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<br />ACORD.
<br />
<br />CERTIFICA TE OF LIABILITY INSURANCE
<br />
<br />DATE (MMlDDlYYVY)
<br />
<br />OP 10 AH
<br />MAr.T<"R-1 n1 ?.1 n~
<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 />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />
<br />PRODUCER
<br />G. S. Levine Insurance
<br />Services, Inc.
<br />3377 Carmel MOuntain Road
<br />San Diego CA 92121
<br />Phone: 858-481-8692
<br />
<br />Fax: 858-481-7953
<br />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />NAIC#
<br />
<br />INSURED
<br />
<br />INSURER A
<br />INSURERS
<br />
<br />tV -,;j DOS. 005
<br />8MB Mack/Barclay
<br />dba: Mack/Barclay, Inc.
<br />402 West Broadway Ninth Floor
<br />San Diego CA 92101
<br />
<br />St. P.,ul. Pire And M.Iorin. In..
<br />
<br />INSURERC
<br />
<br />INSURER 0
<br />
<br />"'GU"~" ~
<br />
<br />COVERAGES
<br />
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED. 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 PFRTAIN, THF IN!=:IJRANr.F AI"FC1ROFf'l FlY THF POIIr.IF!=: nF!=:r.RIFlFn HFRFIN I!=: !=:I JFl.IFC:T TO All THF TFRM!=:, FXr.III!=:ION!=: ANn C:ONnITION~ 01" ~11r.H
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLAIMS.
<br /> POUCYNUMBER POUCYEFFECTIVE Pg~i/,~:O~~~" UMITS
<br />em NSRD TYPE OF INSURANCE DATE MMtODlYY
<br /> ~NERALLIABIUTY EACHOCCUPRENCE ,
<br /> e- D~ERClALGENERALWA8IUTY PPEMISES(EaOCCurence) ,
<br /> CLAIMS MADE DOCStR ...
<br /> e- MEO EXP (A"fone per'D~J ,
<br /> ..
<br /> e- PERSONAL&A::N'NLURY ,
<br /> e- 0~"~"ALA0"'''~'''AT~ ,
<br /> nLAGGREGAr:-.~l'~ APPLlESn ,PRCDUCTS CCMPIQPAGG ,
<br /> POLICY ,~Fi-:OT toe ,
<br /> ~MOBILE U.llIIUTY CO"''''''~D ~''"ou: UM" ,
<br /> ANY AuTO iEa acc'oe~t)
<br /> e-
<br /> ~ ALL OWNED AUTOS 80DILYINJURY
<br /> ,
<br /> - SCHEDULED AUTOS (Per person)
<br /> - HIRED AUTOS EOD'lYINJURY
<br /> ,
<br /> - NO>/.OWNEDAIJTOS (Pe'atC,oent)
<br /> ..
<br /> I I _",,,, !A<: TO P( RM PROPERTYDMlAGE ,
<br /> I (rhow"cn')
<br /> ORACElJ.tdIlUTY f\l:"'r"-v I AUT,:C ONLY. EAACCIDENT ,
<br /> i , /:(2t '.."J, ..
<br /> ANY AUTO lJIHERTHAN EAACC ,
<br /> , AUTO ONLY AGG ,
<br /> OESStUMBRl5LULIABIUTY Laura titt Sheedyl EACI-lOCCUPRENCE , ..--
<br /> OCCUR DCLAIMSMADE ...
<br /> Assistant City Attorne I AGGREGATE ,
<br /> ,
<br /> ROEoueT's~ ,
<br /> RETENTION , ,
<br /> WORKERS COMPENSATION AND i X I T~~yS~~iT~ 1 lO~~
<br />A "M~LOY"R8'L,^II'UTY BW01990779 12/01/04 12/01/05 $ 1000000
<br /> ANYPROPRIETORIPARTNHVEXECU-IVE ELEAC"ACCIDE"T
<br /> OFFICERlMEMSERHCLUDEO? E.LOISEASE. EAEMPLCYEE $ 1000000.._
<br /> 11yes, aescrlce un~er --.-
<br /> SPEClA,LPROYI510NSceIOW EL DIS~~E- POLICY LIMIT $ 1000000
<br /> i OT",~R
<br />i
<br />DESCRIPTION OF OPERATlONB I LOCATIONS I VEHICLES f EXCWSIONS ADDED BY ENDORSEME~ I SPECIAL PROVISIONS
<br />Proof of Insurance
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br />FORYOUR
<br />
<br />S",OULDANYOFTMEABOVEDUCRIBEDPOUCIESBECAHCELLEDBEFORETltEEXPIRATION
<br />
<br />DATE TltERl50F. THE ISSUING INSURER WILL ENDEAVOR TO MJUL
<br />
<br />30* DAYS WRITTEN
<br />
<br />"FOR YOU INFORMATION ONLY"
<br />
<br />NOTICETOTltEC~RTIFICATEHOLDERNAMEDTOTllELEFT,BUTFJULURETODOSOI",AU.
<br />
<br />'M..oee NO OIlUC"'T'ON OR UAII'UTY O~ "'NY K'NO U~O.. T"," '..e..,....R. '" ...,,,.." OR
<br />
<br />ACORD 25 (2001108)
<br />
<br />
<br />@ACORDCORPORATION 1988
<br />
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