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ACORD„ CERTIFICATE OF LIABILITY INSURANCE DATE (MxmOmrr) <br />01/08/09 <br />Llc #oa6776e 1-949-297-5962 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />IOA Insurance Servicee HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />165 <br />it <br />v <br />ti <br />S ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />u <br />e <br />an <br />e, <br />130 <br />Aliso Viejo, G 92656-2703 INSURERS AFFORDING COVERAGE NAIC A` <br />Xanneth C. Salazar - - <br />INSURED INSURERA: Hartford Casualty _ _ <br />Pacific Coast Cabling, Inc. <br />i <br />INSURER B: Hartford Fire Insurance Co. <br />_ <br />ons <br />dba PCC Network Solut <br />9340 Bton Avenue INSURERC: Hartford Casualty Insurance Co. <br /> <br /> INSURER D: Hartford linderwriteie, Ise. Co. _ <br />Chatsworth, CA 91311 <br /> INSURER E: <br />I:VVCIWIiCJ <br />POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />THE <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />ANY REQUIREMENT <br />, <br />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IB SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -_ <br />wSR OD' POLICY EFFECTIVE POLICY EXPIRATION UNITS <br />POLICY NUMBER DATE <br /> 72IIDNL7Q7399 O1/Dl/09 O1/Ol/10 EACH OCCURRENCE <br />- $1,000,000 <br />A GEN ERAL LIABILITY gMty~`Eq 76RENTE~ 000 <br />300 <br /> X ILITY PREMISES Ea occurence , <br />$ <br /> COMMERCIAL GENERAL LIAB <br />~' OCCUR MED E%P (An one pemon) $10,000 <br /> X CLAIMS MADE <br />Add'1 Iced/Primary PERSONALBAOV INJURY $ 1,000,000_ <br /> <br /> X ation <br />r Of Subro <br />W <br />i GENERALAGGREGATE _ Ea, DOD, oOD <br /> g <br />ve <br />a <br /> ER <br />' PRODUCTS-COMP/OPAGG 82, 000, 000 <br /> : <br />LAGGREGATE LIMIT APPLIES P <br />GEN <br /> POLICY X j PR4 LOC <br />H ADTOMOBILE UABILRY 72IIDN007399 01/01/09 Ol/Ol/10 COMBINED SINGLE LIMIT <br />$1,000,000 <br /> X (Ea acoiEenO <br />- - ---'--""- <br /> ANYAUTO I <br /> ALLOWNED AUTOS BODILY INJURY E <br /> <br />L (Per parson) <br /> ISCHEDULEDAUTOS <br /> ' HIRED AlJTOS BODaYINJURY $ <br /> <br />ORM (PwacrJtlenQ <br /> NON-OWNED AUTOS gPPROV D AS TO F <br /> PROPERTY DAMAGE E <br /> -- (Par accitlen0 <br /> ~ CCIpENT <br />AUTOONLY-EA A $ <br /> GAMGE LIABILITY _ <br /> ~ ~~' La ld IL: L( Bed ER THAN EAACC <br />OT E <br /> ~ ANY AUTO <br />' AS5J9L .l: L.lt Atto ne H <br />AUTOONLY: AGG E <br /> ~' 72RHOII97263 01/01/09 O1/Ol/10 '~ <br />EACH OCCURRENCE T9, 000, 000 <br />C EXCES$NMBRELLA LIABILRY <br />~ <br />X _ <br />AGGREGATE b 9.000,000 <br /> CLAIMS MADE <br />OCCUR <br /> $ <br />-_ <br /> $ <br /> DEDUCTIBLE --- <br /> X RETENTION $10,000 <br />X WCSTAN- OTH- $ <br />D 72NSNZ5814 01/01/09 O1/Ol/10 I <br /> WORKERSCOMPENSATION AND <br />EMPLOYERS'LIA8ILITY E.L. EACH ACCIDENT g1, 000, 000 <br /> ANV PROPRIETORJPARTNERIEXECUTIVE <br />OFFICERIMEMBER ESCLUDE07 Y <br />E.L. DISEASE-EA EMPLOYEE <br />$1,000.000 <br /> Ify tlmcnbauntlw E.L. DISEASE-POLICY LIMIT $1,000,000 <br /> SPECIAL PROVISIONS below <br /> <br />H OTHER <br />i <br />t <br />C <br />OOTP0249104-OB <br />03/10/08 <br />03/10/09 <br />ployee Theft 1,000,000 <br /> r <br />me <br />3rd Par <br />y eductible 10,000 <br />DESCRIPTION OF OPERATION81 LOCATIONSI VEHICLES/ EXCLUSN)NSADDED BY ENDORSEMENT/SPECIAL PROVISION3 <br />General Liability Blanket Additional Insured applies ae requizad by written contract per attached endorsement form# <br />General Liability includes Blanket Waiver of Subrogation and Pzimary a Non-Contributory per form# <br />CG20301185 <br />. <br />All California Operations of the Named Insured The City of Santa Ana, its off icere, employees, agents, volunteers <br />R <br />e: <br />and representatives are named ae Cert Holders/Add'1 Insureds ae required by written contract per attached form. <br />CERTIFICATE HOLDER "^""~~"" "" --°' - -- --'- - - <br /> 8NOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEE%PIRATION <br /> DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3D ~ DAYS WRRTEN <br />City of Santa Aaa <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUi FAILURE TO DO SO SHALL <br />Attn: Insurance 5BrviCae Division N-12 IMPOSE NO OBLIGATION OR LIABILRY OF ANY KIND UPON THE INSURER, R8 AGENTS OR <br />a0 Civic Center Plaza <br />REPREBENTATNE3. <br />Santa Ana, G 92701 <br />DSA AUTHOR12E0 REPRESENTATVE ~p(~ <br />C~~--' "~ <br /> n eCnRn CORPORATION 1988 <br />ACORD 25 (2001100) michellea <br />10857673 <br />