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, Client#: 3566 n"-d-OO'/~(;;" (", HAMSELEC ACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE IMMIDD/YYVY) 01/02/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Edgewood Partners Insurance Center ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lie #OB29370 (714) 937-1824 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR A --:.Loo7 -I~ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. One City Blvd W, #700 Orange, CA 92868-2947 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A' State National Ins. Co. Inc. Ham's Electric, Inc. INSURER B' National Union Fire Ins Co of PA 1848 West 11th Street, Suite J INSURER c, Discover Property & Casualty Upland, CA 91786 INSURER D' Redwood Fire & Casualty INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIDD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POUCY EXPIRATION LIMITS TR NSR A ~NERAL LIABILITY STL300001801 01/01/08 01/01/09 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE T9~ENTED $100000 I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $5000 PERSONAl & ADV INJURY $1 000 000 - GENERAL AGGREGATE $2 000 000 ~'L AGG:nE LIMIT APf~!.~t,PER: PRODUCTS - COMP/OP AGG $2 000 000 POLICY I ~~,P.,: Loe D ~TOMOBILE LIABILITY CAAOOl434 01/01/08 01/01/09 COMBINED SINGLE LIMIT ~ ANY AUTO (Eaaccldent) $1,000,000 - ALL OWNED AUTOS BODilY INJURY $ - SCHEDULED AUTOS (PerpBtsOn) !.. HIRED AUTOS BODILY INJURY $ 1L NON.OWNED AUTOS (PeraC<lfdent) - PROPERTY DAMAGE $ {Per accident) RRAGE LIABILITY AUTO ONLY - EAACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ B OESS1UMBRELLA LIABILITY BE4697643 01/01/08 01/01/09 EACH OCCURRENCE $2 000 000 OCCUR D CLAIMS MADE AGGREGATE $2 000 000 - $ 8 DEDUCTIBLE $ X RETENTION $10000 $ C WORKERS COMPENSATION AND D272W00209 10/01/07 10/01/08 X I J(tH!~);~; I IOJ!;'- EMPLOYERS' LIABILITY E.L EACH ACCIDENT $1 000 000 ANY PROPRIETORIPARTNERlEXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1 000 000 If yes, describe under E.L. DISEASE. POLICY LIMIT $1 000,000 SPECIAL PROVISIONS below OTHER . - 'rA p()RM DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS AT r . . .c RE: All operations ofthe Named Insured; if required by written contract, ,O~. I/~ City of Santa Ana is Additional Insured per attached blanket endorsement(s) _~" ,.,j, /1'<- '--'<.c_... _- .- :,,;2' "-Jy ;.,' ,I l ,...,;". 1\ ,>:.l.'tl~,.lL City Attorney CERTIFICATE HOLDER CANCELLATION City of Santa Ana Attn: Lynda Kelly - Information Svcs. 'Rep. 20 Civic Center Plaza, M.12 Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIl. ----30- DAYS WRITIEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE l.EFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ~ORIZE~ .;cPRESENTATIVE ACORD 25 (2001/08)1 of 2 #M25239 SCOl @ ACORD CORPORATION 1988