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<br />r . <br />AêORD. CERTIFICATE OF LIABILITY INSURANCE CSR BP I DATE (MM/DDIYYYY) <br /> TELÉÖ-1 09/30/03 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Insurance Unlimited ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> CALicense No. 0173960 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 515 Encinitas Blvd., Ste 202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Enc~n~tas CA 92024 <br /> Phone:760-943-1109 Fax:760-943-1970 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED A ~;).oò1~O.;l,C¡ INSURER A: Bankers Insurance ComDanv <br /> INSURER B: <br /> Tele~e.. .on Fire <br /> RUdŠ Zanas INSURER c: <br /> 127 Ph~ll~ßs St. INSURER 0' <br /> V~sta CA 92 83 <br /> INSURER E: <br /> <br />COVERAGES <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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOIfo.'N MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER ~~M/DDIY~b" Pgk'&Y,~~b'lf'~~N LIMITS <br /> ~NERAL LIABILITY EACH OCCURRENCE .1,000,000 <br />A X X COMMERCIAL GENERAL LIABILITY 040002220543800 08/12/03 08/12/04 PREMISES Ea occurence) .50,000 <br /> I CLAIMS MADE ŒJ OCCUR MED EXP (Anyone person) .1,000 <br /> PERSONAL & ADV INJURY .1,000,000 <br /> GENERAL AGGREGATE .1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG .1,000,000 <br /> II nPRD. n, <br /> POLICY JECT LOC <br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT . <br /> ANY AUTO (Eaac<::ídent) <br /> - <br /> - ALL OIfo.'NED AUTOS BODILY INJURY <br /> . <br /> SCHEDULED AUTOS (Per person) <br /> - <br /> - HIRED AUTOS BODILY INJURY <br /> . <br /> NON-OIfo.'NED AUTOS {Per accident) <br /> - <br /> - PROPERTY DAMAGE . <br /> (Per accident) <br /> :=¡RAGE LIABILITY AUTO ONLY - EA ACCIDENT . <br /> ANY AUTO OTHER THAN EA ACC . <br /> AUTO ONLY: AGG . <br /> EXCESs/UMBRELLA LIABILITY EACH OCCURRENCE . <br /> ~ OCCUR 0 CLAIMS MADE AGGREGATE . <br /> ¿JA/.~vß1y I V2. . <br /> ~ DEDUCTIBLE . <br /> RETENTION . . <br /> WORKERS COMPENSATION AND V ( ITDRYLlMITŠ I IV.it <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT . <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> ~~t ~lSp~'õVlŠ?åNS below E.l. DISEASE - POLICY LIMIT . <br /> OTHER <br />DESCRIPTION OF OPERATIONS I lOCATIONS I VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT J SPECIAL PROVISIONS <br />Certificate holder ~s named as an additional insured <br />Rei: Maintenance for Fire Station Alerting Systems <br />*10 day notice of cancellation w~ll be given for nonpayment of premium <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />CITYOFS <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRATlO <br />DATE THEREOF. THE ISSUING INSURER Will I!!lIal!.. !F1 TI MAIL * 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT. ~ .- -1þtL ,,~--- ~- -- -¡-"... <br />~ ..- -~. ._._._.....~. .._" .-. -- ..... ....,- .._~., -..- ...ft..~-~ .-- .--..- -- <br /> <br />City of Santa Ana <br />120 West Walnut Street <br />Santa Ana CA 92701 <br /> <br />..-.. ---,..~...__. <br /> <br />ACORD 25 (2001/08) <br /> <br /> <br />Insur <br /> <br />@ ACORD CORPORATION 1988 <br />