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<br />AC0RD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDfYY) <br />-- '" 08/06/2002 <br />PRODUC~R (909) 484 2456, FAX (909)484-2491 ONLY Ami 'coNFERs ;.to'~~~HTS UPO~N ;-H~ CERTIFICATE"~" <br />Cumbre Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />10600 N. Trademark Pkwy, #406 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P.o. Sox 4700 INSURERS AFFORDING COVERAGE <br />Rancho Cucamonga, CA 91729-4700 <br />INSURED MENDOZA, BERGER AND COMPANY L.l.P. INSURER A' Hartford Insurance <br /> 5500 TRABUCO RD., STE. 150 INSURER 8 Municipal Mutual <br /> IRVINE, CA 92620 INSURER C Chicago Insurance Company <br /> INSURER 0 <br /> r JNSURER E <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POliCY PER/OD INDICA TED 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 SUBJE:CT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />I'LrR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDfYY) DATE {MM/DDIYY) LIMITS <br /> GENERAL LIABILITY 2SBANR0645 12/04/2001 12/04/2002 EACH OCCURRENCE S 1,000,000 <br /> rx COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (An>' one fire) S 300,000 <br /> J CLAIMS MADE 0 OCCUR MED EXP (Any one p~rson) S 10,000 <br />A PERSONAL & ADV INJURY S 1,000,000 <br /> - GENERAL AGGREGATE S 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG S 2,000,000 <br /> I 'nPRO- n <br /> POLICy JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> - (Ea accident) S <br /> ANY AUTO <br /> - All OWNED AUTOS <br /> BODILY INJURY <br /> - (Per person} S <br /> SCHEDULED AUTOS <br /> r- HIHED AUTOS <br /> BODILY INJURy <br /> r- (peracCldenl) S <br /> NON-OWNED AUTOS <br /> r- <br /> r- PROPERTY DAMAGE $ <br /> (Peraccldenl) <br /> GARAGE LIABILITY AUTO DNL Y - EA ACCIDENT S <br /> 3 ANY AUTO OTHER THAN EAACC S <br /> AUTO QNL Y AGG S <br /> EXCESS LIABILITY EACH OCCURRENCE S <br /> ~ OCCUR o CLAIMS MADE AGGREGATE $ <br /> S <br /> =1 ~EDUCTl8lE S <br /> RETENTION $ S <br /> WORKERS COMPENSATION AND NC0359-02 04/01/2002 04/01/2003 X~TORY LIMITS I _ rER <br /> EMPLOYERS' LIABILITY <br /> EL EACH ACCIDENT S 1,000,000 <br />S <br /> EL DISEASE - EA EMPLOYE S 1,000,000 <br /> EL DISEASE - POLICY LIMIT S 1,000,000 <br /> OTHER DV20090102 07/26/2002 07/26/2003 $1,000,000 cl aim <br /> rofessional Liability ea <br />C $1,000,000 aggregate <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEH1CLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />ity of Santa Ana i, named ., additional insured for general liability pe'A.!Jldorsemftt <br /> 'j "c, V D AS TO FORM <br />0 day notice of cancellation in the event of non payment of premium ~~~p~o4 <br />_aULJ ~:':1CC y <br /> " ,. <br />CERTIFICATE HOLDER t X _ I ADDiTIONAL INSURED; INSURER LETTER A CANCELLATION 1-"-.; .., '",v,ney <br /> SHOULD ANY OF THE ABOVE OESCRH3ED POLICIES BE CANCELLED BEFORE THE <br /> . .. <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL EN~~~.I,i:~MAIL <br /> City of Santa Ana ~ DAYS WRITTEN NOTICE TO THE CERTIFICAtE HOLDER NAMED TO THE LEFT, <br /> Emmy Bada <br /> 20 Civic Cernter Plaza ~"l'JXlJ(<JI-~~Il<~HH~}I_~~~:t'~"~~~~JIl!lJl-\TXX <br /> M2\ ~~~~~MX~M~K~~~~~~~K~~~~~~~xxxxxxxx <br /> Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE ~ d/-;< /(~,/ <br /> will iam (ook/MP / ~<,_<c~l~__-c <br /> - ,..H} FAX: 714 647 6549 , '""' <br /> <br />( <br />