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<br />ACORD. <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />OP 10 VII DATE IM~/D~':""'I <br />MASKS-1 ~I 01/07/05 <br /> <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 />AL rER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />PRODUCER <br />Andreini & Company-Oxnard <br />License 0208825 <br />300 Esplanade, Suite 100 <br />Oxnard CA 93030 <br />Phone: 805-981-9585 Fax: 805-981-0161 <br /> <br />INSURED <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURER A: AIG Insurance GrOUD <br />INSURER B <br />INSURER c: <br />INSURER 0 <br />INSURER E <br /> <br />NAIC# <br /> <br />Mask Systems, Inc. <br />11959 Discove~ Ct. <br />Moorpark CA 93021 <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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 'NlTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LT. NS. TYPE OF INSURANCE POLICY NUMBER I PD~'4E iMM/DDIY~"': P8k~~YI~~h~M-~N LIMITS <br /> ~NERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY PREMISES '(E~~~~~nce) $ <br /> I CLAIMS MADE D OCCUR MED EXP (Anyone person) $ <br /> PERSONAL & ADV INJURY , <br /> GENERAL AGGREGATE $ <br /> ~'~ AGGREnE ,LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ <br /> PRO- nl <br /> . , POLICY JEer LOC <br /> ~TOMOBILE L1ABIL.ITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Eaaccident) <br /> I-- <br /> I-- ALL OWNED AUTOS BODILY INJURY <br /> (Per person) $ <br /> I-- SCHEDULED AUTOS <br /> I- HIRED AUTOS BODILY INJURY <br /> (Per accident) $ <br /> I-- NON-OWNED AUTOS <br /> I-- PROPERTY DAMAGE $ <br /> (Per accident) <br /> ~~RAGE L.IABILlTY AUTO ONLY - EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN EA Ace $ <br /> AUTO ONLY: AGG $ <br /> , ~ESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> U OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ , <br /> WORKERS COMPENSATION AND X I TORY LIMITS I IUER- <br />A EMPLOYERS' LIABILITY 9276304 12/18/04 12/18/05 $ 1000000 <br /> ANY PROPRIETORfPARTNER/EXECUTIVE E.L. EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? E,L. DISEASE - EA EMPLOYEE $ 1000000 <br /> If yes, describe under $ 1000000 <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT <br /> OTHER <br /> , <br />DESCRIPTION OF OPERATIONS { LOCATIONS { VEHICLES { EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Proof of insurance <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLA rlON <br /> <br />CITYSAA <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER,ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br />'b-~ <br /> <br />City of Santa Ana <br />So. Civic Center Plaza <br /> <br />Santa Ana CA 92703 <br /> <br />ACORD 25 (2001108) <br /> <br />@ ACORD CORPORATION 1988 <br /> <br />