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AC~RD~, CERTIFICATE OF LIABILITY INSURANCE os/o3/zoo3 PR,7DiICER (714)905-1923 FAX (714)905-1910 Ha and Ti 1 tOn & ROl app ~ License #0614365 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 25529 Anaheim, CA 92825-5529 INSURERS AFFORDING COVERAGE INSURED CycOm Data Systems, inc. INSURER A: Hartford Casualty Insurance Co 6835 Roberta Rd. S.W. INSURER B: American Int'1 Specialty Lines Ocean Isle Beach, SC 28469 INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OF MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OFINSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATKN LIMITS GENERAL LIABILITY 725BAN71649DX 06/04/2003 06/04/2004 EACH OCCURRENCE $ 1 ODO X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any ona fire) $ 3DD D CLAIMS MADE ~ OCCUR MED EXP (Any ane peron) $ 100 A PERSONAL d ADV INJURY $ 1 OOO DO GENERAL AGGREGATE $ 2 OOO OO GENL AGGREGATE LIMB APPLIES PER: PRODUCTS-COMP/OP AGG $ 2 DDO POLICY PRO LOC JECT AUT OMOBILE LIABILITY 7256ANJ1649DX 06/04/2003 D6/D4/2DD4 COMBINED SINGLE LIMIT ANY AUTO (Ee acdOenQ $ 1 OOO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) A X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (PeraaiEent) - PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDEN7 $ ANV AUTO OTHERTHAN EA ACC $ AUTO ONLY: AGG $ EXCESS LU181LITY ,',~'[-jJRpVED - ~ `~)~` EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE - ) $ ` Y RETENTION $ $ WORKERS COMPENSATION AND 1_"~~~~' A U- TORV LIMITS Eft EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE-EA EMPLOYE $ E.L. DISEASE-POLICY LIMIT $ o~ i l Li bili 787654 07/16/2002 07/16/2003 51,000,000 Aggr. Incl Expenses r ess ona a ty B 51,000,000 Each Wrongful Act 525,000 Retention DESCRIPTION OF OPERATION OCATIONSNEHICLES/EXCLUSIONS ADDED BV ENDORSEMENTISPE IAL PROVISIONS l en days notice o cancellation given for non-payment oi premium. ertificate Holder, its officers, employees, agents and volunteers are Additional Insured as respects neral Liability per attached Additional Insured Endorsement 5504490593 City of Santa Ana Office of the City Attorney Attn: ]uanita Hernandez 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATON OR LIABILITY AUTHORIZED REPRESENTATIVE ITS AGElRS OR REPRESENTATIVES.