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<br />To: Oty of Santa Ana Page 1 of 3
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<br />2006-09-072007:01 (GMT)
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<br />17142/"613 ?>
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<br />ACORQ, CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />POOOUCEO (949)8$2-0909 FAX (949)8$2-1131
<br />M lestone Insurance Brokers
<br />8 Corporate Park, Ste 130
<br />I rvi ne, CA.92606
<br />
<br />!L' I ~, .
<br />
<br />09iOGi;'006
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<br />I THIS CERTIFICATE IS ISSUED AS A MATTE" OF INFO~MA"I(HJ
<br />ONLY AND CONFERS NO RIGHTS UPON T~i[ CERTTICATf
<br />I' HOLDER. THIS CERTIFICATE DOES NOT AM' 'N[" [:<TEND'"
<br />ALTER THE COVERAGE AFFQRDI;D BY THE POLICE':; BE' lW
<br />
<br />INSURERS AFFORDING COVERAGE
<br />.iNSUREO'.-~',~~f~~:~P~'i~f:.~e~.~-np'anYk~5='&j-:oq;~ ~;~:t~~~:~~!.~a'v~~~-f~S-"'I"'.~_~~~_~i-_!, y Co
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<br />Santa Ana, CA 92706 A-~oI.c-()9d-(J3'l 'NSU"OC,
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<br />INSURER 0:
<br />INSURER E:
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<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN I$SUED.TOTHE INSURED NAMED ABOVE FOR THE POLI~:;Y PER. leT' :r J!;
<br />ANYREQUIREMENT:TERM OR CONDITION OF ANY CONTRACT OR oTHER'DOCUMENTWITH RESPECT TO WHICt'j THS em -I"' ;l
<br />MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT' TO ALL THE TERIv1S E\CLUO:: I ,:'1
<br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
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<br />INSR OD' --.----~;OF'~~~W~~.-.-------.--.- - ~sY~~;;Be-R .-=---~- -PRr~YI~U~~ lPOL~:,~~~~ -
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<br />GENERAL LIABILITY 660. 529X3801- 06 06/24/2006 r86/24/2007 E...,H \ C-I Hi
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<br />-Xj COMM~RCIALGENERAL LI~BILlTY I...~'~. ~~~~~ ;',..l it
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<br />- - --- CLP.IMS MADE -X I OCCUR WED DP iA'", .r,)
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<br />PERSOIHd 'r 1
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<br />GENERh,';: Fi"
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<br />GEN'L AGGREGATE UMrrAPPLlES PER:
<br />X POLICY f~ lQC
<br />AUTOMOBilE LIABILITY
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<br />~,MI"S
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<br />uco.OOOI
<br />100.000
<br />5.0001
<br />1 000.0001
<br />2.000.0001
<br />2.000.000
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<br />A
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<br />PRODL,:T,~ -'.1>
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<br />660-529X3801-06,
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<br />06/24/20061 06124/2007 COMBlrlE:::': :.1 ;_',.c,
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<br />1 OOO.OOOi
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<br />ANY AUTO
<br />ALL OWNED AUTOS
<br />SCHEDULED AUTOS
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<br />A
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<br />X HIRED AUTOS
<br />X
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<br />NON-OWNED AUTOS.
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<br />BODilY I~;A,R
<br />(Pe'<lCl:'dC'lt
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<br />GARAGE LIABJLlTY
<br />A!iYAUTO
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<br />EXCESSJUMBRELLA LJABIUTY
<br />~~] OCCUR 1__ -:1 CLAIMS MADE
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<br />D(OUCTlBLE
<br />RETENTION $
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<br />ClP346H8101-06: 06/24/2006 06/24/2007 'ACH':CC,~. "
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<br />AGGRE''';',~f-
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<br />000,0001
<br />! 000.0001
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<br />WORKERS COMPENSI\TlON AND
<br />EMPLOYERS' L.IABILlTY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />IfVfl$.descnbcul1der
<br />~~!,~~,~PROVEJQ.~S_~low ~~__,______,
<br />OTHER
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<br />DESCRjf'TION OF OPEjlATlONS '-,OCATIONS I Vji.HlCLES I EXCLUSIONS.AODED BY~COFtSEMENT I SPECI~ !'ROVISIONS
<br />atyof santa .Ana, 20ovlcCenterPlaza,::>>antaAna. California 92701; its offi eel::>
<br />QIInts and representatives are naned as Pddltlonal Insuredsl Prlnary as respects GE>nera
<br />or I he "0 t Y of San! a Ana's Connuni t y Developrrent II ock !Sant...
<br />
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<br />enpl oyet:.~
<br />U abll. t \
<br />
<br />Ten (10) day noli ce of cancel I all on for non paymmt of prenl um
<br />
<br />CERTIFICATE HOLDER
<br />
<br />a ty of Santa Ana
<br />Connunl t y Dovel Qpll1lnl Agency
<br />M25
<br />P.O Box 1988
<br />Santa Ana, CA 92702.1988
<br />
<br />CANCELLATION
<br />SHOULD ANY OF THE ASO\lE DESCRIBED POLICIES Bf . f'.'. ~b..I.I"D l:Io;>~'R!:: 1 l::
<br />EXPIRATION DATE THEREOF, THE ISSUING INSURER 'A_ _ ~r.1A 1
<br />,., 30. DAYS WRITTEN NOTICE TO THE CERTIFICf, TE ~.ou ER ~.AME[ "'C T'"f IEF,
<br />
<br />ACORD 25 (2001/08) FAX: (714)647- 6549
<br />
<br />AUTHORIZED REPRESENTATIVE
<br />Sheri FI our no ISOF
<br />
<br />IIltXlllOO<XXXX XXXX
<br />
<br />cACOqD CORPORA 1"101\11988
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