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<br />CERTIFICA .F INSURANCE
<br />
<br />~U~
<br />
<br />
<br />4/18/91 '"
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND j
<br />CONFERS NO RIGHTS UPON THE CEBTlFICATE HOLDER. THIS CERTIFICATE I
<br />DOES NOT AMEND, EXTEND OR AL Tt!A'THE COVERAGE AFFORDED BY THE I
<br />POLICIES BELOW. i
<br />--.\
<br />i
<br />
<br />I
<br />I
<br />
<br />-
<br />
<br />-
<br />
<br />A.~..m..
<br />
<br />REVISED
<br />
<br />CERTIFICATE
<br />
<br />.
<br />
<br />PRODUCER
<br />
<br />JAMES H MYERS
<br />4620 ARLINGTON AVE
<br />RIVERSIDE, CA 92504
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />C~T~~~NY A
<br />
<br />FIREMANS FUND INS CO
<br />
<br />INSURED
<br />
<br />c~i'i~~NY B
<br />
<br />KINKLE, RODIGER & SPRIGGS
<br />3801 UNIVERSITY AVE., SUITE 700
<br />RIVERSIDE, CA 92501
<br />
<br />f~T~~NY C
<br />
<br />c~i'i~~NY D
<br />
<br />E~T~~~NY E
<br />
<br />i-coiiERAGES-'--.--'. ~,..... .-.--.........-... ...-.-.... .-... .... .. . ....--.-... . ..- .._.,....w .-.......... . .. -. ..,._~ ..
<br />
<br />
<br />I THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />
<br />i
<br />ICO
<br />LTR
<br />'--___q._.__,.~._w...<__ -._________m__.._._. ..~.~--."..~-."-~.-.~,~.~.~.---'-.~---,,~-.-...-.-.--~.-..
<br />I GENERAL LIABILITY
<br />1 A X COMMERCIAL GENERAL LIABIliTY
<br />I CLAIMS MADE X OCCUR. 293ABC80356153
<br />
<br />I
<br />
<br />l-----__.__._.____.__...._______..____.._____.__..__
<br />I AUTOMOBILE LIABILITY
<br />.. ANY AUTO
<br />
<br />TYPE OF INSURANCE
<br />
<br />POLICY NUMBER
<br />
<br />POLICY EFFECTIVE POLICY EXPIRATION
<br />DATE (MMIDDNY) DATE (MMIDDIYY)
<br />
<br />LIMITS
<br />
<br />1/28/91
<br />
<br />1/28/92
<br />
<br />GENERAL AGGREGATE $ 1, 000, 000
<br />PRODUCTS.COMP/OP AGG. $ 1, 000, 000
<br />PERSONAL & ADV. INJURY $ 1, 000, 000
<br />EACH OCCURRENCE $ 1, 000, 000
<br />FIRE DAMAGE (Anyone fire) $ 50, 000
<br />MED. EXPENSE (Anyone per.;on) $ 5, 000
<br />
<br />OWNER'S & CONTRACTOR'S PROTo
<br />
<br />COMBINED SINGLE
<br />LIMIT
<br />
<br />$1,000,000
<br />
<br />i
<br />IA
<br />I
<br />
<br />x
<br />X
<br />
<br />ALL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />NON-OWNED AUTOS
<br />GARAGE LIABILITY
<br />
<br />293ABC80356153
<br />
<br />1/28/91
<br />
<br />1/28/92
<br />
<br />BODILY INJURY
<br />(Per person)
<br />
<br />$
<br />
<br />BOOIL Y INJURY
<br />(Per accident)
<br />
<br />$
<br />
<br />1... <-~._-----._.,__..~",._~___,.. '".~,...".___~__..._..~.~_______~"__,_~_._,.___~_...___.__._.__,_'~v..____..~_.__., __.~___
<br />I EXCESS LIABILITY
<br />I A X UMBRELLA FORM
<br />OTHER THAN UMBRELLA FORM
<br />(-~--_..~,,-_."
<br />
<br />I WORKER'S COMPENSATION
<br />I ~H~I~NT $
<br />
<br />AND DISEASE-POLICY LIMIT $
<br />EMPLOYERS' LIABILITY
<br />L___~.__,_~_._____ _._.__~_<_______~,_..___.__"'__~__~___. ..___.,~_,~!:~~~~_E~~~:~LOYEE _$
<br />
<br />, OTHER
<br />
<br />PROPERTY DAMAGE $
<br />
<br />EACH OCCURRENCE
<br />
<br />$ 20,000,000
<br />$ 20,000,000
<br />
<br />XEK2079241
<br />
<br />1/28/91
<br />
<br />1/28/92
<br />
<br />AGGREGATE
<br />
<br />STATUTORY LIMITS
<br />
<br />,
<br />i
<br />
<br />tDEscii;PT10NOFOPERATIONsii:OcATIONS,vEH;Ci:ESiSPEeIAL";;:EMS'-----'--'~-
<br />, LAW OFFICES - LOCATION - 837 NORTH .ROSS ST., SANTA ANA, CA 92701
<br />I
<br />, CITY OF SANTA ANA IS NAMED AS ~PIT!ONAL I~SURED AS RESPECTS POLICY #293ABC80356153.
<br />
<br />CERTIFICATE HOLDER
<br />
<br />_.~_. _r~",.' ......._.~._ ..~~_~_"._~.~...._...._~.,
<br />CANCELLATION
<br />
<br />ACORD 25-S (7/90)
<br />
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
<br />MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
<br />LEFT, BUT FAILURE TO M SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
<br />LIABILITY OF ANY KIND U N THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
<br />
<br />1-/~
<br />
<br />JAMES H
<br />
<br />
<br />CITY OF SANTA ANA
<br />POBOX 1988
<br />SANTA ANA, CA 92702
<br />ATTN: EDWARD J COOPER
<br />
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