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<br />P.~IlI). . .CERTIFICATE OF LIABILITY INSURANC~~~R~;:l I DATE (MMlDDIYY) <br />09/25/02 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ISU Massie & Beck Ins. Servo ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License #OB29340 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 1272 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Lafayette CA 94549-1272 INSURERS AFFORDING COVERAGE <br />Phone: 925-283-5750 Fax: 925-283 -5751 <br />INSURED INSURER A:. First Stlecialtv Ins. Cortlora ti <br /> INSURER B: Royal Insurance Co of America <br /> Sterling Corporate Custom INSURER c: Republic Indemnity Co. of CA <br /> Elevator Interiors <br /> 340 W. 26th Street #1 INSURER D: <br /> National City CA 91950 <br /> , INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE liSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, 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 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE POLICY NUMBER ~~lfrJrXbIWv"(E P~Alf~~~~rJ.}?N LIMITS <br />LTR <br /> GENERAl LIABILITY EACH OCCURRENCE i $1, 000, 000 <br /> - <br />A X COMMERCIAL GENERAL LIABILITY IRG47652 09/01/02 10/01/03 ~_~J\MAGE (Anyone fire) $50,000 <br /> , CLAIMS MADE :7 OCCUR MED EXP (Ally one person) ! $N/A <br /> - <br /> PERSONAL & ADV INJURY :$1,000,000 <br /> - <br /> - GENERAL AGGREGATE $2,000,000 <br /> , <br /> GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 <br /> I 'ixl ~Ra- Ii I <br /> POLlCY i X JEeT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> - (Eaaccident) $ <br /> - ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br /> - (Per person) .$ <br /> SCHEDULED AUTOS <br /> -- <br /> -- HIRED AUTOS BODILY INJURY <br /> {Per accident) $ <br /> NON-OWNED AUTOS <br /> - <br /> - PROPERTY DAMAGE $ <br /> (Pereccident) <br /> GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ <br /> H ANY AUTO , EA ACC $ <br /> ! 2~W6~~~ AGG $ <br /> EXCESS LIABILITY i EACH OCCURRENCE $ 5000000 <br />B t!J'OCCUR D CLAIMS MADE P2HA207290 09/05/02 10/01/03 : AGGREGATE $ 5000000 <br /> , $ <br /> ~ DEDUCTIBLE $ <br /> X RETENTION $N/A $ <br /> WORKERS COMPENSATION AND X I TORy'UMITSI IU~:: <br />C I EMPLOYERS' LIABILITY l53716XpPROVED AS TCf/plbffl&1 10/01/03 E.L. EACH ACCIDENT ~ 1000 000 <br /> , <br /> E.l. DISEASE-EAEMPLQYEE $1000000 <br /> I)IY E.L. DISEASE. POLICY LIMIT I $ 1000 000 <br /> OTHER ~ n n ,n/ , A J/~ <br /> ~aura Sheedy,;' <br /> Opnutv City Allam <br />DESCRIPTION OF OPERATIONSlLOCATlONSNEHICLESIEXCLUSIONS ADDeD BY ENDORSEMENTJSPECIAL PROV\SIONS <br />Job # LA02l2, Santa Ana Regional Trans. Center, 1000 E. Santa Ana Blvd. <br />Additional Insured includes the City of Santa Ana, its officers, agents, & <br />employees-includes Primary Non-Contributory Coverage. Severability of <br />Interest Clause included in the policy. *10 day notice applies for <br />non-payment of premium. <br />CERTIFICATE HOLDER I y I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION <br /> SNTANA9 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL 1I:1III1e1l\'Il'iM""UMAlL * 3 0 DAYS WRITTEN <br /> Santa Ana Regional Transport. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT ,:atlDflUKlJRll:7JXIXJSI)SKaUC <br /> Center 1__I>~_l<IlIIllD<l>>_lIIllIlIlI!Il\lllUDEKOlOOll <br /> Carolyn Fullerton 'Il1!MllOl1~"'lil1< <br /> 1000 E. Santa Ana Blvd. #108 <br /> Santa Ana CA 92701 nO./> _.........~'.An/1A' ~rI A <br /> , W'an Siamu.fi?so';O r -- <br /> <br />ACORD 25.S (7/97) <br /> <br />@ACORDCORPORATION 1988 <br />