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<br />- , <br /> <br />..ODUC.' ('49)756-5730 ~AA ~!f' ),,-),..,u '"I:t "'1:" fir....", f C I~ ,~.. ""..."''"""......_. ..... _.~..........._.. <br />Spectrum Risk Mgmt. & Insu~anee Se~vices ONLY AND CONFERS NO ",JHTS UPON THE CERTIFICATE <br />HOLDER. THIS CElUlFICA TE DOES NOT AMEND, EXTEND OR <br />CA Lie. _OC77415 ALTER THE COVERAGE AFfOROED BY THE POLICIESBELOW. <br />1.010 Skypa~k Ci~el., 1140 <br />I~vine. CA 92614 INSURERS AFfORDING COVERAGE NAIe _ <br />......... TSUI Co~p. -" Evanston In5u~aa~e CQlPany <br /> 1&211 Gothard St.,Ste.109 'MSURER I: American States Insurance <br /> Huntington Beach, CA 9264& INSURER c: AlG G~oup <br /> MURER 0 State Compensation Ins. Fund 15076 <br /> INSuRER E. <br />COVERAGES <br /> THE POlICIES OP INSUMNCE LISTED IlELOW HAve BEEN ISSIJ&D TO THE INSURiD NAMEOABOvE FOR THE POLICY PERIOO INDlCAT!Il. NOlWITllSTANOIN <br /> ANY REQUIREMENT. TERM OR CONDITION Of Am CONTRACT OR OTHER DOCUMENT WITH ReSPECT TO WHICH THIS CERTifICATE MAY BE ISSUED OR <br /> MAY PERTAIN. THE INSURANCE AfFORDED BY THE POlICIES DESCRIBED HEREIN .S SUBJECT TO AU. THE TERMS. EXClUSIONS AND CONDITIONS OF SUCH <br />POlICIES AGGREGATE LIMITS SHOWN MAY HAve BEEN REDUCED BY PAID ClAIMS. <br />~ TYl"E 01' INSURANCE POUCY ~E. ~~ EfFeCTIVE POLICY IXP'taA fJOtrt u.ns <br /> ~...... UAlIUJY 04GLPI005236 01/01/2004 ,01/01/2005 e.-.CH OCCUR RENtE . 1,000 00 <br /> X COMMERCIAL GEHE~L \.lABILlTY ~ . 50,00 <br /> = :J CUI'" ...",. m OCCUR flIED iU (An, one pelSOfl) . 5,00 <br />A PeRSQNAL & ADV INJURY . 1 000,0001 <br /> GENERAL AGGREGATE . . 2 ,OOO,OO~ <br /> <;EN... AGGREGATE LIMIT APriSI PP AAOOUCT5.. CO".p~ AOG . I,OOO,OO~ <br /> I POlICy m ~~f LOe :',. <br /> AUTOMOaIL! LlABIIoITY 01-CE-70342ti-tiO 01/01/2004 01/01/200S C0MI1NliD SINGLe LIMIT <br /> X ...NY AUTO lEa tccldeMl . 1. 000. OO~ <br /> .;.;.. <br /> "'L!~ OWNED AUlDS BOD!&. y INJURY <br /> - . <br /> _ SCHEDULEDAIJTOS IP" ..on) <br />B ./>.-1' 1) J..:~( ,'V r:. . - <br /> - MIReD AUTOS, IOD1L Y INJURY . <br /> NON-OWNED AUTOS ~? fPer.lQCldcnll <br /> - ///1' <br /> ,':- . LUd!. PROPERTY DAMAGIl! . <br /> ,.. .-;- . .:/. tP.r.c~} <br /> GAUGi L1....llITY ..7" "UTO OM. Y.lA ACCIDENT . <br /> ~ "NY "UTO j-\~.:;iSl,~.,-~/~i, ' ,-'<I' UACC S <br /> OTHat THAN <br /> AUTO ON~ '1': ACe . <br /> !]~SSlUMBRELLA UA81LlTY BEZ349062 01/01/2004 01/01/2005 EACH Oa;URRi<NCE . 2 OOO.OOC <br /> X OCCUR 0 C\.AIMS MADE AQQREGATE I 2.000.00C <br />C . <br /> ::;:} ~EDUCTIBLI!. . <br /> X AU'NTION I 10,001 . <br /> WORM-liRA eOM"ENSAflQN AND 1750075-03 07/01/2003 07/01/2004 X WCSTATU.~1 IOJ~' <br /> EMPlOY,fR$' L.lAell.IN 1.000.00~ <br />0 ^",iY PROPRIETORfPIoATNERtExiiCUTI\IE E,L EAC~ ACCIQENT . <br /> OFfiCER/MEMBER EXCLUDeD? El D~SE" EA EMPt.OYE , 1,000 000 <br /> lly",.o..c;'~l,Ino., <br /> Sl"fCIAL f'ROvr61ON5 DtIOlII E.l. OlSEASE.. POl/C'fLtMlT I 1 000 OO~ <br /> OTI'IER <br />>rO.!SCAII'TION OF jPEAA nON~ 1 LOCATIOH:I' VEHltLU' UC:LUt.lONI ADOI!D 1'1' EN~ENT' .!JplClAL I'ItOVI&IONS insureds with respect to the Gl. <br />he City 0 Santa Ana. its office~s, agents 6 emp oyees are additional <br />oer the attached form. <br />e: Notice below; 10 days notice for non-renewal of premium and/or non-~eporting of pay~o\l: <br />..,!'IlTIFIr.A TF I --- .~.M' <br /> SHOUlD,uy 01' TNI ABOVE DESCRIBED POLICIES. 1iI~ CANCElLED BEFOftE THE <br /> EJlF'tRATIOH DAn THfREOl'. THe ISSUING Ili$UAER WILL 1I>>6tX~ MAIL <br /> -1!l.- CAYS WRITTEN NOncE TO THE CERTlFICATt 110LDI!rt HAMID TO THllIFT, <br /> The Depot of Santa Ana _~~NV__Y"~_lIll)6ll~~lIilllllllXX <br /> 1000 East Santa Ana, Suite 108 __1~>>lllllll0_"""YYYXXXXXXX <br /> Santa AnA. CA 92701 AUTHOlt:IZEO REPRI;$EN'TATWE 9-1'1 ~ <br /> 31M Wa~ArhOUEQfGXNNXE <br /> <br />ACORD 25 (2001108) <br /> <br /><<lACORO CORPORATION 1988 <br />