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r•E273. 2004-10 25AM-INS CENTER-HAR-BOR INSURANCE No•80 <br />~-'~TN CERTIFICATE OF LIABILITY INSURANCE <br />i,,,.~ue, ro~Y eeY iaTn16»-An76 THIS CERTIFICATEIS ISSUED ASAMATT <br />Insurance Center Associates <br />Harbor Insurance Agency <br />1622 5. Gaffey ° PO Box 671 <br />San Pedro, G 90733-0671 <br />10075 Sparrow Ave. <br />Fountain Valley, G 92708 <br />!`t1VFRARF4 <br />INSURERSAFFORDINGCOVERAGE <br />ces~_ad0 <br />^~O.Z <br />/ INSURERA American <br />` <br />I <br />^ <br />/ <br />~~/ INSURER B: <br />O <br />-~W <br />/ <br />7 Wr <br />-7 <br />~ <br />// INSURER C: <br />{ <br />' _ ~~b' <br />Z' <br />/ <br />d INSURER D: <br />?? <br />~J <br />~ ~ ~~ <br />~~ ~ <br />~ • <br />J <br />O INSURER E: <br />~....: ~ IMluoonWYl <br />oa/23/zooa <br />NAIC Y <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TD THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IHUI{:A[ tu. nu I w1I ns I.ANUrNv <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 />MAY PERTAIN, YHE INSUNANCE AFFDRDED 8Y THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHO WN MAY NAVE BEEN REDUCED BY PAID CLAIMS. <br />INS0. Tri`E OFINSURANCE roLMT NUMBER ~~' EFFECTNE POLICY EXPIRATION LINITS <br /> GENERAL LWBILIT/ 02-80-736437-6 1D~15~ZDD3 10~15~2DD4 EALH OCCURRENCE 3 1,D00, DO <br /> X CONfAERCIALGENERALLIABILITY DAMAGE TO RENTED f SO OO <br /> CLAA15 MADE ~ OCCUR MED EXF IArrymF perca~) E 1D, UD <br />A PERSONALEADVINJURY y 1, DOD,OO <br /> GENERAL AGGREGATE E 2 DUD, OO <br /> OEN'L AGGREGATE LMRAPPLIES PER: PRODUCTS-COMPAJP AOG E 1,000,00 <br /> PRO. <br />x POLICY JECT LOC <br /> AUT OMOBILE WBIOT' COM$INEO EINGLE LIMIT y <br /> IEe exidem) <br /> ANYAUTO <br /> <br /> AIL OWNED AUTOS BODILYINJURV y <br /> (Per parson) <br /> SCHEDULED AUTOS <br /> <br /> HIRED AUTOS BODILY INJURY E <br /> (PPra¢iden!) <br /> NON-0WNED AUTOS <br /> <br /> PROPERTY OAAMGE E <br /> (Par gCCieom) <br /> GARAGE WRII,RV AUTO ONLV.EAACCIOENT S <br /> ANYAUTO OTNERTHAN EA ACL i <br /> AUTOONLY: AGG s <br /> EYCES$NYBRELLA LUIBRITY EACH OCCURRENCE i <br /> OGGUR ^ CLAMS MADE AGGREGATE S <br /> <br /> E <br /> DEDUCTIBLE / y __ <br /> <br /> RETEMION S l E <br /> WC STATU- OTH- <br /> WORNERSCOMFENSATIONANO <br /> EMPLOTERS'LU1mLITY E.L. EACH ACCIDENT y <br /> nNY PROPRIETORIPARTNEIUEMECUfIYE <br /> OFFICERA{MSER EXCWDEPT E. L. DISEASE-FA EMPLOYE s <br /> M TPi,dKVAl ardor <br />SPECIAL PROVISIONS EeNw E.I. DISEASE•POLICY LIMIT y <br /> OTHER <br />f <br />i <br />i <br />t <br />i <br />d t <br />l <br />i <br />~~ia~~'~ ty~i <br />eri~ <br />P <br />~itaie~h <br />~a <br />er <br />~snname~assa~~itan <br />~~ins <br />~~w <br />t~ <br />ms ar <br />s <br />ng ou <br />o <br />m <br />te <br />o c <br />a <br />i <br />t <br />o <br />d <br />T <br />a <br />ur <br />, <br />t <br />-nsured's operations only, with no assumption of liabilities to others. <br />10 Day Notice for Non Payment. <br />ee policy for terms and conditions. <br />City of Santa Ma <br />PO box 1988 <br />Santa Ana, G 92712 <br />ACORO25 f2an1/aBl <br />SIIW LO ANY OF THE ABOVE OESCRRIEO POLICIES BE CANGELLm BEFORE THE <br />FARRATION GATE THEREOF, THE NYUING DdBURER YMLL ENDEAVOR TO PAIL <br />SUIT DAYS WAnTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TC TIE LEFT, <br />BUT FAILURE TO MAR. SUCH NOTCE SHALL MPO$E NO OBLIGATgN OR LU181LR\' <br />OF AM' MNO UPON THE INSURER RS AGENTS OR REPRESENTATNES. <br />AUTIIORRED NEPRESENTATRR: ~' I~~ ~1 <br />eriaette Porter/BRIGIT ~' <br />®ACORDCORPORATION1999 <br />