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<br /> .. ...- -_.~. ,. ._.~. - .... .............- r-o...,.. II''''' ,........... '1'111 ...n,JILl"\1 1""'1. <br /> U & A Insurance Agency ONl.Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Unick~l & Assoc. Lic#0827703 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 10727 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />San Bernardino CA 92423-0727 <br />Phone:909-793-6810 Fax: 909-798-3959 INSUHERS AFFORDING COVERAGE NAIC# <br />INSURED þ/- ~Lf- olÔ INSURER A: Clarendon America <br /> INSURER B: Golden Eagle Insurance Corp <br /> R.M. S~stemsé Inc. <br /> ATTN: ob Mc lary INSURER c: <br /> P. O. Box 4013 INSURER 0: <br /> Orange CA 92613 INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOH THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT "0 WHICH THI:3 CERTIFICATE MAY BE ISSUED OR <br />MAY PËRTAIN, 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 />LTR N8R TYPE OF INSURANCE POLICY NUMBER PD~TE;MMíoò',w;E DATE MM/DDfYy\N LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br />A X ~--COMMERCJAL GENERAL LIA81L1TY HXOOO09156 02/09/04 02/09/05 I pRËMiSb fEa occurence) $ 50,000 <br /> i ! CLAIMS MADE [iJ OCCUR MED EXP (An~ one person) $5 000 <br /> I P PERSONAl & ADV INJURY $ Included <br /> GENERAL AGGREGATE 82,000 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPfOP AGG 82,000,000 <br /> ~- POLlCyn- jr& - n-lOC <br /> AUTOMOBILE LI¡\ßILITY COMBINED SINGLE LIMIT $1,000,000 <br /> -'-'- BA9505683 07/31/04 07/31/05 (Eaeccidønt) <br />B ANY AUTO <br /> - <br /> ALL OWNED AUTOS BODJL Y INJURY <br /> - 8 <br /> ..!£. SCHEDUL.ED AUTOS (I3erpen;on) <br /> f HIRED AUTOS BODILY INJURY <br /> (Peraccidenl) $ <br /> NON-GWNËD AUTOS <br /> I ..!£. Comp Ded $500 PROPERTY DAMAGE $ <br /> IXICo1 Ded $500W (Per accident) <br /> GARAGE UABILITV AUTO ONLY - EA ACCIDENT $ <br /> ~ ANY AUTO OTHER THAN EAACC 8 <br /> AUTO ONLY. AGG $ <br /> EXCESS/UMBRELLA UABILITY EACH OCCURRENCE $ <br /> =:J OCCUR 0 CLAIMS MADE AGGREGATE 8 <br /> I 8 <br /> I ~=I ~EDUCTIBlE ,b. /h. . <br /> RETENTlOi'l $ .AO/ $ <br /> WORKERS COMPENSATION AND VV 7 ' " - ==-, I TÕRY" ~'~\TS J I VEl.' <br /> EMPLOYERS' LIABILITY ! <br /> ANY PROPRIETDRlPARTNERfEXECUTIVE / ,~ EL EACH ACCIDENT 8 <br /> J':; <br /> O¡=FICI!PJMEM8ER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> Ifv<!~. describe under <br /> ì SPE(:IAL PROVISIONS below EL DISEASE. POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAl PROVISIONS <br />*Exc&pt 10 day noticQ of cancellation for non payment of premium. Cert <br />holder and the City of Santa Ana, 20 Civic Center Plaza, Santa Ana Ca 92701, <br />its officers, employeCils, agents, and representativQ are named addi tional <br />insurGd regarding GGnQral Liability per the attached CG2010 11/85, Primary <br />wording applies, endorsement to follow from the company. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />DEPOT-1 <br /> <br />SHOULD ANY OF THE. ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRATlO <br />DATE. THEREOF, THE ISSUING INSURER WILL i MAIL :3 0* DAYS WRITTEN <br />NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, ~I"'''A'' u_- -- -- '"^ C!UIIII <br />~ .-- ~._...." ",rANT ....,.--. -..--- -n ''''''.'''''/''If <br /> <br />The Depot at Santa Ana <br />Attn: Carolyn <br />1000 E. Santa Ana Blvd, , <br />Santa Ana CA 92701 <br /> <br />#108 <br /> <br /> <br />@ACORD CORPORATION 198 <br /> <br />ACORD 25 (2001/08) <br /> <br />2'd <br /> <br />!:it''!!l <br /> <br />dS2:!O YO ¿O das <br />