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<br />~. <br /> <br />, <br /> <br />; <br /> <br />. <br /> <br />- <br /> <br />~__ 2(j()2-JJVYV <br /> <br />ROBERT F. DRIVER <br />License Number: OC36861 <br />Phune (949)756-0271 / Fax (949)756-2713 <br /> <br />Certificate Number:245 Date:_ 4/3/02 <br />VENDOR / CONTRACTOR LIABILITY PROGRAM <br /> <br />Named Insured: Secure Investigations, Inc. & Associates <br />Address: 2021 E. 4'" Street, Suite 200 <br />CitylStatelZip: Santa Ana, CA 92705 <br />Additional Insured: City of Santa Ana <br />Contact Term: From 3125102 To 6130/02 <br /> <br />Description of Contract: Surveillance, investigations <br />Contract Amount: $9,000 <br /> <br />COMMERCIAL GENERAL LIABILITY - NEW OCCURRENCE FORM <br /> <br />General Aggregate: <br />ProductslCompleted Operations Limit: <br />Personal Advertising: <br />Each Occurrence: <br />Fire Damage: <br /> <br />$1,000,000. <br />$1,000,000. <br />$1,000,000. <br />$1,000,000. <br />$ 50,000. <br /> <br />IMPORTANT! <br />Coverages are Limited to described contract. <br /> <br />DEDUCTIBLE: $500. Each Claim, Including Legal and Adjustment Expenses <br /> <br />ANNUAL PREMIUM: <br />SURPLUS LINES TAX: <br />POLICY FEE: <br />TOTAL <br /> <br />$300.00 Fully Earned at Inception <br />$9.75 Fully Earned at Inception <br />$50.00 Fully Earned at Inception <br />$359.75 <br /> <br />COMPANY: <br /> <br />FULCRUM INSURANCE COMPANY <br /> <br />THIS COMPANY BINDS THE KIND(S) OF INSURANCE STIPULATED HEREON. THIS <br />INSURANCE IS SUBJECT TO THE TERMS, CONDITIONS, AND LIMIT A TIONS OF THE POLICY <br />OF MASTER POLICY #CPI002566 ISSUED TO VENDORSICONTRACTORS LIABLlTY GROUP. A <br />COPY OF THIS POLlCY IS A V AILABLE ON REQUEST. <br /> <br />THIS CERTIFICATE MAY BE CANCELLED BY THE INSURED BY SURRENDER OF THIS <br />BINDER OR BY WRITTEN NOTICE TO THE COMPANY STATING WHEN CANCELLATION WILL <br />BE EFFECTIVE. THIS CERTIFICATE MAY BE CANCELLED BY THE COMPANY BY NOTICE TO <br />THE INSURED IN ACCORDANCE WITH THE POLICY CONDITIONS. <br /> <br />..b?~ ~ 6r!~.J. <br /> <br />AUTHORIZED SIGNA TUREICOUNTERSIGNA TURE <br /> <br />R.E. CHAIX & ASSOCIATES INSURANCE BROKERS ,INC. <br />License Number: 0726213 <br />1501 WestclitTDrive, Suite 290, Newport Beach, CA 92660 <br />PHONE(949)722-4177 J FAX: (949)7224172 <br /> <br />D AS 10 FORM <br />l I <br />CliNE LEE SHAW <br />C'P\l~ CII~ Attorney <br /> <br />