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<br />I. At;ORD CERTIFICA\.i OF LIABILITY INSURA.JCE I DATE (MMJDDIYYYY) <br /> '" 04/10/2003 <br /> PRODUC'R (949)261-5335 FAX (949)261-1911 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Tutton Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 2913 S. Pullman St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Santa Ana, CA 92705 <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED Eduardo Figueroa INSURER A: The Hartford Insurance Group <br /> DBA: Hispanic Business Consul tants I z. / INSURER B: State Compo Insurance Fund <br /> 5 Cornsilk fJ ~{)OV INSURER C <br /> Irvine, CA 92614 4~V:x>3'" 01--0 INSURER D: <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. NOTWITHSTANDIN <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 />LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE "/MMJDDNYl DATE MM/DDNY LIMITS <br /> GENERAL LIABILITY 72-SBA-AB6463 OX 01/03/2003 01/03/2004 EACH OCCURRENCE . 1,000,000 <br /> ex COMMERCIAL GENERAL LIABILITY PRE~~~S Ea occurence\ . 300 ,000 <br /> I CLAIMS MADE 00 OCCUR MED EXP (Anyone person) . 10 , 000 <br />A PERSONAL & ADV INJURY . 1,000,000 <br /> f-- GENERAL AGGREGATE . 2,000,000 <br /> f-- <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG . 2,000,000 <br /> "I rnPRO- n <br /> POLICY JEer LOC <br /> AUTOMOBILE LIABILITY 72-SBA-AB6463 OX 01/03/2003 01/03/2004 COMBINED SINGLE LIMIT <br /> - (Eaaccidenl) . 1,000,001 <br /> ANY AUTO <br /> - ALL OYINED AUTOS <br /> BODILY INJURY <br /> - (Per person) . <br /> SCHEDULED AUTOS <br />A X HIRED AUTOS <br /> BODILY INJURY <br /> X (Per accident) . <br /> NON-OWNED AUTOS <br /> -'-'-- <br /> APPROVI D AS TO ORM PROPERTY DAMAGE . <br /> (Peraccidenl) <br /> GARAGE LIABILITY fJ3t^ - JL AUTO ONLY - EA ACCIDENT . <br /> =1 ANY AUTO EAACC . <br /> OTHER THAN <br /> 0;- :_-. ~"eerl ( AUTO ONLY AGG . <br /> EXCESSIUMBRELLA LIABILITY Deputy City Attorney EACH OCCURRENCE . <br /> b OCCUR D CLAIMS MADE AGGREGATE . <br /> . <br /> R DEDUCTIBLE . <br /> RETENTION . . <br /> WORKERS COMPENSATION AND 1679144-03 02/01/2003 02/01/2004 X 1T'O);.;" L:;';,~s I IUER'- <br /> EMPLOYERS' LIABILITY EL EACH ACCIDENT . 1,000,000 <br />B ANY PROPRIETOR/PARTNERlEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? E.l. DISEASE. EA EMPLOYEE $ I, 000 , oOii <br /> ~~~~i1tS~~bOv~~~b~~s belOW E,LD!SEjl.SE-P~..idMlT ~ 1:,000,000-' <br /> OTHER .... ~:.... <br /> - ::>::-< <br /> ;a ::Ol'T10 <br /> 1'T1=<:..." <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES f EXCLUSIONS ADDEO BY ENDORSEMENT / SPECIAL PROVISIONS -:- ,.,;VJV) <br />ertificate holders are named as additional insureds, endorsement to be issued by carrler. <n~ <br /> 020 <br />his insurance is primary per policy form. "0 ""3;-, <br />10 day notice wil be sent in the event of cancellation for non-payment of premium. CJ:u:l> <br />W c:l> <br /> - zz <br /> en =i> <br /> <br />The City of Santa Ana, its officers, <br />employees & agents <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />..!.3.0..... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> <br />CERTIFICATE HOLDER <br /> <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br />Stanle <br /> <br />Tutton/CLAUDI <br /> <br />(J/~ <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORDCORPORATION 1988 <br />