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<br />, Client#: 3566 HAMSELEC <br /> <br />.ACORDTM CERTIFICATE OF LIABILITY INSURANCE <br /> <br />PRODUCER <br />qalco Ins Brokers & Agents Inc <br />Lic #OB29370 (714) 937-1824 <br />One City Blvd W, #700 <br />Orange, CA 92868-2947 <br /> <br />A~~007-1,K.~ <br /> <br />DATE (MM/DD/YYYY) <br />08/21/07 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />Ham's Electric, Inc. <br />1848 West 11th Street, Suite J <br />Upland, CA 91786 <br /> <br />INSURERS AFFORDING COVERAGE <br />INSURER A: State National Ins. Co. Inc. <br />INSURER B: Discover Propy & Cas CO <br />INSURER C: <br />INSURER D: <br />INSURER E: <br /> <br />NAIC# <br /> <br />INSURED <br /> <br />CpVERAGES <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 />LTR NSRr TYPE OF INSURANCE POLICY NUMBER p~.N~1~~~~g,wlE p~~fJ(~~~~N LIMITS <br />A ~NERAL LIABILITY STL3000018 01/01/07 01/01/08 EACH OCCURRENCE $1.000.000 <br /> X- OMMERCIAL GENERAL LIABILITY ~~~~~~J9E~~~J~~AnrA' $50 000 <br /> I-- CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ <br /> I-- PERSONAL & ADV INJURY $1.000.000 <br /> I-- GENERAL AGGREGATE $2 000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2.000.000 <br /> n -nPRO- n <br /> POLICY JECT LOC <br />A ~TOMOBILE LIABILITY STL3000018 01/01/07 01/01/08 COMBINED SINGLE LIMIT <br /> ~ ANY AUTO (Ea accident) $1,000,000 <br /> I-- ALL OWNED AUTOS BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> I-- <br /> ~ HIRED AUTOS BODILY INJURY <br /> $ <br /> ~ NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> RRAGE LIABILITY N/A AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> OESS/UMBRELLA LIABILITY N/A EACH OCCURRENCE $ <br /> OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ $ <br />B WORKERS COMPENSATION AND D272W00134 10/01/06 10/01/07 X I T~~N~~s I IOJ!;,- <br /> EMPLOYERS' LIABILITY $1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000 <br /> If yes, describe under $1,000,000 <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 1%711y <br />RE: All operations of the Named Insured; if required by written contract, <br />City of Santa Ana is Additional Insured per attached blanket endorsement(s) <br /> <br />C RTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br /> <br />City of Santa Ana <br />Attn: Lynda Kelly - Information Svcs. Rep. <br />20 Civic Center Plaza, M-12 <br />Santa Ana, CA 92701 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ----3D- DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />~HORIZ~ REPRESENTATIVE <br />c::Ya-- "1 <br /> <br />ACORD 25 (2001/08) 1 of 2 <br /> <br />#S21418/M17170 <br /> <br />SC01 <br /> <br />@ ACORD CORPORATION 1988 <br />