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-CORD.. CERTIFICATE OF LIABILITY INSURANCE o„o; U4DnY) <br />Comm] Support - Irvine <br />SullivanCurtlsMonroo #0721187 <br />2100 Main Street, Suite 350 <br />Irvine, CA 92614 <br />INSURED <br />Fullmer Contract Furniture <br />400 N. Tustin Avenue <br />Santa Ana, CA 92705 <br />COVERAGES <br />I HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />INSURERA: YBeriass insurance company <br />INSURERS: Golden Eagle Insurance Company <br />INSURERC: Zenith Insurance Company <br />INSURER D: Fireman's Fund Insurance Company <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDIN( <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED 01 <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS <br />SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCI <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR TYPE gFINSURANCE pOMCY NUMBER EM&WEFFECTIVE POLICY MXPI�DRFATIONT - UMTS <br />NERA <br />A -GEI CBP9821629 03/01/04 <br />03/01/05 <br />EACHOCCURRENCE 1§1 QQO DOp <br />!COMM <br />M ERCWL GENERAL L ABILITY <br />_. —_._ __ <br />FIRE DAMAGE(An, ma fire) iSj00,OOg <br />- CLAIMS MADE I _X j OCCUR <br />- <br />I -- ( Y _Pe+5_5,000 <br />I MED EXP An Pyre rson) <br />�- <br />PERSONAL & ADV INJURY §_1,000,000 <br />GENERAL AGGREGATE 52,000,000 <br />AGGREGATEGEN L LIMITAPPLIES PER:; i <br />-- <br />PROT <br />PRODUCTS-COMP/OPAGG2 <br />_ S 00 <br />y 0 <br />_ , 000 <br />i POLICY LOC <br />A AUTOMOBILE UABIMTY CSP9821629 <br />03101/04 <br />03/01105 <br />X ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Eaa«iaenqi $1,000,000 <br />ALL OWNED AUTOS <br />.._. ..________i... .. .__-__._.._.. <br />- <br />.SCHEDULED AUTOS <br />BODILY INJURY <br />(Perp"on) S <br />X HIREDAUTOS <br />X NON-OWNEDAUTOS <br />BODILY $ <br />(Per ecclINJU <br />d"t) <br />I <br />PROPERTY DAMAGE <br />leer acdtlann j§ <br />GARAGE LIABILITY <br />- .. <br />AUTO ONLY, E_ <br />A ACCIDENT � § <br />ANY AUTO <br />OTTER THAN E0. ACC S _..._— _ ..._.. <br />,. <br />AUTOONLY: AGG $ <br />B EXC.. <br />ESS LIABILITY I�CU9$22929 <br />03/01/04 <br />03/01105 EACH OCCURRENCE_ /$10,000,000__ <br />X OCCUR CLAIMS MADE <br />AGGREGATE ;§10,000,000 <br />--- !. <br />DEDUCTIBLE <br />- <br />RETENTION <br />--$ <br />$ <br />C woRXERs COMPENSATION AND ,7065461501 01/01/04 <br />01)01105OhF <br />LABILTY <br />IEMPLOYERS' _ _ <br />I <br />EL. EACH ACCIDENT SI,000,0RO <br />! E:L_DISEASE -EA EMPLOYEE $1,000,0010 <br />IE.L. DISEASE -POLICY UMIT $1,000,000 <br />D OTHER COMM,[ Exces XTM00076332626 03101/04 <br />03101/05 $5,000,000 <br />” Supplemental Name " <br />Fullmer Contract Furniture & Services <br />Contract Furniture Installation Services, LLC <br />(See Attached Descriptions) <br />rcnnrnrn+c ur, .. �.. <br />City of Santa Ana Community <br />Redevelopment Agency <br />20 Civic Center Plaza M-21 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />ACORD 25-S(7/97)1 of OM6200 <br />SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED 13EFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILLZXXW{ZX= MAIL 3O—DAY'SWRLTTEN <br />N010ETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, 9XXS8Ix WbtaAAaMxitju X <br />CORPORATION 191 <br />