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<br /> H._ <br />I ACORD,. CERTIFICATE OF LIABILITY INSURANCE Ds~l DA TE <br />I F1DC 02-04-2005 <br />! /'HODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />'CO~ONY WEST FINANCIAL/NAMM/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HDLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1185516 P:(866)467-8730 F:(210)732-3593 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P. o. BOX 33015 INSURERS AFFORDING COVERAGE <br /> SAN ANTONIO TX 78265 <br />I IWSllRED INSU"," " Hartford Casual tv Ins CO <br /> INSURERB The Hartford Ins Groun <br /> LINDA & TIM KEENAN DBA CREATIVE MEDIA INSURERC: <br />:11105 KNOTT AVENUE INSURER D: <br />CYPRESS CA 90630 INSURERE: <br /> <br />COVERAGES <br /> <br />! THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />I MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />, POUCIf:S. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />l":'If:! TYPE Of'INSUflANCE rouey MNtABER POliCY EFfECTfVE POLICY EXPIRATION llllfffS <br /> GENERA! HABK" Y EACH OCCURRENCE .1 000 000 <br /> A r-, 72 SBA NQ4350 09/26/04 09/26/05 .300.000 <br /> COMMERCIAL GENffiAL LIABILITY FIFE DAMAGE (Anyon<! lire) <br /> :=IJ CLAIMS MADE [K] OCCUR MED EXP (Any one "erson) .10 000 <br /> I X' Business Liab I PERSONAL eo ADV INJURY .1 000 000 <br /> ~-~ --.-..----.,.----- .2.000.000 <br /> - GENERAL AGGREGATE <br /> G!!~'LAGGRE<>_,?-_T_' UMlT APPii PER: PRODUCTS - ~OMPIOP AGO .2 000.000 <br /> ; POLlCY I f(}RT' X LOC <br />, AtHDMQBlU !tABIlnv COMBINED SINGLE UMIT .1,000,000 <br /> A r--I 72 SBA NQ4350 09/26/04 09/26/05 (Eaaccident) <br /> I ANY AUTO <br /> - <br /> ; ALL OWNED AUTOS BODILY INJURY <br /> . <br /> , i SCHEDULED AU ros (Per person) <br /> ~ <br /> X HIRED .WTOS BODILY INJURY <br /> --J.U NON-OWNED AUTOS lPeraccidlrnt) . <br /> -~ <br />I , PROPERTY DAMAGE <br /> - $ <br /> , lPeroooidlrntl <br /> ..---- <br />i , GARAGE llABfLfTV APPROVEDl f )RM AUTO ONLY EA ACCIDENT . <br />! ANY AUTO AS TO EAACC . <br /> .--< OTHER THAN <br /> I AUTO ONLY. AGG . <br /> , I LXctSS HAJJJ!lTY 'Adr dLv_ EACH OCCURRENCE . <br /> I P OCCUR [J CLAIMS MADE .~ ~-~ <br /> I Stitt Sheedy AGGREGA TE . <br /> I 'Laura . <br /> I ----, City Attorn y -- <br /> , Assistan . <br /> r DEDUCTIBLE <br /> RETENTION . . <br />I : WORKERS COMPENSA nON AM) X WC STATU- IOJ~- <br /> iB EMPLOYERS'LIABKffY 72 WEC GX9523 09/26/04 09/26/05 .1 000.000 <br /> E.L. EACH ACCIDENT <br /> I .1 000 000 <br /> I , E.L. DISEASE EA EMPlOYEE <br /> E.L. DISEASE POUCY UMIT .1 000 000 <br /> i I OTHER <br /> , ------ <br /> llESCJlIPTlON OF OI'fflATlONSIlOCA nONS/VEHICLES/EXClUSIONS ADDED B Y ENDOIlSEMEf'ffISPEC/AL PROWSIONS <br /> ?hose usual to the Insured's Operations. <br />: <br /> CI::RTIFICATE HOLDER I X I AmJIT1ONA1. INSlJRED; INSURER !ETTER: A CANCELLATION <br />I .- <br /> SHOULD ANY OF THE ABOVE DESCRIBED POlK:IES BE CANCELLED BEFORE THE <br /> ICity of Santa Anna EXPIRATION DATE THEREOf, THE ISSUING INSURER WILL ENDEAVOR TO MAil <br /> 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE <br /> Attn Jill Arthur HOLDER NAMED TO THE LEFT, BUT FAilURE TO DO SO SHAlL IMPOSE NO <br /> OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> '20 Civic Center Plaza REPRESENT A TIVES, <br /> i Santa Anna CA 92702 .- <br /> ~QEfRfSENT~ <br /> , ~ .A._~,- <br /> <br />ACORD 25~S 17/971 <br /> <br />. ACORD CORPORATION 1988 <br />