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<br />,Feb
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<br />0504:13p
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<br />Public Works
<br />
<br />7146473345
<br />
<br />ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE(MMlDDIYYYY)
<br />2/9/2005
<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MAnER OF INFORMATION
<br />Wright Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />33971 Selva Rd #120 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Dana Poi.nt, CA 92629
<br />(949) 489-1833 INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED Poma, Greg f\I- dQOI- _ 155 INSURER "'- Sequoia Insurance C01IIpany
<br /> ...---
<br /> INSURER B
<br /> 3405 Ladrillo Isle .._-~--.
<br /> INSURER c:
<br /> Irvine, CA 92606 - - ......-...
<br /> POV'ilQ S I_I INSURER D:
<br /> ,949 294-8639 .., .._.~---.-
<br /> INSURER E:
<br /> ,
<br />
<br />COVERAGES
<br />
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAtoED ABOVE FOR THE pOLICY PERlOO INDICA TED. NOTWITHSTANDING
<br />Pm REGlIJIRENENT. TERM OR CONDIT1ON OF Pm CONTRACT OR OTHER DQCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN. THE INSVRANCE AFFORDED BY THE POLIClES DESCRIBED HEREIN fS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONllITIONS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAl.~'?~:~ _
<br />~: = TYPEnr:IM<:tIRA~j:: POUCYNUMBER ~ ;"jIVE: ~~YI::XPI AnON UMITS
<br /> GENERAl LIABIUTY EACH OCCURRENCE -~-- ' 1,000,000
<br /> ~--- PREMISES 1&.....oocurence' , --300,000
<br /> - .. J ClAfMS MADE ~.1 OCCUR _~_~l?~~,~~y_()_n_~_~~) ." , 10,000
<br />A X SBP200891-1 01-11-05 01-11-06 PERSONAl. & ADV INJURY , Inoluded
<br /> -.- 2,000,000
<br /> -~---~-- -------- ~~ERAL AGGR~ATE $
<br /> ~~ AGGRnlllMfT An~ PER PRODUCTS-COMP~PAGG $ 2,000,000
<br /> POLICY ~8;: L.OC
<br /> ~~OBlLE UA81UTY COMBINED SINGLE UMIT ,
<br /> ANY AUTO (Ea accldent)
<br /> -
<br /> - All O\IIfNED AUTOS 80DIL Y INJURY
<br /> ,
<br /> SCHEDULED AUTOS (Po< penonl
<br /> - -------.---.----.--.-. ..._._.__m_~
<br /> . HIREO AUTOS BODILY INJURY
<br /> ,
<br /> NON-DWNEDAUTOS {Per accident)
<br /> - --.-------------.------- ..,. - ......-...,... ..
<br /> PROPERTY DAMAGE ,
<br /> (Pereeeident)
<br /> ==rGELlABfLnY AUTO ONI. Y - EA AOODENT ,
<br /> ANY AUTO OTHER THAN EAACC .
<br /> AUTO ONLY: AGG ,
<br /> :::J~SSlUMBRELlA L1ABIUTY ~~H OC~~RE~_~L_.__ -~-~
<br /> OCCUR [] ClAIMS MADE AGGREGATE
<br /> __ --'.-'_'0 -.
<br /> .
<br /> =i~8LE. ,
<br /> RETENllON , .
<br /> WORKER5COMPENSA~ANO we ATU., I ID~~
<br /> EMPLOYERS' L\ABlLlTY
<br /> N<< PROPRln"OIiUPARTh'ERlEXEClJT1VE: E.L. EACH ACCIDENT ,
<br /> -...-.....--..."......."....0.. .__. '~-=-=--==I
<br /> OFFlCElWEMeER exCLUDED? EL DISEASE - EA EMPLOYE
<br /> ~~~~~beIoW --------.'-----
<br /> E.L DISEASe-. POUCY LIMIT ,
<br /> aTHER
<br />A BUs/pers/Prop SBP200891-1 01-11-05 01-11-06 $5,000 Special Form
<br /> PPIH,\. $~POA ,n..."~'c"'''''''-
<br />DESCRIPTION OF OPERAllONS I LOCATIONS I VEHICLES I EXCLUSIONS AODEO BY ENDORSEMENT I SPECIAL PROVlSlONS
<br />Computer Consulting ...~ //2.
<br /> ""'" Stitt Sheedy
<br /> .;,,:,l<ln1 City A Horney
<br /> .
<br />
<br />CERTIFICATE HOLDER
<br />
<br />City of Santa Ana, its officers,
<br />employees, agents ~ representitives
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />
<br />CANCELlATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POU~LLED~ORETHE EXPIRATlO
<br />DAlE THEREOF, THE ISSUING INSURER WILL~XO MAIL_ DAYS WRITTEN
<br />NOllCE TO THE CERTIFICATE HOLDER NAMED TO THe LEFT, .KXHJ02.Q(QC~>>KlX
<br />A'~:l!Ijf!R~ 1B:1NSIG8EItXSl.Ml
<br />~
<br />AUTHORIZED REPRESENTATIVE
<br />
<br />
<br />ACORD26 (2001108)
<br />
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