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<br />'(.,- 1-... <br />/1-,. ~OO7 - /'Vb <br /> <br />. . <br /> <br />Client#. 3566 <br /> <br />HAMSELEC <br /> <br />A'CORDrY CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY) <br />09/29/07 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Caleo Ins Brokers & Agents Ine ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Lic #OB29370 (714) 937-1824 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />One City Blvd W, #700 r1 <br />,- <br />Orange, CA 92868-2947 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: State National Ins. Co. Inc. <br /> Ham's Electric, Inc. INSURER B: National Union Fire Ins. Co. <br /> 1848 West 11th Street, Suite J INSURER C: Discover Property & Casualty <br /> Upland, CA 91786 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. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 NSRI TYPE OF INSURANCE POLICY NUMBER P.fk:g~ri~fJ8~\E Pg~!fJ (~~tb~~N LIMITS <br />A ~NERAL LIABILITY STL3000018 01/01/07 01/01/08 EACH OCCURRENCE $1 000000 <br /> JL 3MERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100.000 <br /> - CLAIMS MADE [Xl OCCUR MED EXP (Anyone person) $5 000 <br /> PERSONAL & ADV INJURY $1 000 000 <br /> - <br /> GENERAL AGGREGATE $2.000 000 <br /> - <br /> GEN'L AGGREAE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $2.000.000 <br /> ~ PRO- <br /> POLICY JECT LOC <br />A ~TOMOBILE LIABILITY STL3000018 01/01/07 01/01/08 COMBINED SINGLE LIMIT $1,000,000 <br /> ~ ANY AUTO - (Ea accident) <br /> >-- ALL OWNED AUTOS BODILY INJURY <br /> (Per person) $ <br /> >-- SCHEDULED AUTOS <br /> ~ HIRED AUTOS BODILY INJURY <br /> $ <br /> ~ NON-OWNED AUTOS (Per eccldent) <br /> I-- 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 />B OESSIUMBRELLA LIABILITY BE3833363 01/01/07 01/01/08 EACH OCCURRENCE $2 000 000 <br /> OCCUR 0 CLAIMS MADE AGGREGATE $2 000 000 <br /> $ <br /> M DEDUCTIBLE $ <br /> X RETENTION $ 10000 $ <br />C WORKERS COMPENSATION AND D272W00209 10/01107 10/01108 X I T~~:l~J.~;, I IO;W- <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000 <br /> If yes, describe under E.L. DISEASE - POLICY LIMIT $1,000,000 <br /> SPECIAL PROVISIONS below <br /> OTHER N/A <br /> APPRO IvED AS TO FORM <br /> . <br />DESCRIPTION OF OPERATIONS / LOCAnONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS ~~ n o"IJ/U / /~ <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) , Lalira SU iI,;edy l- I <br /> AS~lstai1t C' Attorney <br /> <br />CERTIFICATE HOLDER CANCELLATION T..n n",v - <br />- <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL -30..- DAYS WRITTEN <br />Attn: Lynda Kelly. Information Svcs. Rep. NonCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL <br />20 Civic Center Plaza, M-12 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Santa Ana, CA 92701 REPRESENTATIVES. <br /> A~ORlZ~ REPRESENTATI~ <br /> - -- - <br /> "1 - (,.... ~ <br /> <br />ACORD 25 (2001/08) 1 of 2 <br /> <br />#M22260 <br /> <br />LM01 <br /> <br />@) ACORD CORPORATION 1988 <br /> <br />