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MT. HAWLEY INSURANCE CO. Date (MM/DD/YY) <br />Peoria, Illinois 10/17/03 <br /> <br />Certificate of Liability Insurance <br /> <br />Producer <br />BACCARELLA INSURANCE SERVICES <br />6864 Indiana Avenue, #201 <br /> <br />RIVERSIDE CA 92506 <br />Phone:8775874999 Fax:8663076352 <br /> <br />Insured <br />ADA CONSTRUCTION <br />1320 D EAST ST. ANDREW PLACE <br /> <br />SANTA ANA CA 92705 <br /> <br />This Certificate is issued as a matter of information only and confers no <br />rights upon the certificate holder. This Certificate does not amend, <br />extend or alter the coverage afforded by the policies below. <br /> <br /> Companies Affording Coverage <br /> <br />Company A: MT. HAWLEY INSURANCE CO. <br /> <br />Company B: <br /> <br />Company C: <br />Company D: <br /> <br />COVERAGES <br /> <br />Th s s o certify ha he po c es of insurance listed Oelow have been issued to the Insured named above for the policy period indicated, notwith- standing any <br />requirement, term or coedition of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded <br />by the p¢icies described herein is subject to all the terms, exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. <br /> <br />CO POLICY EFFECTIVE >OLICY EXPIRATION <br />L~:t TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS <br />A General Liability AC20003021 03/03/2003 03/03/2004 General A,g~re,gate $ 2,000,000 <br /> [] Commercial General Liability Products - Comp/Op A~. $1,000,000 <br /> [] Claims Made []Occur Personal & Adv. injury $1,000,000 <br /> [] Owner's & Contractor's Each Occurrence $1~000,000 <br /> Protective Liability Fire Damage (Any one fire) $100,000 <br /> [] Terrorism Policy Med Exp. (Any one person) $10,000 <br /> [] Contractor's Special Form <br /> Commercial Umbrella Each Occurrence $ <br /> Aggregate $ <br /> Commercial Excess Umbrella Each Occurrence $ <br /> Aggregate $ <br /> Commercial Excess Liability Each Occurrence $ <br /> Aggregate $ <br /> <br />Certificate Holder <br />Santa Aha Regional Trans. Cent <br />1000 E. Santa Aha Blvd. #300 <br /> <br />Santa Ana CA 92701 <br /> <br />Richard Quehl, Home Office Underwriting Executive <br /> <br />RIL 2129 (12/02) Page 1 of 2 <br /> <br /> <br />