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<br />ACORU", CERTIFICATE OF LIABILITY INSURANCE I DATE IMMfDD/rYj <br />1111912004 <br />"OOUO". Th" Mast..r Insurance Agency, Inc. THIS CERTIFICATE IS ISSUED ",. A MATTER QF INFORMATION <br /> 16053 VALLI:Y 6LVO ONLV AND CONFERS NO RIGHTS UPON TH!: C~RTIPICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED OV THE PQLlCIES BELOW. <br />.---- CITY OF INDUSTRY CA ~1744 INSURERS ..."FORCING COVERAGE <br />Uj261 854.9541 <br />I~SUReo INSUfU!!ftA: NATIONAL LIABILITY AND FIRE INSURANCE CO. <br />SOFTMASTER INC, IN:5URER 5: .. .. <br />20640 OAK CREST DR. IN6URIOR c; <br />DIAMOND BAR. CA 91765 I INSURER 0, .. <br /> j .-1 IINSURj:R e; <br /> <br />COVERAGES <br /> <br />THE ~OLICIES OF INSURANCE LISTED BELOW f-l'>VE BEEN ISSUED TO THE INSURED NAM.D ABOV. FOR THE POliCY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF MY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR. <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLiClES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POllCtES. AGGREGATE LIMITS SHOWN MAY HAVE sl!eN ~e:DUCED BY PAlD CLAIMS. <br /> <br />.~f:1 TVPI!OPINSURANCE POUCYNUMSEIil P8t+i";P6~IE "Bkf~f~~" <br /> <br />L.l1Yn"5 <br /> <br />...?!.NIIUL UAQILITV <br />COMMERCIAL GGNE:RAL LIABILITY <br />I CLAlVIS MADE 0 OCCUR <br /> <br />_ ~CH OCCURRENCE $ <br />FIRE: DAMAGE (Anyone Ore) $ <br />MfO EXf' (Any l:ln\!l POr~n/ $ <br />pE:ReONAL 6. A()V friJUtW :) <br />GENERAL^GGR~GATe $ <br />I'''Clt:!UCT&. C~MPIO~ AG.Q; !; <br /> <br />'1',. <br /> <br />~L A!JC3RE~ LIMIT A.P~S PER: <br />, POLICY I I ~~T i I LOC <br />~TOM~nlll.e L.IAI!IILITY <br />_ M'yAlJiO <br />_ ACL OWNEO AUTOS <br />_ ~HEOuLec Aljl'Oe <br />_ HIRl;;D AUTOS <br />_ NON-OWNED AUTOS <br /> <br />. <br /> <br />COMBINED SINGLE LIMIT <br />(Eiil',,.,.;l;i<;!nl) <br /> <br />. <br /> <br /><) <br />..... ~ <br />. . <br /> <br />eODll Y INJURY <br />(f'orlllilrson) <br /> <br />. I. <br />I <br /> <br />/" '-.. <br /> <br />.I <br /> <br />'-, x <br /> <br />BOCIL Y INJURY <br />{Peraeei~l"It) <br /> <br />, <br /> <br />~~! LIABILITY <br />1 ANY AUTO <br /> <br />'-1 <br />- -., --tI v <br />,'; , <br /> <br />'-. -~ <br />\,r <br /> <br />PROPERtY'OAtMGe; <br />(~1!lf8CciO&nl) <br /> <br />$ <br /> <br />}-----, <br /> <br />n I <br />. ,dl_ <br />'--"'" <br />--:-/ <br />,'" !'( <br /> <br />....UTOONLY-~A'XICI::NT :Ii <br />I <br />I <br />. <br />. <br />. <br /> <br />cAACf: <br />AGG <br /> <br />OTHER ll-IAN <br />AUTO Of'lL Y: <br /> <br />EXCESI5 LlAfIllITY <br />o OCCUR 0 GLAIM$ MADE <br /> <br /> <br />lJ OIiiD\,ICTlaL.E <br /> <br />1--1 REt!NT~N S <br /> <br />-- -WOR~ERS C'rj'M"'~~ATlONA.ND <br />, EMPLOVGIUi' UABIUTY <br /> <br />~CH OCCURRENCE <br /> <br />AGGRI2GATE <br /> <br />10/2712004 <br /> <br />. <br />. <br />--. '--'-X"ri-~~" <br />1 0/2112005 EL EAOH ,00105"Y . <br />E.L.. 016C....::II:. .I!A EM~~Q"I'!;. $ <br />I'<.L. OISE:ASl:: - fllOUCV L1MrT ill <br /> <br />. <br /> <br />A <br /> <br />0100000037--041 <br /> <br />1,000,000 <br />1,000,000 <br />1,000;000 <br /> <br />OTH~ <br /> <br />I <br /> <br />I <br /> <br />OESCA.IPnON OF QPERATIOf.W/lOCATIONSlVtiOCLE!IIEXCLUSIOJIIS ADDEO 6Y ENDORSEMI!NT/SI"EGlAL. PROVlllcmS <br />SUBJECT TO POLICY TERMS, cONDITIONS AND EXCLUSIONS, INSURED FOR THE LOCATION AT: <br />2512 CHAM6ERS RD., <br />TUSTIN. CA 92780 <br />'30 DAYS NOTICE SHOULD THE POLICY CANCEL FOR NON-PAYMENT <br /> <br />CERTIFICATE IiOLIJ~R I I AODl1LONAL INSLR!:O: INSURER L~EIil:: <br /> <br />CANCELLA'tION <br />:SHOULD ItN((IFYHllEAIOVi DESCRlBE~ l"OL-1CII;$ BE CANCELL.EP g~ORI! THE EXII'IRA110N .. <br />gATE THC~f, THill 'ISUIN$ INSURER WIL.-L ENDUVOR TO MAIL ...l2... DAYS WIUTT~N , <br />NO'fICE TQ THE CERTIFICATlI-IOLOER NAMED TO YH&: LIiiI"T, I!UT FAILURE TO DO SO SttALl <br />IMPOSE NO OliU,.JQATION OR UASIL.ITY OF A~ KIND UP"ON THI!! INSURER, IT5 AGENTS.. O~ <br />REPRE!JENTATlVe:S_ <br />AUTHOfUZfiP FtSPRESENTATIVE <br /> <br />~r <br /> <br />k <br /> <br />~\;(J <br />-' (:',: .~I . <br /> <br />CITY OF SANTA ANA <br />.~ OFFICERS, AGENTS AND EMPLOYEES <br />CIVIC CENTER PLAZA <br />P.O. BOX 1988-M12 <br />SANTA ~A CA 92702 <br /> <br />ACORD 25.3 (1/97) <br />LM: L.PW v1_Q.8an 11122104-8:36 OV U&il~arl"le <br /> <br />lP: lPW v1.Q.e on 11122104.9.39 by UlillrflljlM <br /> <br />. . <br />I!lACORI1 CO~PORATION'1:9n', <br />f1FI/1:0:l"': <br /> <br />80 391;'d <br /> <br />58A5 O~I 1:'58 <br /> <br />90PS-LP9-PTL <br /> <br />SE:PT S00~/PT/60 <br /> <br />