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<br />.
<br />
<br />CERTIFICA 1*\1' INSURANCE rom;" ""i"'" - -":_.~
<br />. .- 4/18/91
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND !
<br />CONFERS NO RIGHTS UPON THE CEBTlFICA TE HOLDER. THIS CERTIFICATE I
<br />DOES NOT AMEND, EXTEND OR AL TI!A,THE COVERAGE AFFORDED BY THE :
<br />POLICIES BELOW. ,
<br />--1
<br />I
<br />
<br />I
<br />
<br />AVE
<br />92504
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />A.:.."'..
<br />
<br />PRODUCER
<br />
<br />JAMES H MYERS
<br />4620 ARLINGTON
<br />RIVERSIDE, CA
<br />
<br />f~~~NY A
<br />
<br />FIREMANS FUND INS CO
<br />
<br />INSURED
<br />
<br />f~i'i~~NY B
<br />
<br />KINKLE, RODIGER & SPRIGGS
<br />3801 UNIVERSITY AVE., SUITE 700
<br />RIVERSIDE, CA 92501
<br />
<br />E~T~~~NY C
<br />
<br />f~T~~NY D
<br />
<br />f~i'i~NY E
<br />
<br />:-coviiiAGES------.---. --------.---.--.--"'".-,..-, . '--'.-' - ,_w"",___" .,
<br />
<br />( 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 />;
<br />!
<br />I~~_,~~:'~:~.NSUR~~.:~_~_
<br />1 GENERAL LIABILITY
<br />1 X COMMERCIAL GENERAL LIABILITY
<br />" A
<br />CLAIMS MADE X OCCUR.
<br />!
<br />i
<br />
<br />1__________"
<br />I
<br />I
<br />IA
<br />I
<br />i
<br />I
<br />
<br />POLICY NUMBER
<br />
<br />POLICY EFFECTIVE POLICY EXPIRATION
<br />DATE (MMJDDNY) DATE (MM/ODIYY)
<br />
<br />LIMITS
<br />
<br />293ABC80356153
<br />
<br />1/28/91
<br />
<br />1/28/92
<br />
<br />,.____.__'R__"
<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 (Any one person) $ 5, 000
<br />
<br />OWNER'S & CONTRACTOR'S PROTo
<br />
<br />AUTOMOBilE LIABILITY
<br />
<br />ANY AUTO
<br />
<br />COMBINED SINGLE
<br />LIMIT
<br />
<br />. 1, 000, 000
<br />
<br />ALL OWNED AUTOS
<br />
<br />293ABC80356153
<br />
<br />1/28/91
<br />
<br />1/28/92
<br />
<br />BODILY INJURY
<br />(Per person)
<br />
<br />.
<br />
<br />SCHEDULED AUTOS
<br />
<br />x
<br />X
<br />
<br />HIRED AUTOS
<br />
<br />BODILY INJURY
<br />(Per accident)
<br />
<br />.
<br />
<br />NON-OWNED AUTOS
<br />
<br />GARAGE LIABILITY
<br />
<br />PROPERTY DAMAGE
<br />
<br />.
<br />
<br />t,._~~"__~.~___ "_.,~.~__,~ _. ......_~_._~_.._~___~_~,_.__
<br />'I EXCESS LIABILITY
<br />A UMBRELLA FORM
<br />X OTHER THAN UMBRELLA FORM
<br />
<br />"'--'-~'-'---'--'""."'".._,---"".._.._-,_._----_......,._--._-.~--
<br />
<br />XEK2079241
<br />
<br />1/28/91
<br />
<br />1/28/92
<br />
<br />EACH OCCURRENCE
<br />AGGREGATE
<br />
<br />· 20,000,000
<br />· 20,000,000
<br />
<br />r-'~~~~~':;;;I~--.'---'-'~b_--"'-~~'-"---'-"
<br />I
<br />
<br />STATUTORY LIMITS
<br />
<br />AND
<br />
<br />EACH ACCIDENT
<br />
<br />EMPLOYERS' LIABILITY
<br />l__~,___._____.___.._~
<br />i OTHER
<br />I
<br />,
<br />
<br />.
<br />.
<br />DISEASE-EACH EMPLOYEE $
<br />
<br />DISEASE-POLICY LIMIT
<br />
<br />i
<br />,.----_..,_._-,."'------"',,..._'--_.,._,,'-,,-_.._-_._, -- -----'
<br />! DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
<br />, LAW OFFICES - LOCA'rION - 837 NORTH ,ROSS ST., SANTA ANA, CA 92701
<br />CITY OF SANTA ANA IS NAMED AS APPITIONAL INSURED AS RESPECTS POLICY #293ABC80356153.
<br />
<br />-- <,.?'-.." -".._.'"
<br />, CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br />CITY OF SANTA
<br />POBOX 1988
<br />SANTA ANA, CA
<br />ATTN: EDWARD
<br />
<br />ANA
<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 />92702
<br />J COOPER
<br />
<br />ACORD 25-S (7/90)
<br />
<br />
<br />JAMES H
<br />
<br />
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