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<br />ACORD. CERTIFICATE OF LIABILITY INSURANCI;AT~~¿~ S~ DATE (MM/ODlYY) <br />02/10/04 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Horizons Insurance Group, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />9101 LBJ treeway, Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Dallas~X 75243-2057 INSURERS AFFORDING COVERAGE <br />Phone: 972-231-3600 Fax: 972-231-3306 <br />INSURED INSURER A Travelers Property Casualty <br /> INSURER B: Travelers Indemnity Co of CT <br /> Datamatic, LTD. INSURER c: <br /> Phil <br /> P.O. Box 940641 INSURER 0: <br /> Plano TX 75094 <br /> INSURER E: <br /> <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BE:LOW 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 /> <br />LTR <br /> <br />TYPE OF INSURANCE <br />GENERAL LIABILITY <br /> <br />POLICY NUMBER <br /> <br />DATE MMlDDIYV DATE MMfDDIYY LIMITS <br /> EACH OCCURRENCE , 1000000 <br />02/11/04 02/11/05 FIRE DAMAGE (Anyone fire) '300000 <br /> MED EXP (Anyone person) '5000 <br /> PERSONAl & ADV INJURY '1000000 <br /> GENERAL AGGREGATE , 2000000 <br /> PRODUCTS-COM~OPAGG '2000000 <br /> COMBINED SINGLE LIMIT , 1000000 <br />02/11/04 02/11/05 (Eaaccìdenl) <br /> BODilY INJURY , <br /> (Per person) <br /> BODilY INJURY , <br /> (Per accident) <br /> PROPERTY DAMAGE , <br /> (Peraccidenl) <br /> AUTO ONLY. fA ACCIDENT , <br /> OTHER THAN EAACC , <br /> AUTO ONLY: AGG , <br /> EACH OCCURRENCE , 5000000 <br />02/11/04 02/11/05 AGGRE:GATE , 5000000 <br /> , <br /> , <br /> , <br /> ER <br /> , <br /> E.L. DISEASE - fA EMPLOYEE $ <br /> E,L DISEASE - POLICY LIMIT , <br /> <br /> <br />A <br /> <br />X COMMERCiAl GENERAL LIABILITY <br />CLAIMS MADE [iJ OCCUR <br /> <br />PACP5111A894 <br /> <br /> <br />LOC <br /> <br />B <br /> <br />X ANY AUTO <br />ALL OWNED AUTOS <br /> <br />CAP4756A94A <br /> <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON-OWNED AUTOS <br /> <br />GARAGE LIABILITY <br />ANY AUTO <br /> <br />EXCESS LIABILITY <br />B X OCCUR 0 CLAIMS MADE <br /> <br />CUP5987Wl82 <br /> <br />DEDUCTIBLE <br />X RETENTION <br /> <br />,5000 <br /> <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br /> <br />OTHER <br /> <br />DESCRIPTION OF OPERATlONSlLOCATIONSNEHICLES/EXCLUSIONS ADDED BY E I:)() EllEN SPECIAL PR, <br /> <br /> <br />IONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CITYOFS <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WIll ENDEAVOR TO MAIL ..3..0..- DAYS WRlTIEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAll <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />PORA TION 1988 <br /> <br />Y ADDITIONAL INSURED; INSURER LETIER: <br /> <br />City of Santa Ana, California <br />Attn: Thom Coughran <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br /> <br />ACORD 25-S (7/97) <br /> <br />þJY <br />