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<br />ACORQ, CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDfYYYY)
<br />01/03/2008
<br />PRODUCER (949)756-5730 FAX (949)756-5740 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Spectrum Risk Mgmt. & Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />CA Lie. #OC77485 A-~o5-:l.{pS- HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />74 Discovery A-;;.oOr..-0;>'3
<br />Irvine, CA 92618 A -;;J.oo!", -3;25 INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED TSCM Corp. A-::wo1-005 INSURER A: Navigators Ins. Co. 42307
<br /> 18281 Gothard St.,Ste.l09 N-I'l"l'1-;2l1 INSURER B General Ins. Co. of America
<br /> Huntington Beach, CA 92648 INSURER c' St.Paul Fire & Marine Ins. Co.
<br /> A . ;2.003- ;:l- ~ IS INSURER 0 Cypress Insurance Company 10855
<br /> A.;;lOOI./ -0;1.-3 INSURER E:
<br />
<br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
<br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS"
<br />II~~~ \';~'1;! TYPE OF INSURANCE POLICY NUMBER p~.H~Y EFFECTIVE POLICY EXPIRATION LIMITS
<br /> ~NERAL LIABILITY 06CGLOO0481-02 01/01/2008 01/01/2009 EACH OCCURRENCE $ 1,000,000
<br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50,00C
<br /> I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 5,000
<br />A PERSONAL & p...oV INJUR~ $ 1,000,000
<br /> GENERAL AGGREGATE $ 2,000,000
<br /> GEN"L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ l,OOO,OOC
<br /> -'-l' ,-h PRO. h I
<br /> POLICY JECT LOC
<br /> AUTOMOBILE LIABILITY 24-CC-153067-2 01/01/2008 01/01/2009 COMBINED SINGLE LIMIT
<br /> f-- (Eaaccidenl) $
<br /> ~ ANY AUTO 1,000,000
<br /> I- ALL OWNED AUTOS BODILY INJURY
<br /> $
<br /> SCHEDULED AUTOS (Per person)
<br />B f--
<br /> ~ HIRED AUTOS BODILY INJURY
<br /> lPeraccident) $
<br /> ~ NON OWNED AUTOS
<br /> f-- PROPERTY DAMAGE $
<br /> (Per accident)
<br /> ~~GE LIABILITY AUTO ONLY - EAACCIDENT $
<br /> ANY AUTO OTHER THAN EA ACC $
<br /> AUTO ONLY AGG $
<br /> :KJ~SSIUMBRELLA LIABILITY QK04500369 01/01/2008 01/01/2009 EACH OCCURRENCE $ 4,000,000
<br /> X OCCUR 0 CLAIMS MADE AGGREGATE $ 4,000,00
<br />C $
<br /> ~ DEDUCTIBLE $
<br /> X RETENTION $ lO,OOC $
<br /> WORKERS COMPENSATION AND 3310010909-071 07/01/2007 07/01/2008 X 1 T'X~Sm~~ [ [OJb"
<br /> EMPLOYERS' liABILITY 1,000,000
<br />D ANY PROPRIETOR/PARTNER/EXECUTIVE E L. EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? E L. DISEASE - EA EMPLOYEE $ 1,000,00
<br /> Ifyesdescnboundor E.L DISEASE POLICY LIMIT $ 1,000,000
<br /> SPECIAL PROVISIONS below
<br /> OTHER
<br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
<br />e: Parking lot sweeping services.
<br />he City its officers, agents, employees are named additional insureds with resepect to the GL and auto
<br />iability per the attached forms.
<br />e: Notice below: 10 days notice for non-payment of premium and/or non-reporting of payroll.
<br /> "..
<br /> " , .' ,'1. -.'-L.
<br />
<br />COVERAGES
<br />
<br />CERTIFICATE HOLDE
<br />
<br />The City of Santa Ana _~:J1/5.-
<br />Attn: Carolyn Fullerton I'
<br />20 Civic Center Plaza M-25 l'" , ,;,
<br />Community Development Agency
<br />Santa Ana, CA 92701
<br />
<br />CAN CELL TION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />>_"~~PlRA:rION DATE THEREOF, THE ISSUING INSURER WILL IweE OR TO MAIL
<br />3!!- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />
<br />., P"~ ~... ,.......~... r.... ....,....., ""T''''''' ..".., I""'''''''' .,... ....n. .....~...'....'....n' '~D" 'TV
<br />
<br />,;" ~r..llIIIBtJraIJTII!III!ltJREI1,IT8
<br />AUTHORIZED REPRESENTATIVE
<br />Jim Waterhouse/GINNIE
<br />
<br />8!IJPe SR F1EF'REIBEIlT" Pf '[fl.
<br />
<br />y.-?1 ~
<br />
<br />@ACORD CORPORATION 1988
<br />
<br />ACORD 25 (2001/08)
<br />
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