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Cer1..,7cate of Insurance <br /> Sparta Program <br /> sum <br /> Name Insured: Named Additional Insured: <br /> Adlerhorst International ,Inc. SANTA ANA(SPARTA) <br /> 3951 Vernon Ave 20 Civic Center Plaza PO Box 1988 <br /> Riverside,CA 92509 Santa Ana CA 92701 <br /> Certificate# SSA01-0010 <br /> Coverage SPARTA INSURANCE PROGRAM: Commercial General Liability-Hazard 1 <br /> Contract Value:$16,000.00 <br /> Coverage Period: 11/13/2002 to 11/13/2003 <br /> Insurance Carrier:Essex Insurance Company <br /> Master Policy: 3 CG 1469 <br /> Master Policy Effective Date:11/15/2001 to expiration <br /> Limits $2,000,000 General Aggregate / $1,000,000 Each occurrence / $1,000,000 Products/Completed operations / <br /> $1,000,000 Personal&Advertising Injury/$50,000 Fire Damage/Medical Payments Excluded <br /> Deductibles $500 BI& PD Per Claimant Including Loss Adjustment Expense <br /> $750.00 Premium (Fully Earned) <br /> $25.13 Taxes(Fully Earned) <br /> $50.00 Certificate Fee(Fully Earned) <br /> $825.13 Total Atnt <br /> Terms& 1.No Cancellations Allowed <br /> Conditions 2. Operations and Rating Based:Training IC-9 &police officers on city property. (No public exposure). <br /> 3. Contractual on a Limited Form.NO PROFESSIONAL LIABILPTY COVERAGE PROVIDED. <br /> 4. Additional Insured(s):N/A <br /> 5. Department: Santa Ana.Police Department <br /> 6. Additional Terms and Conditions: 6. NO PUBLIC EXPOSURE WORKING WITH THE CITY OF SANTA <br /> ANA&THEIR DEPARTMENTS ONLY. <br /> Exclusions Per the Master policy, a copy is available by written request to: Municipality Insurance Services, Inc. 1920 East <br /> 17th St Suite 136, Santa Ana, CA 92705 <br /> The Insurance afforded under the specified policy above is subject to all the terms, conditions, and exclusions of <br /> such policy. (A copy of the policy is available upon written request.) This coverage applies only to the contractor <br /> or event noted above and does not extend to any other activities or work performed by the holder. <br /> APPROVED AS To FORM <br /> iAc <br /> La" r:ra Sheerly —. <br /> Deputy City . ttornev <br /> Carol Frost/President <br /> Municipality Insurance Services, Inc. <br /> 1920 East 17th St Suite 136 <br /> Santa Ana, CA 92705 <br /> 1920 East '17th St Suite 136 Santa Ana, CA 92705 (800)420-0555 (714) 550-5040 fax(714) 550-5044 License#0004849 <br />