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<br />F@b 12 04 11:40a
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<br />T 11 ac:: 1
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<br />02-11-2004
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<br />04:21pm
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<br />f¡o.-cALlfORNIA SOUTHWESTERN INSURANCE AGENCY
<br />
<br />949-588-8348
<br />
<br />H04
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<br />P 001/003
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<br />F-991
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<br />ACORQ. CERTIFICATE OF LIABILITY INSURANCE I DA,.,OOI.I"
<br />02/05/;,(
<br />""'Duei. (949)472-6560 FAX (949)588-8348 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO
<br />Ca I I forn i a Southwestern ONLY AND CONFERS NO RIGHTS UPON THE CERTIF1CA TE
<br />Insurance Agency/Llc.# 0443354 HOLOER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY TtiE POLICIES BELa
<br />21 Orchard
<br />Lake Forest, CA 92630 INSURERS AFFORDING COVERAGE NAIC.
<br />INSIIR.. """"" Interstate Fire 8< CaSualtY- I---
<br />Kenneth J. Talerico INSUR..., Mercury I nsurance Company
<br />DBA: Tolerlco's Electric INSUR..e:
<br />12321 Moana Way N-;1¡IJO3-ot¡ INSUR.. D:
<br />Garden Grove, CA 92640 ,",SURERi '----- r---- -
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<br />THE POlICIES OF INSURANCE LISTED BELOW HAVE aEEN ISSUED TO THE INSURED NAM.O ABOVE FOR THE POLICY PERIOD INDICA TEa NOTWITHST ^"mlN!
<br />ANY REQUIREMENT. TERM OR CONQIT'ON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CER II>!"A TE MAY 8E ISSUEa ",'
<br />MAY PERTAIN, THE INSURANCE AFFOROEO BY THE POLlC!ES OESCRlaED HEREIN IS SUBJECT TO AU. THE TERMS. exeLusloNS ANO CONDITIONS OF . oUCH
<br />PO!,ICIES. AGGHEI)ATE L""TS SHOWN MAY HAVE: BEEN REDUO¡:O BV PAID CL.AJMS.
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<br />"'R TVÆDFIN8UIIANCi- POLICY"""... - -¡--
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<br />QOJWW.UAØlJ.I1'Y CLP6251323 01/1512004 01/15/2005 EAtHOCCURRENCE
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<br />PROPERTY """"""
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<br />DEDUCT!ðLE
<br />RETENTION'
<br />WORKERS COM""'" 1ION ANO
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<br />ANY PROPRIETORIPAHTNEtVEXECUYII/E
<br />OFFICERlUEMIlf.R EXGLuceo?
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<br />D~'"'t"m3fr~~1re; ~"'~~~1'I~::"r~~~~jf"¡JYe~..Y a"9~~~~"~~'P'r~'\?~~:"t i ves are named
<br />er attached endors9m&nt CG2033 10/01 with respects to general Ilabi I Ity only.
<br />E: All operations as covered by this pol icy
<br />E: Maintenenece/repair .. 1000 E. Santa Ana Blvd. #108
<br />Except:: 10 day notice of cancellation for non payment of premium
<br />
<br />as additional in!.lIred
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<br />TIF
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<br />SHOULD AJ<Y O. THa - DEIIC".'D POlICIE' BE CANCELLED ._"T"
<br />""'""TIONDA"TH"'OF. TIIE..SUlNOINSU..RWlLC-"..,L
<br />..:1!L .A" WRITTEN NOTICE TO THE C"TI'ICATE """'iR NAMED TOTHE u>T.
<br />
<br />City of Santa Ana
<br />1000 E. Santa Ana Blvd
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<br />Santa Ana. CA 92701
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<br />......O'ioro-N." "'.""0--'-'" ..-..-...-.-.""'.-""
<br />
<br />AUTHORIZED
<br />
<br />
<br />@ACORD CORPORATION 19
<br />
<br />ACORD 25 (2001108)
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