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<br />. Page 1 of2 <br /> <br />11/5/2004 11:01 AM FROM: Municipality Ins.Sv <br /> <br />TO; 242-1828 <br /> <br />PAGE: 001 OF 002 <br /> <br />Certificate of Insurance <br />Sparta Program <br /> <br />Named Additional Insured: <br />SANTA ANA (SPARTA) <br />20 Civic Center Plaza PO Box 1988 <br />SantaAnaCA 92701 <br /> <br />Name Insured: <br />Network Integrators, liC <br />839 N. Kintyre Drive <br />Orange, CA 92869 <br /> <br />Certificate # <br />Coverage <br /> <br />Limits <br /> <br />Deductibles <br /> <br />T.......& <br />Conditions <br /> <br />Exclusions <br /> <br />IV - ,ÆDO'j -OJ3 <br /> <br />SSA03-0025 <br /> <br />SPARTA INSURANCE PROORAM Conunercial Genernl Liability - Hazard I <br />Contract Value: $120,000.00 <br />Coverage Period: 111412004 to 11/412005 <br />lru,"rance Carrier. Essex fusurance Company <br />Master Policy: 3CM4080 <br />Master Policy Effective Date:11/1512003 to expiraûon <br /> <br />$2,000,000 General Aggregate 1 $1,000,000 Each occurrence 1 $1,000,000 Products/Completed operaûons 1 <br />$1,000,000 Personal & Advertising InjUl)'1$50,000 Fire Damage 1 Medical Payments Excluded 1 Including Non-owned <br />Automobile Liability coverage for the eity, county or publie entity only. No coverage is provided for the Certificate <br />Holder. Coverage is limited to the insured operaûon covered by this certificate and for vemcles not owned or hired by <br />the city, county or public entity. <br /> <br />$500 BI & PD Per Claimant Including Loss Adjusbnent Expense <br /> <br />$1,000.00 Premium (FcllyEarned) <br />$31.25 Taxes (Fully Earned) <br />$75.00 Certificate Fee (Fclly Earned) <br /> <br />1RIA <br /> <br />$1,106.25 Total Amount <br /> <br />I. No Cancellaûons Allowed. Premium, taxes and fees are fully earned at incepûon. <br />2. Operaûons and Rating Based: Consultant - No public exposure - provide LAN Network maintenance & support, <br />train users various software related tasks & development projects. <br />3. Department: Santa Ana Conunnnity Redevelopment Agency; Santa Ana Housing Authority <br />4. Addiûonal fusured(s): Not Applicable <br />5. No Professional Liability Coverage provided. <br />6. NO PUBLIC EXPOSURE WORKING WITIIIN TIIE CITY OF SANTA ANA DEPARTMENTS AND TIIEIR <br />EMPLOYEES. <br />7. NON OWNED AUTOMOBILE LIABILrrV COVERAGE IS FOR PRIVATE PASSENGER VEElCLE ONLY. NO <br />TRANSPORT OF CLIENTS. <br /> <br />Asbestos, Assault & Batle1y, Employer Related Precûces, Subsidence, Independent Contractors, Polluûon, Cross Sui~ <br />Lead or Silica Dust, Mold or Bio-<>rganic Growth or Mildew, Purriûve Damages, Animal, Breach of Contrac~ Y2K <br />Electronic Data, Medical Payments, War or Terrorism. <br />The insurance provided under this policy is limited to your work performed on behalf of the entity named as <br />"Additional Named Insured" above and doesn't extend itself to any other work perfonned by you or your organization. <br />Coverage is limited to the description of operaûons and rating bases listed in "Tenns & Conditions" item 2. <br /> <br />Per the Master policy, a copy is available by written request to: Mtmicipality Insurance Services. Inc., 302 W. Cemtos <br />Ave., Building #7, Anaheim, CA 92805 <br /> <br />¿/¡ <br />( ----V;;Z 1 <br />¡í~l.é<-- ¿i,'"\.- <br />r, -t / <br /> <br />3Cf2 W. Cerritos Ave Bldg# 7 Anaheim, CA 92805 (800) 420-0555 (714) 687-JlOO fax (714) 687-Jl06 LicensesCAOC04849; OR195423 <br />Website address www.2sparta.com <br />