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<br />NOV-19-2003
<br />A41ÞlIIþI18.
<br />
<br />17:01
<br />
<br />CERTIFICATE OF INSURANCE
<br />
<br />RON
<br />
<br />877 528
<br />
<br />1555 28 P.02/03
<br />DATE (MMiDDIYY)
<br />1111912003
<br />
<br />PRODUCER
<br />Aon Risk SelViĊs, Inc. of Southern California
<br />707 Wilshire Boulevard, Suite 6000
<br />Los Angeles, CA 90017
<br />(213) 630-3200
<br />
<br />THIS CERTIFICATE IS ISSUED AS A MATTEr{ OF INFORMATION ONLY AND CONFERS NO RIGHTS
<br />UPON THE CERTIACATE HOLDER. THIS CeRTIFlCA1E DOES NOT AMEND, EXTEND OR ALTER
<br />THE COVERAGE AFFORDED BY THE POUC~ES BelOW.
<br />
<br />INSURERS AFfORDING COVERAGE
<br />
<br />INSURED
<br />
<br />INSURER A:
<br />
<br />Virginia Surotjl co;
<br />National UnIon Fire-Insurance Co.
<br />
<br />ACCO Engineered Systems
<br />6265 San Fernando Road
<br />Glendale, CA 91201
<br />
<br />INSURER B:
<br />
<br />INSURER c:
<br />
<br />INSURER D;
<br />
<br />INSURER E:
<br />
<br />
<br />A
<br />
<br />i..,.:: ..,' '.''';''.' , . .. .of'
<br />0 0 0 . ',..'.'r'~..
<br />.. , .,' . ,,'\ - ",. ',' -
<br />r"tf "-CL;;; E~ OF r.SJ:.t-\';,,¡ëE-US. LO B=_C." '"',Wi: m:f'l 15SU!;;:D -:> THF. 7tJ-S...RLC "' W~ ) ;'~C"E 1:'01; I HI:; !-'O_I~;Y QF.R CD =fl.D!':AT~U. NO':':/,"THS T ~""C:it..G
<br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEfIJT WITH RESPECT TO WI"IICH THIS CERTIFICATE MAY BE ISSUED OR MAY
<br />PERTAIN. THE INSURANCE AFfOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TIFRMS. EXClUSIONS, AND CONDIT1ONS OF SUCH
<br />POLICIES, THE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS,
<br />
<br />co TYPE OF INSURANCE POliCY NUMBER POlICY EFfECTIVE
<br />Lffl t»,TE~
<br />GENERAl LIABIUTY
<br />
<br />~ CONtÆRCIAt. GENERAL UA8IUTY
<br />
<br />0 CtAIMS MADE ~ OCCURRENC£
<br />
<br />0 OWNeIl:'$ & CONTRACTOR'S PAOT
<br />
<br />~ CONTRACTUAL
<br />
<br />~xeu
<br />
<br />~ ~.
<br />
<br />POlICVEXPIRATION
<br />DATE (MM.ÐDIVV:
<br />
<br />LIMITS
<br />
<br />1 CG50063001
<br />
<br />101112003
<br />
<br />1011/2004
<br />
<br />GENERAL AGGREGATE
<br />PRODUCTS-COMPIOP AGG
<br />
<br />$
<br />$
<br />$
<br />$
<br />$
<br />
<br />2.000,000
<br />2,000,000
<br />1,000,000
<br />1.000,000
<br />
<br />PERSONAL & ADV INJURY
<br />EACH OCCURRENCE
<br />
<br />FIRE DAMAGE (Any One Fire)
<br />
<br />B
<br />
<br />EXCess UABlUTY
<br />~ UMBRflLA FORtoI
<br />0 0T11ER THAN UMlREU.A "ORM
<br />WORKERS' COMPENSATION AND
<br />EMPlOYERS'LJ..\8ILtTY
<br />THE PROPRIETOR!
<br />PARTNERSlEXECUTlve
<br />OFFICERS ARE:
<br />
<br />BE2195590
<br />
<br /> MED EXP (Any One Person) $
<br />101112003 101112004 '
<br />: COMEYNED SINGL£ LIMIT $ 1,000,000
<br /> DOOIL Y INJURY $
<br /> !(Perperson)
<br /> 'BOQIl.YINJURY $
<br /> ; (Per açc dent)
<br /> I PROPERTY DAMAGE $
<br /> : AUTO ONLY - EA ACCtDENT $
<br /> 'OTHER THAN AUTO ONLY:
<br /> EACH ACCIDENT
<br /> AGGGREGATE
<br />10/112003 10/112004 lEACH OCCURRENCE 1,000,000
<br /> 'AGGREGATE 1.000,000
<br />101112003 101112004 we ."," 0
<br />T LMTS
<br /> ~~L, EACH ACCIDENT $ 1.000,000
<br /> E.l. DISEASE - POLICY LIMIT $ 1,000,000
<br /> ~.L DISEASE EA EMPlOYEE $ 1,000,000
<br />
<br />
<br />A
<br />
<br />oftUTOMOBl..E UABLITY
<br />~ ANVAIJTO
<br />~ ALl OWNEDA\JTOS
<br />LJ 5CHmULE"OAUTOS
<br />~ HIRED AUTOS
<br />~ NOt+OWNEDAUTOS
<br />0
<br />0
<br />
<br />1CA50063101
<br />
<br />GARAGE LIABILrIY
<br />[J "" AUTO
<br />
<br />A
<br />
<br />1CW50063201
<br />
<br />LJ INeL
<br />0 exeL
<br />
<br />OTHER
<br />
<br />DESCRIPTION DF DPERATIONSlLOCATIONSNEHICLESlRESTRICTIONSlSPECIAL ITEMS
<br />
<br />Service
<br />
<br />This l~su!'8nce a~es separately to each insured against whom claim Is made or suit is brought except with respect to the cÞmpany's limits of liability. The inclusion of any person or
<br />orgarvzation as an Insured Shaft not affect any right which such person or organization would have as a claimant If not so IncltKled.
<br />AddìUonallnsured Endorsement AttacheD. ,
<br />
<br />ACCO/A~S/ACCOSERI 12023
<br />
<br />1ii&I1UI~ 't1!8Ðt;,1!I,êrt .
<br />
<br />City of Santa Ano
<br />Building Maintenance Superintendent
<br />20 Civic Centor Plaza (M-tt)
<br />Sanlo Ana, CA 92702
<br />
<br />
<br />-. f;~\!'i::t<:
<br />
<br />.~\;i "
<br />
<br />~:.,~~>. .,
<br />
<br />AUTHORIZED REPRESENTATIVE
<br />
<br />_RD~(tl85)
<br />
<br />
<br />c
<br />
<br />~
<br />
<br /><MCQRP.CQ~:nOH.t.., .
<br />Rl:lvlsed Certificate
<br />
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