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<br />, Cllent#: 3566 n"'d-OO'/~/d)..~ HAMSELEC <br />< I . <br />.ACORD" CERTIFICATE OF LIABILITY INSURANCE DATE (MM1DDIYYYY) <br />01/02/08 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Edgewood Partners Insurance Center ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Lie #OB29370 (714) 937-1824 A. :;LOO7 -l~ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />One City Blvd W, #700 <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 of PA <br /> 1848 West 11th Street, Suite J INSURER c, Discover Property & Casualty <br /> Upland, CA 91786 INSURER D' Redwood Fire & Casualty <br /> INSURER E: <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 SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />~ ~~: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECnVI! POUCY EXPIRATION <br />A ~NERALLlABIUTY STL300001801 01/01/08 <br />X COMMERCIAL GENERAL LIABILITY <br />I CLAIMS MADE ~ OCCUR <br /> <br />X I .':i".~!~,~~ I IDJ~- <br />E.L. EACH ACCIDENT $1 000 000 <br />E.L. DISEASE - EA EMPLOYEE $1,000000 <br />E.L. DISEASE - POLICY LIMIT $1 000,000 <br /> <br />COVERAGES <br /> <br />01/01/09 <br /> <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br /> <br />MED EXP (Anyone person) <br /> <br />f- <br />I-- <br />~'L AGGRE~E LIMIT AP~S PER; <br />I I POLlCY I I ~fRT I I LOC <br /> <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS. COMPIOP AGG <br /> <br />D <br /> <br />CAA001434 <br /> <br />01/01/09 <br /> <br />COMBINED SINGLE LIMIT <br />(Eaaccldenl) <br /> <br />01/01/08 <br /> <br />~OMOBIL.E L.IABILlTY <br />r!- ANY AUTO <br />I-- ALL OWNED AUTOS <br />:-:- SCHEDULED AUTOS <br />~ HIRED AUTOS <br />~ NON-OWNED AUTOS <br /> <br />BODILY INJURY <br />(Per person) <br /> <br />BODILY INJURY <br />(Per accident) <br /> <br />PROPERTY DAMAGE <br />(Per accident) <br /> <br />~RAGE L1ABIUTY <br />I AAY AUTO <br /> <br />AUTO ONLY. EA ACCIDENT <br /> <br />OTHER THAN <br />AUTO ONLY: <br /> <br />B <br /> <br />01/01/09 <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />01/01/08 <br /> <br />BE4697643 <br /> <br />~ESSIUMBRELLA LIABILITY <br />---.J OCCUR D CLAIMS MADE <br /> <br />I DEDUCTIBLE <br />XI RETENTION $ 10000 <br />C WORKERS COMPENSATION AND <br />EMPL.OYERS' L1ABIUTY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />OTHER <br /> <br />10/01/07 <br /> <br />10/01/08 <br /> <br />D272W00209 <br /> <br />," Tn <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICL.ESI EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS At" r ~ . -" . ~ ~ <br />RE: All operations of the Named Insured; if required by written contract, /)c? /J d~ / /~ <br />City of Santa Ana is Additional Insured per attached blanket endorsement(s) _/~ ~''-: t'~;CJj Z <br /> <br />I\'>:::'l~ld:h Lity Attorney <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION Tft~ I <br /> <br />. .~. ..^~. <br /> <br />LIMITS <br /> <br />$1 000 000 <br />$100000 <br />$5 000 <br />$1 000000 <br />$2 000 000 <br />$2 000 000 <br /> <br />$1,000,000 <br /> <br />$ <br /> <br />$ <br /> <br />$ <br /> <br />EAACC <br />AGG <br /> <br />$ <br />$ <br />$ <br />$2 000 000 <br />$2 000 000 <br />$ <br />$ <br />$ <br /> <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 CANCELL.ED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WIL.L ENDEAVOR TO MAIL -3L DAYS WRITTEN <br />NOTICE TO THE'CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAIL.URE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />A~ORlZ~ REPRE5EtfTATI~ <br />'I <br /> <br />ACORD 25 (2001/08) 1 of 2 <br /> <br />SC01 <br /> <br />@ ACORD CORPORATION 1988 <br /> <br />#M25239 <br />