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~ ACORD CERTIFICATE OF LIABILITY INSURANCE °"'~ ,~ ~ 03-24-2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HAYWARD, TILTON&ROLAPP INS~PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 185019 P: (866)467-8730 F: (877)905-0457 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 33015 - SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE INBDaED -~~;3-4T ' INSURERA:Hartford Casualty Ins Co 1J. aoo3-U 78-d1 - /J 3-0~7 (j-Cy ~ INSUflER B: . [)p CYCOM DATA SYSTEMS INC N 3pc3-c~h-c3 INSURER C: 6 8 3 5 ROBERTA RD . S . W . A ~ 31XZ~ v 9 wsUREq o: . OCEAN ISLE BEACH NC 28469 '' ___ 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 ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSU F D OR . MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGAT[ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTa TYPE OF INSURANCE POIK:Y NUMBER DATETE IM FDD/YYI DATEYIMMIDOT/VYN LIMITS GENEIIAL LIABILITY EACH OCCURRENCE 1 0 0 0 O O O 5 , , A COMMERCIAL GENER A L LI A8ILITV 72 SBA NJ1649 06/04/06 06~04~O7 FIRE DAMAGE IAny one fiml 53OO, 000 ~ y ~ J CLAIMS MADE 1 " 1 OCCUR MED EXP IAny one petnon) 91 O , O O O X Bus>ness Liab PERSONAL&ADVINJURY j Sl OOO OGG , , GENERAL AGGREGATE 52 0 0 0 O O O , , GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG SZ , O O O , O O O POLICY PRO JECT X Loc AUT OMOBILE LIABILITY A ANV AUTO 72 SBA NJ1649 06/04/06 06/04/07 COMBINED SINGLE LIMIT IEa a~cltleml Sl, OOO, OOO ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per perm) S i X HIRED AUTOS X NON-OWNED AUTOS BODILY INJURY IPer accident) LLL S PflOPERTY DAMAGE S _ IPer accitlentl GARAGE LIABILITY AUTO ONLY ~ EA ACCIDENT 5 ANY AUTO OTHER THAN EA AUTO ONLY : AGG 5 EXCESS LIABILITY EACH OCCURRENCE S OCCUR a CLAIMS MADE -,* \;~ AGGREGATE _ ~_ I " ~ S DEDUCTIBLE A., _, ~- S ------~-- RETENTION 5 __ 1 4 WORNEAS COMPENSATpN AND -~ ~ WC STATU- OTH- EMPLOYEAS' LIABILITY TD __. E.L. EACH ACCIDENT 9 E.L. DISEASE - EA EMPLOYEE 9 ~- - C.L. DISEASE -POLICY LIMIT 5 ---~ OTNE11 I DESCRIPTgN OF OPERATIONS/LOCATIONSAIFNX:LESIE%CLUSNINb ADDED BY ENDORSEMENT/SPECIAL PROVISgNS Those usual to the insured's opertations. CERTIFICATE HOLDER ADDITNINAL INSUaeD: INSURER IETTER: CANCELLATION City Of Santa Ana its Officers SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Employees Agents & Volunteer EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOT C , I E 110 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE Office of the City Attorney HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO 20 C1V1C Center Plaza OBLIGATION OR LIABILITY OF ANV KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Santa Ana, CA 92701 A ORI D R ESE~N~]ATI1~f~~~~.~ ern°n oc c t~IO~r _ /~ ~~~'~~ `°-° '"""' ~' ACORD CORPORATION 7988 ~.