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<br />09/14/2005 14:35
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<br />714-647-5406
<br />
<br />CSA INFO SVCS
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<br />PAGE 10
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<br />PPlODUClEII
<br />
<br />ACORD", CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />IDA"
<br />10-25-2004
<br />
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERnFlCATE DOES NOT_~~IND. EXTEND OR
<br />ALTER THE COVERAGE AFFORDED IY THE POUCIES 8ELoW.
<br />
<br />STUCKEY & COMPANY/PHS
<br />539645 P: (866)467-8730 F: (977)538-8526
<br />P. O. BOX 29611
<br />:U\RLOTTE NC 28229
<br />/T"."'. A-,;;{{JOI-:J50
<br />
<br />SOFTMASTER INC A-",/J'J~-;l.J3
<br />20640 OAK CREST DR !+-dco.3-;;I../A
<br />DIAMOND BAR CA 91765 A -(}{J(y/.-;?51
<br />COVERAGES
<br />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />INsuFlERA,Hartford Casual tv Ins Co
<br />JNSUFK;JtIl:
<br />INf:UR&R Cl
<br />INSUflER 0:
<br />IN1!iUA~ ~
<br />
<br /> THE POLICIES OF IN~~RANCE UBTED BELOW HAVE BEeN ISS~ED TO THE INSURED NAMED AeOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
<br /> ANY REQUIREMENT, TERM OR OONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI~ CERTIFICATE MAY BE ISSUED OR
<br /> MAY PERTAIN. THE INSURANCE AFFORDED 8V THE POLICIES DfSCIllBED HEREIN IS SUBJECT TO ALL THE TERMS, EXClUSIONS AND CONDITION' OF 'UCH
<br /> POUCIES, AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS,
<br />r,\R TYJl! DJ ""UAAJlC!1 IIOLlCl. NUU'" roJ,tr;;y If~ r:k!2r.!':.'r~N I "IIIITI .
<br /> OINIRAL LlAIItU'IY r EMti OCCUftneNl;e: 1,2,000 000
<br />1l - 84 SBA KW9097 12/24/04 12/24/05 FIMDAMA.EI....~... 1.300,000
<br /> COMMEflIClAl QENEM.L UA8/UTY
<br /> I ClAJM5 MADf! l1tJ OCCUR MiD ~ ,Any DrJI' P."lrl'il'llI .10 000
<br /> X Business Liab PERSONAL' MY INJURY ,2,000,000
<br /> f- GEfIIERAL AGOREGATE .4,000,000
<br /> n'L ^GCmrATE~;; APPL1i ~R; PlIDDucn: . COMP.IOP AGG .4.000.000
<br /> "'L1O. I ~ IX LOG
<br /> ~TONO"'E UAIIL.,... 12/24/04 12/24/05 COMIIlNm SJNGLl L.IMIT .2,000,000
<br />A A.NV....Ul'O 84 SBA KW9097. tbi~tl
<br />, f-
<br /> c- ALL OWNED AUTOS BODfL.Y INJURY
<br /> .
<br /> SCHEDULED AUTOG !P.rPttMN -
<br /> rx f111~A,UTOS ! BODIL. INJl.fI.
<br /> if .
<br /> NON-OWNED AUTOS fiP8r.lll:!llidlnQ
<br /> =
<br />- PROP,II'TV DAMAGl .
<br /> I,.., eecldlntl
<br />)'--"" ~"". L1ULnY AUTO ONLY- EA ACCIDENT .
<br /> .-1 ANY AUTO OTHI!"TI-lAN &;:^^~(: .
<br /> A\JTG DNLY; '0. .
<br /> ~I~ lAC,", OCCURRENCE. ,
<br /> .
<br /> f-J OCCUR U ClAIMS IMDE ,.. I ~GfI~GATG .
<br /> \ .
<br /> R D"UOTI~" chp !. //>. .
<br /> RIlHNTION . ~I .
<br /> WOR." (!C)M'EPaATION AMD J - ~V~ i" i IOl:-
<br /> IMN.,OYIII' l-IAIIUTY
<br /> H. EACH ACODENT .
<br /> f..L DISEASE, E,A. EMPLOY1:f. 0
<br /> -- . ',,_.' ",., E.L. DISEASE. PQI..U.Y_UMIT .
<br /> OTH"
<br />DfSGIIIrIlON 011 OlllUtAno.....l/LOCATIONlNEHICLHIIXCLWlIONa ADDED II'f ENDOUEMfNf!l.te"'J. P~YltION'
<br />Those usual to the Insured's Operations. Coverage is primary ..
<br />non-contributory per the Business Liability Coverage Form 330008, attached co
<br />chis policy. The Cicy of Santa Ana, its officers, employees, agents and
<br />volunteers ar.e listad as Aaditional Insured.s.
<br />
<br />CERTIFICATE HOLD~" I X I AIlDITIDOALI"'."""'UAIII",",,!, A
<br />
<br />
<br />IThe City of Santa Ana, Its Officers,
<br />, "'Ilployees. Agents and Volunteers
<br />.~ Civic Center Plaza
<br />Santa Ana, CA, 92701
<br />
<br />ACORD 2(;.(; 17/9 71
<br />
<br />CANCELLA TlON
<br />
<br />SHOULO ANY OF THE ABOVE [)EBCRIBED poue;l~ &I! eANCEU.EO DEFORE THE'
<br />EXPIRATIOIol OAH THEIlroF. THE "'UINO IN$VAER WILL ENDEAVOR TO MAIL
<br />.0 DAVS \oVl!ITTEN NOTICE 110 DAVS FOR NON-PAVMENT) To TH~ CeRTlFIGATE
<br />HOLDER NAMED TO THE LEFT. aUT FAILURE TO DO 50 SHALL IMPOSE NO
<br />OBLIGATION OR UABIUTV O~ ANY KIND UPON THE INSURER. IT. AGENT5 OR
<br />REPRESENT A llVEll.
<br />
<br />~QREPRE&I!~~I . \.
<br />I ~~Ia..,-'t~t....
<br />
<br />o ACORD CORPORATION IN.
<br />
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