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<br />, <br /> <br />~ <br /> ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDfYYYY) <br /> ,. NO. 2 05 06-2004 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br /> AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> EMPLOYERS DIRECT INSURANCE COMPANY CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br /> 4360 PARK TERRACE DR. AFFORDED BY THE POLICIES BELOW. <br />. <br /> WESTLAKE VILLAGE, CA 91361-5696 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A: EMPLOYERS DIRECT INSURANCE COMPANY <br />- <br />INSURED INSURER B: <br /> J MATTMAN SECURITY, INC. <br /> MATTMAN SPECIALTY VEHICLES INSURER c: <br /> 1004 RANCHEROS DRIVE <br /> SAN MARCOS, CA 92069 INSURER 0: <br /> 4 - ')jJoj .. J..lv1 INSURER E: <br /> COVERAGES <br /> The Policies of Insurance listed below have been issued to the Insured named above for the policy period indicated. Notwithstanding any requirement, term <br /> or condition of any contract or other document with respect to which this Certificate may be issued or may pertain, the Insurance afforded by the Policies <br /> described herein is subject to all the terms, exclusions and conditions of such Policies. Aggregate limits shown may have been reduced by Paid Claims. <br />INSRboOL POLICY EFFECTIVE POLICY EXPIRATION <br />lTR INSR TYPE OF INSURANCE POLICY NUMBER DATE'MM/DDfYY\ DATE IMMlDDfYY\ LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ <br /> CLAIMS MADE OCCUR PREMISES (Ea occurrence) <br /> NOT WITH EMPLOYERS DIRECT INSURANCE COMPANY MED EXP (Anyone person) $ <br /> PERSONAL & ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: $ <br /> GENERAL AGGREGATE <br /> POLICY PROJECT LOC $ <br /> PRODUCTS-COMP/OP AGG <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Eaaccidenl) <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS NOT WITH EMPLOYERS DIRECT INSURANCE COMPANY {Per person} <br /> HIRED AUTOS BODILY INJURY $ <br /> {Per accident) <br /> NON-QWNED AUTOS PROPERTY DAMAGE $ <br /> {Per accident) <br /> GARAGE LIABILITY AUTO ONL Y.EA ACCIDENT $ <br /> ANY AUTO NOT WITH EMPLOYERS DIRECT INSURANCE COMPANY OTHER THAN EA ACCIDENT $ <br /> I I AUTO ONLY: AGGREGATE $ <br /> EXCESS/UMBRELLA LIABILITY I I <br /> OCCUR CLAIMS MADE NOT WITH EMPLOYERS DIRECT INSURANCE COMPANY EACH OCCURRENCE $ <br /> DEDUCTIBLE AGGREGATE $ <br /> RETENTION $ <br />A WORKER'S COMPENSATION AND WC -000148-00 01-01-04 01-01-05 X WC STATUTORY OTHER <br />EMPLOYERS LIABILITY LIMITS <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N E.L DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L DISEASE-POLICY LIMIT $1,000,000 <br /> OTHER <br /> . " /' / / <br /> ~-{l L . . <br /> C~ C;" )/'V? ('U/ <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY 'f.NDOR~EMENTISPECIAL PROVISIONS <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> CITY OF SANTA ANA, POLICE DEPARTMENT BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER <br /> ATTN: SGT. D. MCDERMOTT (SWATT/TRAFFIC) WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE <br /> CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO , <br /> 60 CIVIC CENTER PLAZA I <br /> P. O. BOX 1981 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF A/D UPON <br /> SANTA ANA, CA 92702 THE INSURER, ITS AGENTS OR RE~NTATIVES. <br /> AUTHORIZED REPRESENTATIVE C LJI'/' I <br />!PRINTED BY U10 ON 05/06/04 AT 7:37 AM i <br />ACORD 25 (2001/08) 10f2 / @ ACORD CORPORATION 1988 <br /> <br />~cr <br />