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<br />'W'ti...".... --.g: -."_"__-
<br />:=rom: Josie Russell At lSU-The Roger Stone Agency r:axlD: ISU Insurance Servic To: Marilyn Palaeol
<br />
<br />Date: 11912008 02:31 PM Page: 2 of3
<br />
<br />ACORD. CERTIFICATE OF LIABILITY INSURANCE OF 10 JlI DAlE (MMIOONYYV)
<br />LAME-2 09/27/07
<br />;:OA;OOUCER A -;).Do/, - 015 : THIS C~RTIFICAT~ IS ISSUED AS AMATT~R OF INFORMATION
<br />ISU Insurance services- ONLY AND CONF~RS NO RIGIlTS UPON TH~ CERTIFICATE
<br />The Roger Stone Agency N-J.oo5-J38 HOLDER. THIS C~RTIFICATE OO~S NOT AMENO,I;XTEND OR
<br />5015 Birch street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
<br />Newport Beach CA 92660 I
<br />Phone:949-757-0270 Fax: 949-757-0375 INSUR~RS AFFORDING COV~RAG~ i NAte #
<br />-;-j.:iSu~------ - ---.--..--.-- -. "_...._----~.~~--_._.__.
<br /> , j~lSlffiERA l!~,tfo~d .Caslliigy
<br /> ,..--....-- ..--..
<br /> : ltlSURER e I
<br /> Large Screen Display Rentals -..------.---- ._-
<br /> Kirsten Hausman ;tjsl.JR.ERC I
<br /> 3401-3403 W. Ma<:!Arthur Blvd - r - .-..--.....-------
<br /> INSURER D
<br /> santa Ana CA 92704 ---~. T
<br /> INSU"...'ERt
<br />
<br />COVERAG~B
<br />
<br />iHE PQICiES or INStPA~<CE LISTED BEW'I{ H/l,VE BEEN iSSUED ro TlJE;l!-k;URED ~DABOVE FOR THE POlICV PEi;lIOQ INDICATED, '.imWiTI-1SrN-IDI~JG.
<br />M'NRE-aUREt-t1E,N!lffiMOO CQNOiTION Of NH CONiRACTOR o-1HER OOCUl-/ENT WITH riE~P;::C1 TO 'WHK.H THIS.CERTlflCATE MAY HE ISSUED OR
<br />"AY PERTI<WI. ffiE Ir-.'SL'RANCE AFFOl;1DED Sf THE PCtIClES ocs():tl6ED HEREIN IS SUBjECT TO ALL n-e: lERMS. EXCl\JSlONS ANt> cONQI110NS or SUCH
<br />POLICIES A~"EG>\n; liMns SHO'NNMAY liP-_'>'E BEEN REDUtEOBYP.I'lO CLAIMS
<br /> -.... I ~ DATE(NJ<<l~ .,..---
<br />lTR TYPE OF INSURANCE POLICY N\lMSER I.M'I$
<br />A1X GENEaAl. UABLlTY ! Et.(lt U':ClJ-(RENCL:: l~ 1,000 ,000
<br />g COt-.tfE:--;.,>rlt... blN[.RAC. LIAU U1Y I "I.2C&SOI'OO4' 09/19/07 09/19/09 ~;SES(Eaotc~6l. ! < 300 ,000
<br /> EP _l^"""~~ GCJ CeCl,e I tJED EXP (Anj ere psr!W(J) i <10 ,000
<br /> -----."-"-...-.. i ~~~~-~~!~~~----~t-$).! 000 ,000
<br /> ......- -------- -_._- GE,,,tMlA<;WEGA,lE ~2,00O,.'lll.~__
<br /> ':~r.....CW(;p,E;~~ Lt~IT ,l>PI'>L!ES Ff:;'P. PRODUCTS" Ca.'PIOP AGG $ 2,000, l)l)().._
<br /> X ~DUCJ" ~f21 fllOC
<br /> AUTOMOBILE l.!ABIUTV COM:)INEDS1NGU, UMrf
<br /> I H.ANY;"Uff, (E4I,wcid+lrtj 1$
<br /> I I -----_._--
<br /> L__J Pll O'r'\<iiffi AUiOr, f:':iYOil..-'iNJl.JR1' '$
<br /> tJ .""MEDloCro, lP$~onl !
<br /> i HIRED AuTOS I
<br /> I 60D1L y lI~JJRi' it
<br /> H)fI,\.OWt"aJ A:JlOS tPMI!iC(:ldi:tl!1
<br /> i f-- , .-
<br /> I PROPERTY 1JMlAGE i
<br /> I f-- - "-...-.-...- 1$
<br /> I fPH!J<'.t;idooll I
<br />I GAAAGELlABI.!J'Y -~? ~~~ EA ACCICENf !$
<br />=i PN"".J10 .-------
<br /> , OTriERTIW-l MAce $
<br /> I ! , /4,/n;p:tll."1',
<br /> , i ""'" $
<br />i excesSNMB-RELLA UASUtY I EACH O::CURRE:NCE $
<br /> I =:J OCW> 0 C,^"S MADe ftGGREGA1J; .
<br /> 'aRM
<br /> t ~~... TO 1-----,--- $
<br /> pi J" I ~.... ~
<br /> n [EwonFI. \ ^ . .I, V $
<br /> FErE'NnON , /:Y- $
<br /> WOR.KER$COt.lPS'<lSAnoN AND F b--~ ,:t 1-. - hORY lIMITS"T ~'
<br /> s.m.0YeR$' LlABLITY -" ..
<br /> /if,V PRCAAIETOR/PAAT-NEP,'EXECI r:WE .- _-1 .' " E. L EACH ACCICENJ $
<br /> " ,
<br /> Cf'FlCERMlEMSER EXCl.UVED? "';ily '.c~' EL DISEA$E-EA8APlOYE.E $
<br /> , \,
<br /> ~:~'I1:~~v~~~s [wb" ...l'" ......~
<br /> EL OISE~' POUC('lIMl! .
<br /> OTHER I I
<br />; I
<br />DESCRPTION OF OPERATIOns I LOCA.TIO:HS I VEHIClES I EXCL~IO"S ADDEO BY ENDORSElw1ENl i SPECIAL PROVISIONS
<br />RE: Audio & visual consultinq for the santa Ana Police Dept.
<br />Certificate Holder is named Additional Insured.
<br />*10 day notice of cancel.lation for non-payment of premium.
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br /> CITl!SA6 SHOULD N'lY OF THE ,.ao'i'E OES(;R.laeO f>oUClES DE CANCEL\..ED SEFORI: THE EXPIRATION
<br /> CA1E l1-IEREOF, nE ISSUING IHSLRER WILL E~lL *SO DAYS WRITTEN
<br />city of santa Ana poli.ce Dept. t.once TO tHE CERTIFICATE HOlDER NAMED TO -me LEfT. BUT FKIXI2IJI'XlltH%mJ:HAlL
<br />60 Civic center Plaza ~Jt*n~~~~~ll'l0l}ljll\'~~
<br />P.O. Box 1981
<br />Santa Ana CA 92702 W\lli,OW~
<br /> ~""'().
<br /> , ',.
<br />
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