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<br /> ACDfHt CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDOIYYYY) <br /> 08/25/2004 <br /> PRO,,"CER (310)393-9477 FAX (310)393-7186 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> White & Company Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> POBox 70 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Santa Monica, CA 90406-0070 <br /> Cecil Quinones INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED Pacltic Coast Cabllng Inc. INSURER A: Majestic Insurance <br />, 9340 EtoQ Ave INSURER B' <br />I Chatsworth, CA 91311 INSURER c: <br />I INSURER 0: <br /> INSURER E: <br /> <br /> COVERAGE" . <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FDR 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 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 PAlO CLAIMS. <br />11~~: ~~~; TYPE OF INSURANCE POLICY NUMBER p.p;UCY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAl/LIABILITY EACH OCCURRENCE S <br />I - COMMERCIAL GENERAL L1ABIUTY DAMAGE TO RENTED <br /> , S <br /> !I"'t....''''......c- 0"',..,..,.... MED EXP (Anyone person) S <br /> ..... -......,.." .; ""............'" <br />'. <br />I PERSONAL & AOV INJURY S <br />I - <br /> - GENERAL AGGREGATE S <br /> GEN'L AGGRE'GATE LIMIT APnS lPER: PROOUCTS.COM~OPAGG S <br /> I. ,nPRO. <br /> POLICY JEer Loe <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> /i- S <br /> ANY AUTO (Eaaccident) <br /> f- <br /> ALL OWNED AUTOS BOOll Y INJURY <br /> i- S <br /> SCHEDULED AUTOS (Per person) <br /> i- <br /> f- HIRED AUTOS BDOIL Y INJURY <br /> S <br /> NON-DWNEO AUTOS (Peraccidenl) <br /> i- <br /> f- PROPERlY DAMAGE S <br /> (Per accident) <br /> RRAGE LIABILITY AUTO ONLY. EA ACCIDENT S <br /> ANY AUTO OTHER THAN EAACC S <br /> AUTO ONLY; AGG S <br /> ~~SS/UMBRELLA LIABILITY EACH OCCURRENCE S <br /> OCCUR D CLAIMS "lADE AGGREGATE S <br /> S <br /> =i ~EOUCTIBLE S <br /> RETENTION S S <br /> WORKERS COMPENSATION AND C20030290702 01/01/2004 01/01/2005 xl.~9,J:~I,~-..1 IOJb" <br /> EMPLOYERS' LIABILITY <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT S 1,000,000 <br /> OFFICER/MEMBER exCLUDED? E.L DISEASE. EA EMPLOYEE S 1,000,000 <br /> ~~~~,~tS~~i5v~sfo~s below E.L. DISEASE. POLICY LIMIT S 1,000,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT f SPECIAL PROVISIONS <br /> 'roof of Insurance. <br /> 'Except for 10 days written notice of cancellation for non-payment of ".m~ <br /> <br /> <br />CERTIFI <br /> <br />D <br /> <br />A <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 CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Kathleen Benner, ACSR KJB <br /> <br />City of Santa Ana <br />Information Services M-12 <br />Attn: Lynda Kelly <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br /> <br />ACORD 25 (2001108) <br /> <br />@ACORD CORPORATION 1988 <br />