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<br />2002-NOY-26 02:31PM FROM-S P I B INSURANCE AGENCY INC
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<br />+949 582 3512
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<br />H95 P 0021004 F-B69
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<br />..__....~ _.-.....~.. .-~.....~. ...."..,..... . . "'VU.""I'''''''1- , 11/20j:z002
<br />PRODUCER (949)582-5220 FAX (949)582-3512 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />S P I B Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
<br />License Number 0719264 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />26441 Crown Valley Parkway INSURERS AFFORDING COVERAGE
<br />Mission Viejo, CA 92691
<br />INSURED Friess COII13any Bu,lders Inc INSURER" Admiral Insurance Co c/o Stewart Smith
<br />31658 Rancho Viejo Rd, Ste IB INSURER 8: State Camp Insurance Fund
<br />San Juan Capistrano, CA 9267S INSURER c: Creenwich Insurance Co. c/o Deans " Homer
<br /> INSURER D: Lloyds of LcndonlELM Insurance Agency
<br />I INSURER; e~ Royal Surplus c/o Stewart Smith
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<br />COVERAGES
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<br /> THE POUCIES OF INSUI\ANCE USTED BELOW HAVE BEEN ISSUED TO THE INSVRED NAMED ABOI/E FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br />ANY REQUIREMENT. TERM OR aONDmON OF ANYCONTl\ACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUSJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
<br /> POUClES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />1m 'lYPEOFINSIJRANCE POUCYNUIlBER I r.!'l-ri~~68A.~ u.ns
<br /> ~EHElW.UADIIJ'I'I'. 1A02AC15088 10/15/2OD2 07/27/2003 EACH OCCURRENCE . 1 OOD,OOOI
<br /> COMMERCIAL. GeNERAl. UA8ILITV FIRE OAMAGe IM1 OI'M r...) c SO 0001
<br /> I CLAIMS MAllE W OCCUR MED EXP (Any Ql'lII penon) , 5,OOC
<br />A X Owners " Contracto PERSONAL & N:N INJURY , l,OOD,OOI
<br /> ~e~ GE)jERAL AGGREGATE . 2,000,00(
<br /> ~LAGG~Erxi rr _LIES PE'" d'''' . ~ ___-I PRODUCTS. COMPIOP AGG $ 2,OOO,Ol)(
<br /> POLICY X p~ n Loe -
<br /> ~UTOMOBILE IJAPIl..ITY ~~.'d}.' ~ ~ COMBINED SINGLE I..I~IT ,
<br /> MY AUTO "'~- (Eo........)
<br /> - \.\51' ~ . 51 \\O(ne':l
<br /> - ALL OWNED AUTOS i':~~ BODILYJNJURY .
<br /> SCt-tEDULEC AUTOS p..ssiS\,z,n tPltpertOfl)
<br /> -
<br /> - HIRED AUTOS I 80DILYIHJUAV
<br /> (Plreo::td.....' .
<br /> - NON-<lV'oW<ECAlITOS I
<br /> PROPEInY OAMAGE,
<br /> '" (PerllCCidonl) ,
<br /> Rl\RAGE LlA8lUlY AUTOONLY-EAACCICI!NT ,
<br /> _ AUTO OJ\lER THAN EAACC S
<br /> A OOHLv: AGG ,
<br /> Ill(CESS LIA8IUlY eACH OCCURIU:NCE . 2,OOD,~
<br /> t!lOCCUR 0 ClAIMS MAllE AGGREGATE S 2 000,0
<br />D P2HA206977 07/27/2002 07/27/2003 s
<br /> =i .DIiDUCTIBLE .
<br /> RETENTlON . ITO~ .
<br /> WOIlKEIlSCOU,,"-TIONAND ~594117-02 07/01/2002 07/01/2003
<br /> EMPLOYER$" LIA81UlY l,ODO,OOC
<br />a E.~ EACH ACCIDENT .
<br /> E.~ DISEASe - EA EM"LOVE . 1 ODD,OO<
<br /> E.t.. DISeASE. POUCY UM/T I 1,000 DOC
<br /> [llpER 366030 11/03/2002 11/03/2003 $60,000 BPP/ $500 OED
<br />C
<br />DESCRIPTION OF OPEAAllONSlL0CA11ONf'EHICLESIEXeI.UStONS ADDEO BY ENDORSEIIENTI6I'EaAI. PROVISIONS
<br />E CITY OF SANTA ANA, 2 CIVIC CENTER PlAZA, SANTA ANA, CA 92701:
<br />THEIR RESPECTIVE OFFICERS, EMPLOYEES, AGENTS, VDWNTEERS .. REPRESENTATIVES ARE NAMED AS
<br />lODITIONAL INSUREDS W/REGARD TO LIABILITY, PER OTV I S ADD' L INSURED ENDORSEMENT FORM ATTACHED.
<br />Except for 10 days notice of cancellation for non-payment of premium,
<br />CERTIFICATE HOLDER I I AODlTlD......INSURI!D; INSUIUlR LETTER: CANCELLATION
<br /> SHOULD aNY OF THE ABOVE DESCRIBED POLN:JES BE CANCB,t.EO BEFORE THe
<br /> em OF SANTA ANA, M-93 EXPIRAllON DATE THEREOF, THe ISSUING COMPANy WlU. 1l'lQX06fi!06 MAIL
<br /> ns AGENTS, OFFICERS AND EMPL " THE COMMUNITY ....1L DAYSWRm'EN NOnce,.O THE CEAnFtCATE HOLDER NAMED TO THE LEFT,
<br /> REDEVELOPMENT AGENCY OF THE CITY OF SANTA ANA ~~~~JOOO(
<br /> 20 CIVIC CENTER PlAZA 19O1ill/oot"'llllO'IIlllI.l~"-"""""'lllItJOOOOO(lOOOCX
<br /> SANTA ANA, CA 92701 AUTHOIl12Bl RI!PIlESelTAnve ~~.~
<br /> Larrv Hines/STACEY
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<br />ACORD 2S-S (7/97) FAX: (714)667-2225
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<br />@ACORDCORPORATION1988
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