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rn....wL. 71Di <br />COMPULMGM <br />ACORD,aT CERTIFICATE OF LIABILITY INSURANCE osi;yoM'~°"""' <br /> <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />John Burnham Irv 1210 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> E <br />E <br />O <br />2415 Campus Drive, Suite 200 ES 8E OW. <br />POLIC <br />TER THE COVERAGE AFFORDED 8~ THE <br />AL <br />Irvine, CA 92612-8530 <br />949 8332462 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER 0. St. Paul Fire & Marine Insurance Co. 24767 <br />Compulink Management Center q/~~ rq~ ?~ <br />~ INSURER B: St. Paul Travelers 25674 <br />Accu-Flex, Inc. & Laserfiche ~ ^ p~llLbL' p <br />CW <br /> INSURERG <br />3545 Long Beach Blvd #110 <br /> INSURER D: <br />Long Beach, CA 90807 <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWmiSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WRH RESPECT TO WHICH THIS CERTIFICATE MAV 6E ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NS TYPE OF INSURANCE POLICY NUMBER O~TEY ~FDECTAIE POA~ E)~IRATN)N LMRS <br />A GENERAL LUU31LITr 7709401916 01106/07 01/06/08 EACH OCCURRENCE 51 ODD DDD <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED E,150 000 <br /> <br /> CLAIMS MADE OCCUR MED EXP (Any one person) SiD DDD <br /> PERSONAL 8 ADV INJURY Si OOO DOD <br /> GENERAL AGGREGATE $Z DDD DDD <br /> GENL AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGG $2 DDD DDD <br /> POLICY jRa LOC <br />A AUT OMOBILE LIABILITY T7D94D1916 D1/D61D7 D7/D61D8 <br /> COMBINED SINGLE LIMIT <br />vd <br />E <br />E1 <br />OOD <br />OOD <br /> X ANY AUTO aac <br />( <br />enl) , <br />, <br /> ALL OWNED AUTOS ',{ <br />, t~t t'Q~~ <br />T <br />V I <br />DI <br />L <br />N <br />J <br />RY <br /> ~r <br />~~a ~`Y , <br />~P E <br /> SCHEDULED AUTOS ~ Y <br />~PFR P <br />~ <br />' <br />e <br /> X HIRED AUr03 <br />BODILY INJURY <br /> <br />X <br />NONUWNED AUTOS <br />(Peremderd) $ <br /> <br />I i- <br />.W' <br />~ <br /> <br />PROPERTY DAMAGE <br /> ~` <br />nDY (Pa,acad <br />m s <br /> - ~ -u L;ny, e <br />) <br /> GARAGE LU181DTY AUTO ONLY-Eq ACCIDENT E <br /> ANV AUTO OTHER THAN EA ACC E <br /> AUTO ONLY: AGG S <br />A EXCESSNMBRELLA LVIBRITV 7709401916 01/D6/07 01/06/08 EACH OCCURRENCE 32 000 000 <br /> <br /> X OCCUR ~ CWMS MADE gGGREGATE E2 DOD DDD <br /> 3 <br /> DEDUCTIBLE $ <br /> X RETENnoN E1000D g <br /> <br />B <br />WORKERS COMPENSATION AND <br />HEU69103C599 <br />12/27/06 __ <br />72/27/07 <br />X WC STATU- 0TH- _ _ <br /> EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />E.L. EACH ACCIDENT <br />31,000,000 <br /> OFFICERRAEMBER EXCLUDEDT EL DISEASE-EA EMPLOYEE $1,OOD,000 <br /> SPYECIAL~PRWIu80NS below E.L. DISEASE-POLICY LIMIT 31,DDD,DDD <br /> oTHEa <br />DESCRIPRON OF OPERATIONS /LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Certholder is additional insured as respects to general liability, as <br />required by written contract per attached wording from policy form 47150. <br />City of Santa Ana <br />Attn: Pat Healy, M/SM30 <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPD2ATION <br />THEREOF, THE ISSUING INSURER MALL ENDEAVOR TO MAIL ~D_ DAYS NRITTEN <br />E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />iE NO OBLMaATON OR LIABILITY OF ANY HIND UPON THE INSURER, RS AGEMS OR <br />ACORD 25 (2001108) 1 of 2 #5390466/M376371 MASUA D ACORD CORPORATION 1988 <br />