|
<br />
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
<br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
<br />DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
<br />POLICIES BELOW.
<br />
<br />PRODUCER Cert# 10427
<br />HALL, MAHAR & ASSOCIATES INSURANCE SERVICES, INC.
<br />1475 S STATE COLLEGE #226
<br />ANAHEIM, CA 92806
<br />(714) 937-1500
<br />FAX (714) 937-1135
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />lNsiJRED-----~--?-O&~ :'1 '-0
<br />
<br />COMPANY
<br />A NAVIGATORS INSURANCE COMPANY
<br />.~-_._-_..-- ----_.--
<br />COMPANY
<br />B MERCURY CASUALTY COMPANY
<br />---_.--_._---,._._--~_._---- ---'---.. ------
<br />COMPANY
<br />C RLlINSURANCE COMPANY
<br />----~..-.-..--- --.--,- -_.-.- _.- -_..-
<br />COMPANY
<br />D
<br />
<br />n;;]
<br />;"..'-"~' "
<br />~ ".-'
<br />
<br />SHEPPARD CONSTRUCTION, INC.
<br />2681 DOW AVE #8
<br />TUSTIN, CA 92780
<br />
<br />_?i~i~;:-0:;,;}~\1~\~~;\i}< "':.Li~,F:<':',:,;i ;,i: ~;:i-_~'.,: ;8\\:',', \:,:l,ji#i:\i;/: >:<':J':~~~~:;' "', :d,"
<br />
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
<br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
<br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY
<br />HAVE BEEN REDUCED BY PAID CLAIMS
<br />- ,- .-...------- --- ---- -----,----,----.-.---------.-- ---
<br />CO TYPE OF NSUAAN 'E::: I POLICY NUMBER POLICY EFFECTIVE I POLICY EXPIRATIO~N LIMITS
<br />LTcl-__ I (,; t- . DATE (MMlDDIYY) . DATE (MMlDDNY)
<br />~ENERAL LIABILITY r I ",NERAl AGGREGATE_~~,OOO,OOO
<br />I X.l:--~-''''''rr ~.~ ." ~ 0> '" "me_,".COMP/OPAGG..'_..1,000,00.o.
<br />, . :1'-- rX, -. ".oo~._,_ -.. I~ '. _ 1.'0.O~'O.00
<br />
<br />f- OWNER'S & CONTRACTOR'S PROT ~~~~'"'IJt 1 ,O~~:~~~
<br />+iUTOMOBILE LIABILITY . t- --+M::M:;::::~~::E :~:':.'~=100:~:~
<br />
<br />t~ANYAUTO I AC11020109f SEP2902 SEP2903 I I' "
<br />
<br />Bf ~ I:;:::~~:~~: IJ~~~~;~~~~R~_____ --- 1$ -
<br />
<br />BODILY INJURY I."
<br />
<br />'-I-~' L ::::--1:-
<br />
<br />~RAGELlABILlTY- -- ----t--- .----- AUTOONlY:EAAC'''DENT' ,----
<br />
<br />
<br />JiJ::~,"" - - - -",_,,-1 -;;".~ I,,~ ";;-I::':'.~~." ~~~~:
<br />
<br />C X UMBRELLA FORM I I _AGGR~GATE ________ S _ 1,-OOO,~O
<br />
<br />-. '~i;t;;~i~~~;~~~~MNAND +-1 t ----t -----+I:::E"i:~,." r '~~
<br />THE P ROPRIETO. RI ...E~ INC l 1 1 DISEASE-POLICY LIMIT S- - - - --
<br />IPARTNERSJEXECUTIVE --1 ~, ----- - - -- - -
<br />] ~~~~R: ARE == _=Cl_=_ _= __ =_~- __ _ _ __ ~ DIS=^"E-EACH EMPLOYEE - - '- - - -
<br />-APPROVED Af TO FORM
<br />--J.2lI; --- -- - -
<br />tfifthe1:/
<br />
<br />Deputy City Attorney
<br />
<br />L. .__________ --------
<br />- DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS
<br />CERTIFICATE HOLDER IS NAMED ADDITIONAL INSURED
<br />
<br />THE CITY OF SANTA ANA,
<br />REDEVELOPMENT DIVISION
<br />20 CIVIC CENTER PLAZA M-32
<br />SANTA ANA, CA. 927
<br />
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL 30 DAYS
<br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
<br />
<br />
<br />
<br />__n.'.
<br />'--------'-'--,---_.~.._-_.---
<br />
<br />r:~mw-~==~ I
<br />
<br />,,;:,,;,-,"',
<br />
<br />..
<br />
|