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ACORD", CERTIFICATE OF LIABILITY INSURANCE Page 1 of 3 I DATE 06/101200j 'ReDUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIACATE willi. Ho~th America, Inc. - Regoional Ce~t Center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. o. Box 305191 Nashville, TN 31230!51-91 INSURERS AFFORDING COVERAGE "SUREO MGE UPS Sy.t~, xnc. lNSURER A: Federal :tnlluranc. company 20281-005 1660 scenic Avenue ,A--d.lJOl}- () 19 INSURER B: federal Iuurance Company 20:l81-0Dl Costa M.... CA 92626 INSURER c; Continental. Insurance C~any 35289-001 INSURER D: , INSURER E: ;OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N01WITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH rHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ~~: TYPE OFINSURA.NCE POLlCYNu......eER pOUCYEFFECilVE POLlCV EXPIRATION UMITS ~ ~NERALLlABILITY 35818134 X COMM"RCIAl..GENERALLIABlllTY l CLAIMS MADE [i] OCCUR - ~'lAGQRE~E ,UMIT AP~ PEFt v I POL.ICY I I ~~RT I 1 L.OC l ~OMiOBJLELtABIUT'" ~ ANY AUTO f--- ALL OWNED AUTOS f...----. SCHEDULED A\.JTOS ~ HIRED AUTOS f---- NON-OWNED AUTOS 6/1/2004 6/1/2005 EACHOCCURAENCE $ 1 000 -"00 FJRE OAMAGE(Any an. fire) $ 1 000 000 "ED EXP (Anv Ollll o9l1lon) $ 10,000 PERSONAl & AnV INJURY $ 1 000 000 G ENeR~ AGGREGATE $ 2 000 000 PRODUCTS. COMPIOP AGG $ 2 000 000 73528020 6/1/200j 6/1/2005 COMBINED SINGLE LIMIT tEa accident) $ 1,000,000 BODILY INJURY tPerpilfllOl1) $ nAGE UABIUTY H PNY AUTO rYav-~~LW //r l/ BODILY INJURY {PIil"accidgnlj $ PROPEATYOAMAGE (PlIraccidenl) $ y AUTOONLy-eA.A.CCIDENT $ EAACO S OTHER THAN AUTOCNLY: ""0 S EXCESS L1ABIUTY ~~OCCUR 0 CLAIMS MADE I DEDUCTIBLE ~ ~eTENTION 5 WORKERS COMPENSATION AND EMPLOYERS'L.IABILITY CUP20765j7265 6/11200j 6/1/2005 EACH OCCURFlENCE AGGREGATE 2 nDO 2 000 000 000 -- $ $ $ I $ l.:af' ST~!.'!:. I IOJ~' ~.L EACH ACC10ErlT $ EL. DISEASE. EA EMPLOyEE $ E.l. DISEASE - POLlCY LIMIT $ OTHER IESCRIPTION OF OPE.RATIONSlLOCAnONSlVEHIC~ESJEXCLUSIONS ADOEO BY ENOORSEMENT/SPIiCIALPFlOVISIONS ~rs voros AND REPLACES PREVrOUSLY rSSUED CERTrvrCATE DATED. 6/1/200j wrTH rD: 4426163 ~e city of Santa Ana, 20 Civic Centar Plaza, Santa Ana, California 92'01z Xt. officer., ~loye.., agents, volunteers and representatives are included a8 additional insured under the hove referenced Gensral Liability (for.m attached) and Automobile Liability Insurance polici.. and he coverage afforded the addit~onal insurea \JS:Lder the.. .POl..:i~ieB shall b. primary and ~on- inattr#lnnA t"_", ....... ...x..........t-. ..h.t- - ""-1. Art,...... -from r.hoDo -,-.!~ ~- of MGE UPS :ERTIFICATE HOLDER I X I ADDITIONAL INS"RED, INSURER LmER, CANCELLATION City o~ Santa Ana Building M4intenan~. Divi.ion AttUI Mario Ghizzi P.o. BOX 1988 M-ll Santa Ana, CA 92702 SHOULO A.NY OFTHEABOVE DESCRIBED POLICIES BECANCEL.L.ED BEFORE THE EXPIRATION DATE THEReOF, THE ISSUIN'Q INSUAER WILL ENDeAVOR TO MAIL. ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, aUT FAILURE TO DO SO SHAU IMPOSE NO OBLIGATION OR LlABIUTV OF ANY KINO UPON THE INSURER, ITS AOENTS OR I R~__'''' AUT.;;")"Eoj!B R~ C..rt, 4459'558 IC>ACORD CORPORATION 1988 ICORD 25-5 (7197) Coll:1015672 Tp1.263777