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<br />J8t '" '" n. Lf~ "'1:" Ilr.","" ....;;; vr L.1I"\glL.1 I . II"~ U nl"'\I' - I 02105/; <br />PRODUCER (949)472-6560 FAX (949)588-8348 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA n <br />Gal ifornia Southwestern ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Insurance Agency/Lic.# 0443354 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EX1l:ND 0 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BEL <br />21 Orchard <br />Lake Forest, CA 92630 INSURERS AFFORDING COVERAGE NAlC# <br /> .-----.-.- <br />INSURED INSURER A: Interstate Fire & Casualty <br />Kenneth J. Talerico INSURER B: Mercury Insurance Company <br />DBA: Talerico's Electric INSURER c: <br />12321 Moana Way I!\ SURER D: <br />Garden Grove, CA 92640 INSURER E: <br /> <br />'004 <br />ON <br /> <br />R <br />°'IL.- <br /> <br />~nVEIU.GF~ <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POlICY PERIOD INDICATED. NOTWITHSTJ <br />PoNY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED (Ii <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS. EXCLUSIONS AND CONDITIONS OF <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR OM TYPE OF INSURANCE POLICY NUMBER POUCYeFFECTIVE PouCY EXPIRATIoN I.IIIIT9 <br /> GENERAL UABJUTY CLP6251323 01/15/2004 01/15/2005 EACH OCCURRENCE $ 1.01 <br /> X COI\l\olERCIAL GENERAL LiA8IL'TY DAMAGE TO RENTED $ 11 <br /> -0 . <br /> CLAIMS MADE 0 OCCUR MED EXP (Anyone p9ß01\) $ <br /> -f--J <br />A X PERSONAL & ADV INJURY S 1.Oi <br />f-- <br /> GENERAL AGGREGATE $ 2.0i <br /> f-- - <br /> GEN'L AGGREGA"TE liM¡"T APPLiES PER PRODUCTS,COMPJOPAGG $ 1.0, <br /> xl POLICY rl '1~T n cOC <br /> AUTOMOBilE lIABILITY AC11054157 08/21/2003 08/21/2004 COMBINED SINGLE LIMIT <br /> f-- (Ea ¡CCident) S <br /> A!\ Y AUTO 1. Of <br /> I--- <br /> ALL OWNED AUTOS BODILY INJURY <br /> f-- S <br /> ~ SCHEDU.EO AUTOS (Per person} <br />B <br /> X H:RED AUTOS BOOLY INJURY <br /> X (Pel aCCid8n1\ S <br /> NON-OWNED AUTOS <br /> f-- -- --- - .-- <br /> f-- ~--._----- PROPERTY DAMAGE $ <br /> (Per aCCió....t) <br /> GARAGE LIABILITY AUTO ON,- V . EA ACC:DENT $ <br /> R ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ON,- Y: AGG $ <br /> EXCESSIUURE1.LA UABtUTY EACH OCCURRENCE S <br /> '=:J OCCUR 0 CLAIMS MADE I~~EGATE S <br /> .---.---.'- $ <br /> -- <br /> ==1 ~EDUCT!!!LE S <br /> RETf.NTIO~ $ S <br /> WORKERS COMPEIiSATlON AND I we STATU. T l°,;r~' <br /> EMPLOYERS' UABILITY ,~l"e.é¿/ EL EACH ACCIDENT ...!-... <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE /).3 ,-- <br /> OFFICERiMEI\.IBER EXCUJDEO? EL. DISEASE. EA E\IPlOVEE $ <br /> II yes, d8SCfibe unde< <br /> SPECIAL PROVISIONS below v I E ' . DISEASE. POLICY LIMIT $ <br /> 011iER / <br />DESCRIPTION OF OPERATIONS' LOCATIONS' VfHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAl PROVISIONS as additional <br />vertificate holder. its of jeers. employees. agents and representatives are named ì n~. <br />:)er attached endorsement CG2033 10/01 with respects to general jabi I ity only. <br />~E: All operations as covered by this policy <br />~E: Maintenenace/repair @I 1000 E. Santa Ana Blvd. #108 <br />.Except: 10 day notice of cancellation Tor non payment of premium <br /> <br />INDINC <br /> <br />':UCH <br /> <br />JQ.."OC <br />¡O,DC <br />5,OC <br />¡O,OC <br />¡O,OC <br />IO....QC <br /> <br />:Q,OC <br /> <br />!Ired <br /> <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIU <br /> <br />City of Santa Ana <br />1000 E. Santa Ana Blvd <br />""01'1 <br />Santa Ana. CA 92701 <br /> <br />EXPIRATION DATE 11i~R!OF. THE ISSUING INSURER WILL &11111"814 TO MAIL <br />* 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOlDER NAIoIED TO THE U. T, <br /> <br />gUT rail up, ""Q '."rt f"""V ~TI".r:: C!'u..., f ....o..,øe .19 ^D. mAT''''''' no f IADn " " , <br /> <br />ACORD 25 (2001/08) <br /> <br /> <br />@ACORDCORPORATION19 <br /> <br />~1 <br />