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<br />A QORDm CERTIFICATE OF LlA <br /> <br /> <br />DATE (MMIDDNY) <br />06/22/2005 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />AMERICAN HOME ASSURANCE COMPANY <br /> <br />PRODUCER Serial # A14403 <br />AON RISK SERVICES, INC. OF FLORIDA <br />1001 BRICKELL BAY DRIVE, SUITE #1100 <br />MIAMI, FL 33131.4937 <br />800-743-8130 <br /> <br />ADP TOTALSOURCE NH XXVIII, <br />10200 SUNSET DRIVE <br />MIAMI. FL 33173 <br />'ALTERNATE EMPLOYER: <br />DATAMATIC, LTD. <br /> <br />-- ---- --~ <br />INC, N--;juo1-C,).5 I <br />10' ,:;i[,[yl-O,}.6 '01 <br />I <br />, <br /> <br />COMPANY <br />A <br /> <br />INSURED <br /> <br />COMPANY <br />B <br /> <br />COMPANY <br />C <br /> <br />COMPANY <br />o <br /> <br /> <br /> <br />IS CERTIFY THAT THE POLICIES HAVE BEEN ABOVE <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> <br /> <br />-~ I TYPE OF INSURANCE - r POLICY NUMBER r~~~~~~:~~i)E I-~~~~~~~~~iivi~ 1- LIMITS <br /> <br /> <br />I GENERAL LIABILITY ' IGEN~~_~~~_GREG~TE ,___ ,I_~_ <br /> <br /> <br />~1~:~:LM:"DN:"2J^:~::R I I:EA:~C~H~OCI_~:C-~U;R~R-~E--~N.C;E~;0.::, -= <br /> <br />!~ER'S & CON"TRACTOR'S PR01 I t --j <br /> <br />rl ~~- \ ~:~~~i:::::;~:,:"=t: - <br />I AUTOMOBILE LIABILITY <br />I~ ANY AUTO COMBINED SINGLE LIMIT $ <br /> <br />d ALL OWNED AUTOS BODILY INJURY $ <br />'8' 'SCHEDULED AUTOS (Per person) <br />HIRED AUTOS BODILY INJURY $ <br />NON-OWNED AUTOS (Per accident) <br /> <br />i PROPERTY DAMAGE <br /> <br />n.' GARAGE LIABILITY I"UT(}ONLY-EAAC~I~ENT " $ <br />ANY AUTO I, OT~~~ n;~~Ul-; ()~~:- +- <br />r=-- -~-__~"C~9C;;;~NT ,~ <br />AGGREGATE $ <br />~CESS LIABILITY EACH OCCURRENCE _ ~.!.._ <br />U UMBRELLA FORM I~~~EGA~E _=-- ',' <br />OTHER THAN UMBRELLA FORM <br />I X I we STATU. 'OTH_ <br />A I~~:~~~~~~L~::I~;~TIONAND ,we 5230038 1 07/01/2005 I 07/01/2006 ~?~~Y;~~!;E\'~ L!'~__'$__ <br /> <br />~:~~~{,~~~~"" n;x~~ \Fl'RUViclJ AS ro FORM 1:~:::t~~:Lt:p~i:E 1:- <br /> <br />1,000,000 <br />---,- - ---- <br />1,000,000 <br />1j)00~000 <br /> <br />OTHER <br /> <br />. // <br /> <br /><'j <br />)/l <br /> <br />IUfa <br /> <br />I, <br />/. <br />Stia . 'ceJy <br /> <br />,j\UliH Cit <br /> <br />DESCRIPTION OF OF'ERATIONSlLOCATlONSlVEHICLESlSPECIAL ITEMS <br />ALL EMPLOYEES WORKING FOR THE ABOVE NAMED CLIENT COMPANY, PAID UNDER ADP TOTALSOURCE. INC:S PAYROLL. WILL BE COVERED UNDER <br />THE ABOVE STATED POLICY 'THE ABOVE NAMED CLIENT IS AN ALTERNATE EMPLOYER UNDER THIS POLICY, <br /> <br />'" <br /> <br /> <br />CITY OF SANTA ANA <br />ATTN: THOM COUCH RAN <br />P.O. BOX 1988 <br />SANTA ANA. CA 92702 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE l.EFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KINO UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br />