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<br />From: Kellie To: Bill Watsoll <br /> <br />Date: 2/14/2006 Time: 3:50:02 PM <br /> <br />Page 2 of 3 <br /> <br />ACORD CERTIFICATE OF LIABILITY INSURANCE I ( DATE (MMlDDM'YI') <br /> 'M 02114/2006 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dickerson Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3185 Cherokee Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 400 <br />Kennesaw GA 30144 INSURERS AFFORDING COVERAGE NAIC# <br />-. -,-~._- ---- <br />INSURED Group 1 Solutions, Inc INSURER A <br /> - <br /> 6950 Brixton Place A'dco5.;)..5C ~FB HARTFORD CASUALTY COMPANY ~._. <br /> -.-- <br /> INSURERC ----- ----- <br /> Suwanee GA 30024 INSURERD . .- .- <br /> INSURERE <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR OO'L ~" POLICY NUMBER P,Q.LE-Y EFFECTIVE POLICY EXPIRATION LIMITS <br />I ~NERAL LIABILITY EACH OCCURRENCE $ <br /> DJWAGE TO RENTED <br />I COMMERCIAL GENERAL UAOILITY , $ <br /> I CLAIMS MADE DOCCUR MED EXP (Anv ona persoll) I <br /> - PERSONA.l & ADV INJ~RY $ <br /> . -- .. ~AL AGGREGATF $ --- <br /> n'~ AGGREFl LlMI_T ArPn ~ER PRODUCTS - COMPtOP_AGG I <br /> POLICY : ~5(1..}~ LOC <br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT I <br /> ANY AUTO (Eaaccldent) <br /> f- -. .. -~-- <br /> I- ALL OWNED AUTOS BODIl.Y INJURY <br /> $ <br /> f- SCHEDULED AUTOS (Per person) <br /> .- HIRED AUTOS BODILY INJURY <br /> , <br /> NON-OWNED AlITOS (Per accident) <br /> - <br /> e- -. PROPERTY DAMAGE ;$ <br /> IPersccidellt) <br /> I1RAG' "A.UTI ( L 'Yj AUTO ONL Y - E.A. ACCiDENT $ <br /> ANY AUTO /2; )/' ./ ~A_A~~ $ <br />! ....' -"'~-.~ """.epIC., OTHER THAN <br /> AUroONLY AGG $ <br /> .. <br /> OESS/UMBRElLA LIABILITY / EACH OCCURRENCE '- <br /> OCCG'R 0 CLAIMS MADE : AGGREGATE , <br /> I <br /> 1=-1 ::~c::,~: e I ! -. -- :~- ---- <br /> - , <br /> I $ <br /> WORKERS COMPENSATION AND X I we STATU", I IOTH- <br />B EMPLOYERS' lIABILITY 20WECKZ6525 09/16/2005 09/16/2006 ,100,000 <br /> ANY PROPRIETORIPARfNERtEXECUTIVE E..b..~ACH ACCIQ.ENT <br /> OFFICERfMEMBER EXCLUDED? E L. DISEASE - EA EMPLOYEE .100,000 <br /> Iryes.desuilJellndel .500,000 <br /> SPECIAL PROVISIONS below E L. DISEASE - POLICY LIMIT <br /> OTHER <br />DESCRIPTION OF QPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />fax 714-647-5779 <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />Cler1< of City Council <br />City of Santa Ana <br />20 Civic Center Plaza(M-301 PO Box 1988 <br />Santa Ana, CA 32702-1988 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER Will ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <KJA> <br /> <br /> <br />@ ACORD CORPORATION 1988 <br /> <br />ACORD 25 (2001108) <br />