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<br />AkQBD", CERTIFICATE OF LIABILITY INSURANCE I DATE {MrNDDlYYI' .
<br />11412005 "~'"'.
<br />PAOClUCIA The Master Insurance Agency, Inc. THt5 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ..',
<br /> 18053 VALLEY BLVD ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND oft' "
<br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BJ;LOW. ,," "
<br /> CITY OF INDUSTRY CA 91744 INSURERS AFFORDING COVERAGE
<br />,\ (626) 854"9541
<br />.._URlO INSURJ;;R. A: TUDOR INSURANCE COMPANY . ~"L._'"
<br />SOFT MASTER INC. INSURER 8: ";j.,"":'
<br /> tN5UM/il:C: " . ,,,,ow,,,,:
<br />20640 OAK CREST DR INSURER 0: "':""'''l,.r,
<br />DIAMONQ BAR CA 91765 lNSURER E: ',-",:;"..
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<br />COVERAGES
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<br />THE POLICIES OF INSURANCE LISfEC SIlLOW HAVE SEEN ISSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOICATEO. NOTWrn-lSTANQJNG-- .
<br />ANY REIlUIREMENT, TERM OR CONOITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSU5D,:.Qa",_
<br />MAY PERTAI~, THE INSURANCE AFFOR~EO BY TH5 POLICI5S DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POliCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C~MS. , ~"'::!-;,i;:"I'
<br />111_14 ~ I'OUCYE.-IRATIQW ,.'
<br />'-~'fl\ nPQOFINSURMCE PClUC"NU~ER DATE ~ ciATii(MMlnnl"l'V\ LIMITS ...,,,,_:_~.,.....
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<br />~NERAl UABlUl'l" EACH OCCURAIlN~~" ...,.':.~j.,~
<br />
<br />GOMMIi:RCIAl G,l;;N!;;R:AL LlASfUTY f::IRI; DAMAQ!F. {Any orI8 fire) S "-'I"
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<br />!.~~"."~o~J:Joccu. ....'.....,.-.--..--._... .. '__. _________ .. :;=A~yA::::~~.._.:.- _' c;':'::
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<br />GEN~RALAGGRl!;GATE . S '-~H;'
<br />PRODUCTS. COMPIOP A.GO S , ,".',' ,
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<br />CANCELLATION " ',"'.'
<br />IHOULDANYO, TM! AlOVIi! DESCRIBED POLlCI~ 88 CANCELLED BEFQAI!!!1'ltIIX,.IMrlo"'!
<br />DATE T'HEIU!O'. niB ISSUINIJ IN!JUR!1iL WJLL II!NDEAVOR TO MAIL ~ DAVS WR!TI-E!'r"
<br />~OTICE TO THECeRTJFICATE J10LDiR NAMEO TO 'THe l!fT, BUT FAJI.URE TO lXJ SOS~~~'
<br />IMI"08E NO OBllG4TIOIt Olil: LIABILITY OF AN'( KIND UPON THI! INSU~ER.., ITS AGEN~ ~~._
<br />KURE3Ii!NTATfVll.
<br />AUTHORIZED Rl.PRi!SI5NTAllYE.
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<br />~N'l.AGiGRi~Ii,j.fMITAP~Pm
<br />! POi.LC'r' II ~:g: I lux;
<br />Al,lTQMQ~LIl! 1..IAIlIIl,.I'I'\l'
<br />3ANVAUTO
<br />All OWNE;:O AUTOS
<br />~ ' SCHJ;;[]Ul!;iO AUTOS
<br />HIRGO AUTOS
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<br />h F NON.OW.EDAUTOS
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<br />r,RMlI L.IAIIUTY
<br />H NiY ^UTO
<br />
<br /> COMBINeD SINGLE UMIT $
<br /> (EEl8CCldllnl)
<br /> BOOll V INJURY $
<br /> (Pl:rl:lor~)
<br />I BODilY INJURY $
<br />(f'llrttOQlGllnt)
<br />PR.OF'ERTY DAMAGE .
<br /> tP..r~d~1
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<br />-.'- -.,
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<br />.. .-. '---_._~ ~.~,--
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<br />AUTO ONlY_1;A ACCIDENT $
<br />eA ACe $
<br />AGG .
<br />$
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<br />$
<br />$
<br />~IIOJ;:"
<br />~.L. EACH ACCICENT $
<br />E::I".DISEASE. EA 1:l4j:;lD'9I:I:-Y--.
<br />E.l. DISEASe - POLICY LIMIT S.
<br />
<br />OTHER Tl-iPIN
<br />AUTOONLY~
<br />
<br />EXCESS lIAB1UTV
<br />p'occu~ D CLAIM' MACE
<br />
<br />ROEDlJOtlBlE
<br />ReTENTION $
<br />WORKeRS COMrt:NaATJON ANO
<br />eMf'I.OYERS' LlABIUTY
<br />
<br />EACH OCCURRENCE
<br />AO~EGATE
<br />
<br />OTHER
<br />ERRORS & OMISSIONS
<br />A DEDUCTIB~E; $ti,OOO
<br />
<br />EDPO003485
<br />
<br />12/2412004
<br />
<br />12/2412005 PER. AGGREGATE
<br />
<br />"~"'PT1CN OF OPI!RAnoNIlI.O~ngNINf;HIGL65IEXCLU81ONl5 ADDeo BY ENDOft6CMENTI9'ECIAl. PROvtIlON$
<br />SUBJECT TO POLICY TERMS. CONDITIONS AND EXCLUSIONS, INSURED FOR THE LOCATION:
<br />2512 CHAMBERS RD., TUSTIN CA 92780
<br />
<br />*;i0 DAYS NOTICE SHOUL.D THE POLICY CANCEL. FOR NON-PAYMENT OF PREMIUM
<br />
<br />CERTIFICATE HOLDER I I "".mo....'......o, I..U.... LOTTEI<
<br />
<br />CITY OF SANTA ANA ITS OFFICE:RS, AGENTS AND
<br />EMPLOYE:ES
<br />CIVIC CENTER PLAZA
<br />P.O. BO)( 1988-M12
<br />SANTA~A CA92702
<br />
<br />ACORD 2ti-$ (11V71
<br />lM: lPW v1.8.f1 on 114/05 - g;52 by U88rNM'If!
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<br />LP~ LPW \/1.lf,e, '"'" V4105 - I:S3 by UterNralT1lJ
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<br />$ACORll CORPORAnON 1988
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<br />50A5 OjNI \150
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