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ACORD <br />APRODUCER <br />PHONE <br />(760)245-2561 <br />INSURED <br />CERTIFICATE OF LIABILITY INSURANCE °"TE7/28/04 IYY' <br />8/04 <br />THIS 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 />17072 Silica Drive Ste. 103 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Victorville, CA 92392 INSURERS AFFORDING COVERAGE NAIC # <br />Cazoom Inc.(HI-DESERT COMMUNICATIONS) INSURERA EVANSTON INSURANCE COMPANY <br />17181 Jasmine St. A-111to- OWN <br />Victorville, CA 92392 R -% <br />INSURERB: EXPLORER INSURANCE COMPANY <br />INSURERC: CA STATE WORKERS COMPENSATION _.. <br />INSURERD: - <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED 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 <br />TO ALL THE TERMS. ENCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ADDL <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />LTR' IN RD <br />-_ __— <br />.. <br />DATE(MMIDD/YY) <br />DATE(MWDDNY) <br />EACH OCCURRENCE <br />1000000 <br />GENERAL LIABILITY <br />® COMMERCIAL GENERAL LIABILITY <br />CBU 2013947 <br />10/20/03 <br />10/20/04 <br />DAMAGE TO RENTED <br />PREMISES Is; oce°.encel _ <br />100000 <br />MEOEXPIAnyene Peron] <br />1000 <br />D ❑ <br />rr 11 � <br />W CLAIMS MADE ® OCCUR <br />PERSONAL EADV INJURY <br />❑ <br />1000000 <br />GENERALAGGREGATE <br />2000000 <br />® _-_.--__.--_..... _. -__— <br />PRODUCTS -COMPIOP AGO <br />2000000 <br />GEN-L AGGREGATE LIMIT APPLIES PER: <br />_ <br />® POLICY ❑ PROJECT ❑ LOG <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />1000000 <br />❑ ANY AMO CBU 2013947 10/20/30 <br />10/20/04 <br />(E ednl] _. <br />® ALL OWNED AUTOS <br />BODILY INJURY <br />S <br />❑ © <br />(Per person) <br />SCHEDULED AUTOS <br />- <br />❑ HIRED AUTOS <br />BODILY INJURY <br />(Pe, menq <br />,n NONOWNEO AUTOS <br />GARAGE LIABILITY <br />❑ ❑ ANY AUTO <br />❑ C <br />EXCESS LIABILITY / <br />❑ ❑ OCCUR ❑ CLAIMSMAOE <br />❑ DEDUCTIBLE <br />❑ RE ENTION <br />WORKERS COMPENSATION AND <br />EMPLOYERS'UABILRY 1770946-2004 <br />C ANY ROPRIETOR I PARTNER I EXECUTIVE <br />OFFICER I MEMBER EXCLUDED' <br />OT HER <br />A BUILDING /BPP <br />7/9/04 <br />6/22/05 <br />PROPERTY DAMAGE (Per <br />idert) <br />AUTO ONLY - EA ACCIDENT <br />OTHERTHAN EA ACC <br />AUTOONLY: AGO <br />CP040700169 8/30/03 8/30/04 1 450,000 BLD <br />LIMIT <br />.._._.. _.-......_..-'---...._........ _.- ._...._- _....... ............._ <br />WAY RADIO SYSTEM INSTALLATION, SALES AND REPAIR== COMMUNICATION SYSTEMS INSTALLATION /SERVICE= <br />IFICATE HOLDER IS LISTED AS ADDITIONAL INSURED FOR TERM OF POLICY PER FORM ME-009= <br />CERTIFICATE HOLDER <br />CITY OF SANTA ANA <br />20 CIVIC CENTER DRIVE <br />_ SANTA ANA, CA 92701 <br />AC RDO 25 (2001108) <br />1000000 <br />1000000 <br />1000000 <br />170,000 BPP <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 _ DAYS WRITTEN NOTICE TO THE CER%0B <br />NAMED TO <br />THE LEFT; BUT FAILURE TO DO SO SHALL IMPON OR LIABILITY <br />OF ANY KIND UPON 7HE INSUR S AGENTTIVE� <br />AUTXORREO RCP ATI <br />MAK J H <br />