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<br /> - ~-- -. ...- -.........-.. <br />~pectrum K1Sk Mgmt. & Insurance Services ON~Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOI=S NOT AMEND, EXTEND OR <br />CA tic. #OC77485 ALTER THE COVERAGE AFFORC'ED BY THE POLICIES BELOW. <br />74 Di sq>very <br />~rvine, CA 92618 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED TSCM Corp. INSURER A: NIC Insurance CompalnY 36056 <br />18281 Gothard St.,Ste.109 INSURER 8: Safeco Insurance Companies <br />Huntington Beach, CA 92648 INSURER c. St. Paul Fire & Marine Ins. CO. <br /> INSURER D: State Compensation Ins. Fund 35076 <br /> INSURER E: <br /> <br />! THE POUCIES OF :NSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN( <br /> ANY REQUIREMENT. TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />. MAY PERTAIN. THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br /> POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLAIMS. <br />Ilr~.t'l ~~'1:) TYPE Of INSURANCE POLICY NUMBER POUCY EFFECTIVE POUCY EXPIRATION L.IMITS <br /> ~NERAL LlABlUTY GS512459 01/0l/2005 01/01/2006 EACH OCCURRENCE . 1,000,00C <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50.00~ <br /> I CLAIMS MADE 0 OCCUR MED EXP (Any 009 person) $ 5,000 <br /> A ~- PERSONAL & AOV INJURY $ 1,000,00l <br /> f.- GENER~\L AGGREGATE $ 2,000,001 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGe $ 1 000 001 <br /> h POLICY fXl ~~8T n lOC <br /> AUTOMOBILE UABILITY 01-CE-703426-70 01/01/2005 01/01/2006 COMBINED SINGLE LIMIT <br /> ,X (Eaaccldent) $ 1.000,00l <br /> ANY AU~O <br />I I <br /> : All OWNED AUTOS , BODILY INJURY <br /> --..-- $ <br /> I SCHEDULED AUTOS (Per person) <br /> B ~- HIRED AUTOS <br /> '- BOD1LY INJURY $ <br /> NON.OWNED AUTOS (pera!:cidenl) <br /> I--- <br /> PROPERTY DAMAGE $ <br /> lPeraccident) <br /> GARAGE UAElIl.1TY AUTO ONLY. EA ACCIDENT $ <br /> I =1 ANY AUTO <br /> , OTHER THAN EAACC $ <br /> AUTOQl'llLY: AGG $ <br /> IJ~SlUM~RELLA UABlLrTY QK06100114 01/01/7.005 01/01/2006 EACH OCCURRENCE $ 2.000,000 <br /> I , X OCCUR 0 CLAIMS MADE AGGREC~ATE $ 2,000,OO( <br /> C $ <br /> h <br /> ix-i DEDUCTIBL.E $ <br /> X RETENTION $ 10, OO~ $ <br /> WORKERS COMPENSATION AND 1750075-04 07/01/2004 07/01/2005 X I_~.ST~T.~~ r [o.'!:" <br /> EMPL.OYERS' L.IABlLITY ~PF OVED AS TO FOR 1 E.L EACH ACCIDENT $ 1 000,000 <br /> 0 ANY PROPAIETOR/PARTNER/EXEC <br /> OFf'!CEiVMEMBER EXCLUDED? /~ n . ..f, J I /3 E.L. DISEASE-. EA EMPLOYE $ 1,OOO,00( <br /> ~~ECI~~A~V'S?ONS below -- E.L. DISEASE - POUCY LIMIT $ 1. 000, OOC <br /> OTH~R Laura Stil~hccdY <br /> I r <br /> ssistant Qity Attorne,,\J <br />b~~SCRIPTlON OF OPERATIONS; I LOCATIONS I VEHICLI!!S I exCLUSIONS ADDED BY ENCORSEMENT I SPECIA!. PROVISIONS <br />~e: Parking lot sweeping services. <br />~he City of Santa Ana, its off1cers, agents & employees are additional insureds with respect to the GL <br />ber the attached ANF 160 9/2003 form. <br /> e: Notice below: 10 days not1ce for non-renewal of premium and/or non-reporting of payroll. <br /> <br />The Oepot of Santa Ana <br />1000 East Santa Ana, Suite 108 <br />Santa Ana, CA 92701 <br /> <br />QHOUL.D ANY OF THE ABOVE DeSCRIBED POUCIES aE CANCELLED BEFORE TliE <br />EXPlRATlON DATE THEREOF, THE ISSUING INSURER WJLL~~ MAIL <br />-3..0.._ DAYS WRITTEN NOnCE TO THE CERTIFICATe HOLDER NAMED TO THE L.EFT, <br />~1(~lIlllilllXlXlt~X <br />IUOO.JOO(I(>>lll(lOOW(OI~lIlIllIOOtll:\\I(JllllllllllilllOOlllOO(XXXXXXXx <br />AUTHORIZED REPRESENTATIVE rl....... 7'l ~ <br />Jim Waterhouse GINNIE ~ <br /> <br />ACORD 25 (2001108) <br /> <br />@ACORDCORPORATION 1988 <br /> <br />2'd <br /> <br />1:::1.. 1 L1 <br /> <br />dS2:eo 50 VO qa~ <br />