAND CAR COUNTERS INSURER B, Markel American Insurance Co <br /> DBA:PHOENIX DATA SERVICES INSURER C, <br /> DBA:FIELD DATA SVCS-INLAND EMP <br /> 1407 N. Batavia St, Su~te 107 INSURER D' <br /> Orange CA 92867 INSURERE, <br /> <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AEOVE FOR THE POllCV PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDI'TION OF ANV CONTRACT OR OTHER DOCUMEN'TWITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE lIMI'TS SHOWN MAV HAVE BEEN REOUCED BY PAID CLAIMS, <br /> <br />I <br />LTR <br /> <br />I I <br />DATE MMlDDIYY <br /> <br />TYPE OF INSURANCE <br />GENERAL LIABILITY <br /> <br />I <br />DA'TE MMlDDIYY <br /> <br />POLICY NUMBER <br /> <br />EACH OCCURRENCE <br />09/30/05 "REDAMAGE(A,,"oa',a) <br /> <br />A X COMMERCIAL GENERAL LlABIUTY CBP9888381 <br />CLAIMS MADE 0 OCCUR <br /> <br />09/30/04 <br /> <br />MED EXP (Ao, on. pe"on) <br />PERSONAL & ADV INJURV <br /> <br /> <br />GENERALAGGREGATE <br />PRODUCTS. COMP/OP AGG <br /> <br />LOC <br /> <br />A <br /> <br />COMBINED SINGLE LIMIT <br />09/30/05 lEa "d'",) <br /> <br />ANY AUTO <br />ALL OWNED AUTOS <br /> <br />CBP9888381 <br /> <br />09/30/04 <br /> <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON-OWNED AUTOS <br /> <br />8ODlLVINJURV <br />(P"p."on) <br /> <br />BODILVINJURV <br />IP".""",) <br /> <br />PROPERTY DAMAGE <br />¡P""""") <br /> <br /> <br />DEDUCTIBLE <br /> <br />AUTO ONLY. EAACCIDENT $ <br />EA ACC $ <br />AGG $ <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />OTHER THAN <br />AUTOONLV, <br /> <br /> <br />EACH DCCURRENCE <br />AGGREGATE <br /> <br />REmmc" <br /> <br /> <br />WORKERS COMPENSATION AND <br />EMPlOVERS' LIABILITY <br /> <br />OTHER <br /> <br />$ <br />E,I.DlSEASE-EAEMPLOVE $ <br />E.L, DISEASE - POLlCV LIMIT $ <br /> <br />B PROF LIAB INS MG-820157 <br />"CLAIMS MADE" PRIOR ACTS: 03-01-00 <br />DESCRIPTION OF OPERATIONSILOCATIONSlVEH'CLES/EXClUSJaNS ADDED BY ENDORSEMEN'TISPECIAL PROVISIONS <br />"CANCELLATION - EXCEPT 10 DAYS NOTICE FOR NON PAYMENT OF PREMIUM. <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS 0; VOLUNTEERS ARE <br />NAMED AS ADDITIONAL INSURED BUT ONLY INSOFAR AS THE OPERATIONS UNDER THIS <br />CONTRACT ARE CONCERNED. <br />RE: TRAFFIC COUNTING CONTRACT -PROJECT 5512 <br /> <br />03/01/04 <br /> <br />03/01/05 <br /> <br />EA CLAIM <br />AGGREGATE <br /> <br />CERTIFICATE HOLDER <br /> <br />Y ADDITIONAL INSURED; INSURER LETTER; A <br /> <br />CANCELLATION <br /> <br />LIMITS <br /> <br />$ 1 000 000 <br />$100 000 <br />$ 10 000 <br />$ 1 000 000 <br />$2 000 000 <br />$2,000 000 <br /> <br />$1,000,000 <br /> <br />$1,000,000 <br />$1 000 000 <br /> <br />THE CITY OF SANTA ANA, ITS <br />OFFICERS, EMPLOYEES, AGENTS <br />ATTN: ZED KEKULA <br />20 CIVIC CENTER M-21 <br />SANTA ANA CA 92702 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br />DATE THEREOF, 'THE ISSUING INSURER WILL""""""'" MAIL ..3..0..!.. DAYS WRITTEN <br />NOTICE TO THE CERTIFICA'TE HOLDER NAMED TO THE LEFT. B~ SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. 115 AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTA'TIVE <br /> <br />Leonard E Freema <br /> <br />SANTO 13 <br /> <br />ACORD 25-5 (7/97) <br /> <br />