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q~;?RD CERTIFICATE OF LIABILITY INSURANCE OPID PF DATE(MMroDIYYYY)
<br />~ SYMGO-1 ~ 11 12 08
<br />P~ucER THIS CERTIFICATE IS ISSUED AS AIVIATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />Burnette Insurance Agency, Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />~ 3447 Lawrenceville Suwanee Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Suwanee GA 30024-2402
<br />Phone:770-339-8888 Fax:770-339-1442
<br />INSURED
<br />. Symco Groupp, Inc.
<br />Symco Merchants Services Inc.
<br />Bruce BarC n•
<br />105 S~tell~te Blvd. Suite 5
<br />. Suwanee GA 30024
<br />INSURERS AFFORDING COVERAGE
<br />INSURER A: Zurich U. S. InE
<br />INSURER B: Tile Hartford
<br />INSURER C:
<br />NAIC #
<br />THE F'OLIGIES Q1= IIVSURANC4 LI$TED BELOV.V HAVE SEEM 199UED TCj.TkIE INSu(~~'N{1MMf~ ABQYG'FQR.THE PQ~.fCY PERIOD INDICATED. NOTWITHSTANDING
<br />ANY REQUIREMENT, TERM OR CONDITION QF ANY CONTRACT ©R OTHER OOCUMEN7' 11'VI'('H Fi~ESpEC7 TO WHICH TFIIS~ CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN; THE INSURANCE AFFORDED BY THE'POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEf2MS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY~'AID CLAIMS..
<br />LTR NSR TYPE OF INSURANCE POLICY NUMBER DgTE MMIDD DATE MMIDDIYIf LIMITS
<br /> GENERAL LIABILITY EACH OCCURRENCE $ 1, O O O, O O O
<br />A X COMMERCIAL GENERAL LIABILITY 040972979 07/31/08 07/31/09 PREMISES Eaoccurence $ 1,000,000
<br /> CLAIMS MADE a OCCUR MED EXP (Any one person) $ 1 O , 0 O O . ,
<br /> PERSONAL & ADV INJURY $ 1, O O O, O O O
<br /> GENERAL AGGREGATE $ 2, 0 0 0, O O O
<br /> GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS -COMP/OP AGG $ 2 , 0 0 O , O O O
<br /> X POLICY PRO
<br />JECT LOC '
<br /> AUT OMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />
<br />A
<br />ANY AUTO
<br />040972979
<br />07/31/08
<br />07/31/09
<br />(Eaeccident) $ 1, 000, 000
<br /> X ALL OWNED AUTOS
<br />BODILY INJURY
<br />
<br />SCHEDULED AUTOS
<br />(Per persari) $
<br /> X HIRED AUT03
<br />BODILY INJURY
<br />
<br />X
<br />NON-OWNED AUT09
<br />(Per accldent) $
<br /> PROPERTY DAMAGE
<br />
<br />(Per accident) $
<br /> GARAGE LIABILfTY AUTO ONLY - EA ACCIDENT $
<br /> ANY AUTO ~ NOT APPLICABLE OTHER THAN EA ACC $
<br /> AUTO ONLY: AGG $
<br /> EXCE$SNMBRELIA LIABILITY EACH OCCURRENCE $ 1, O O O, O O O
<br />A X OCCUR ~ CLAIMSMADE 040972979 07/31/0$ 07/31/09 AGGREGATE $ 1, 000, 000
<br />
<br /> DEDUCTIBLE $
<br /> X RETENTION $ O $
<br /> WORKERS COMPENSATIbN AND
<br />' X TORY LIMff9 ER
<br />B LIABILITY
<br />EMPLOYERS
<br />ANY PROPRIETORIPARTNER/EXECUTIVE 20WBPR0442 11/28/08 11/28/09 E:L.EACryACCIDENT $ 100,000
<br /> OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1 O O , 00 O
<br /> If yyas descdbe under
<br />SPEGIIAL PROVISIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 5 0 d , 0 0 O
<br />
<br />A OTHEfi
<br />BUSINESS
<br />-7?ROP$RTY
<br />040972979
<br />nsaLnc>~errr Lrosx s>+exa
<br />07/31/08
<br />07/31/09
<br />BUSINESS $2.,334,000
<br />PRO „ . : $ 5 0 0 DED
<br />I -......,.,~,,..,.......F..,.,,.,,..~.~......,,..,..~,.~r.,....~.~,c....w~nnwe~uucuurcnw~cacmc~~~arc~.w~rrtvviaia~vo - L1J t1~7 .•
<br />a
<br />CERTIFICATE
<br />CITY OF SANTA ANA
<br />M12
<br />20 CIVIC CENTER PLAZA
<br />'SANTA ANA CA 92701
<br />i;
<br />25(2001/08)
<br />' ~
<br />a, .....:. _ .,, ,.«~r~eY.
<br />CITYOI O SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL l O 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 />q D PRESE~Tj4TIVE -
<br />/!`' ©ACORD CORPORATION.1988
<br />
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