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<br />Cert' f.cate of Insurance <br />Sparta Program <br /> <br />Name Insured: <br /> <br />Juan, Jorge <br />3866 Canterbury Rd . <br />Riverside, CA 92504 <br /> <br />Named Additional Insured: <br /> <br />SANTA ANA (SPARTA) <br />20 Civic Center Plaza PO Box 1988 <br />Santa Ana CA 9270 I <br /> <br />Certificate # <br /> <br />Coverage <br /> <br />Limits <br /> <br />Deductibles <br /> <br />Terms & <br />Conditions <br /> <br />Exclusions <br /> <br />SSAO3-0013 <br /> <br />SPARTA INSURANCE PROGRAM: Commercial General Liability - Hazard I <br />Contract Value: $25,000,00 <br />Coverage Period: 4/27/2003 to 4/27/2004 <br />Insurance Carrier: Essex Insurance Company <br />Master Policy: 3CJ880 I <br />Master Policy Effective Date: I 1/15/2003 to expiration <br /> <br />$2,000,000 General Aggregate / $1,000,000 Each occurence / $1,000,000 Products/Completed operations / <br />$1,000,000 Personal & Advertising Injury/$50,000 Fire Damage / Medical Payments Excluded / $1,000,000 <br />Non-owned Automobile Liability coverage for the city, county or public entity only, No coverage is provided for the <br />Certificate Holder. Coverage is limited to the insured operation covered by this certificate and for vehicles not owned <br />or hired by the city, county or public entity, <br /> <br />$500 BI & PD Per Claimant Including Loss Adjustment Expense <br /> <br />$1,000,00 Premium (Fully Earned) <br />$33,50 Taxes (Fully Earned) <br />$75,00 Certificate Fee (Fully Earned) <br /> <br />$1,108.50 Total Amt <br /> <br />I. No Cancellations Allowed <br />2. Operations and Rating Based:Computer Software. Provide network maintenance support, Train provide ongoing <br />support. perfonn various projects containning networking & applications of software related tasks, Undertake <br />various applications software development projects & to provide maintenance support for database application. NO <br />ACCOUNTING FEATURES. TRAIN CITY EMPLOYEES ONL Y. <br />3, Contractual on a Limited Fonn. NO PROFESSIONAL LIABILITY COVERAGE PROVIDED. <br />4. Additionallnsured(s): N/A <br />5, Department: Community Development Agency <br />6, Additional Tenns and Conditions: <br /> <br />Per the Master policy, a copy is available by written request to: Municipality Insurance Services, Inc. 1920 East <br />17tb St Suite 136, Santa Ana, CA 92705 <br /> <br />The Insurance afforded under the specified policy above is subject to all the tenns, conditions, and exclusions of <br />such policy. (A copy of the policy is available upon written request.) This coverage applies only to the contractor or <br />event noted above and does not extend to any other activities or work perfonned by the holder. ' <br /> <br /> <br />~~ <br /> <br />Carol Frost / President <br /> <br />Municipality Insurance Services, Inc. <br />1920 East 17th St Suite 136 <br />Santa Ana, CA 92705 <br /> <br />1920 East 17th St Suite 136 Santa Ana, CA 92705 (800) 420-0555 (714) 550-5040 fax (714) 550-5044 License# OC04849 <br />