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AG°ORD,. <br />CERTIFICATE OF LIABILITY <br />INSURANCE CSR ,TR DATE(MM /DDIVY) <br />OUCH -1 03/16/04 <br />PRODUCER <br />LTR <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />POLICY NUMBER <br />P L E IV <br />DATE MM /DDIYY <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />The Dougherty <br />Company, Inc. <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 7277 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Long Beach CA <br />90807 <br />A <br />Phone:562- 424 <br />-1621 Fax:562- 490 -0432 <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />I_ - O/ <br />J <br />INSURER A. Hartford Insurance Company <br />INSURER B . <br />a(Wl� ^ �/� <br />Touch Vision Inc. /U �3 / (� g <br />11095 Knott Avenue' <br />Cypress CA 90630 <br />INSURER C. <br />INSURER D. <br />INSURER E: <br />MED EXP (Any one person) <br />COVERAGES <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 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 <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />P L E IV <br />DATE MM /DDIYY <br />P PIRATI N <br />DATE MM /DDIYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />72 SBA KF4568 <br />01/10/04 <br />01/10/05 <br />FIRE DAMAGE (An, onefir.) <br />$300,000 <br />CLAIMS MADE LX OCCUR <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL B ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMP /OP AGG <br />$2,000,000 <br />X I POLICY PRO LOC <br />JECT <br />AUTOMOBILE <br />LIABILITY <br />A <br />ANY AUTO <br />72 SBA KF4568 <br />01/10/04 <br />01/10/05 <br />COMBINED SINGLE LIMIT <br />(Ea accidem) <br />$11000,000 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />X <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />L. <br />GARAGE <br />LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY AGG <br />• <br />EXCESS LIABILITY <br />X OCCUR CLAIMS MADE <br />72 SBA KF4568 <br />01/10/04 <br />01/10/05 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />AGGREGATE <br />$2,000,000 <br />$ <br />DEDUCTIBLE <br />hX <br />RETENTION $ 10,00 <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />- - <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />_ <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E. L. DISEASE - POLICY LIMIT <br />$ <br />OTHER <br />A <br />Hired Auto <br />SBA KF4568 <br />F72 <br />01/10/04 <br />01 /10 /05 <br />Died $500 50,000 <br />Physical Damage <br />DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />10 days notice of cancellation for nonpayment of premium. Additional insured <br />endorsement attached. <br />SANTAAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL £NBEAY6Rid MAIL 30 DAYS WRITTEN <br />City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. ° - FAII:wRE TO 88 69 61 ALL <br />Public Works Agency <br />20 Civic Center Plaza, M -43 <br />P O Box 1988 REPRESENSFIlrTiliES. <br />Santa Ana CA 92702 AUTHORIZED REPRESENTATIV <br />TIn IJ IORR <br />d� <br />