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. MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER SEA-000872126-01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS MARSH RISK & INSURANCE SERVICES NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE P. O. BOX 193880 POUCY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE SAN FRANCISCO, CA 94119-3880 AFFORDED BY THE POLICIES DESCRIBED HEREIN. CALIFORNIA LICENSE NO. 0437153 COMPANIES AFFORDING COVERAGE - ___n____..._ ------ .- -..------- ---- AUn: Laurie Mackintosh 415)743-8457 COMPANY 9025 -BOND-MM- A FEDERAL INSURANCE CO --- -- -- - ..----------- _____n__ . -------- ----- INSURED IV - :JCC5 - O&J5 COMPANY BOND LOGISTIX, LLC B FUND SERVICES ADVISORS, INC. ------------ __n_______ --- 777 SOUTH FIGUEROA STREET - SUITE 3200 , COMPANY LOS ANGELES, CA 90017 C - - ----------- ----------- - ---- COMPANY D COVERAGES This certificate supersEtdes ancf-t~_pfaCesany previously issued certificate for the policy period notedb$:lQw. 1 THIS 15 TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POliCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _________.u ~---,,- _n_ ,. coT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MMIDDIYY) DATE (MMIODIYY) GENERAL LIABILITY GENERAL AGGREGATE $ - n.______ COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ I CLAIMS MADE [] OCCUR ----.- I ~f3~~I"!_~~& AP\!_I~}URY $ $ .------ 1- OWNER'S & CONTRACTOR'S PROT ! EACH OCCURRENCE --. i!~E DAMAGE (Anyone fire) $ - - - I -------- .- MED EXP (Anv one oersonl $ AUTOMOBILE LIABILITY $ -- COMBINED SINGLE LIMIT - ANY AUTO -- - ALL OWNED AUTOS BODILY INJURY $ {Per person) .-... SCHEDULED AUTOS ~. i - HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Peraccidenl) c- -- c- --.-.'.- PROPERTY DAMAGE $ GARAGE LIABILITY $ c- AUTO ONLY - EA ACCIDENT f-- ANY AUTO ! ..Q!!:!~R !!"l_~~ ALJTQ_ ONLY: iiti'iLic,c; ,"., ,. ~ - ----- _____EI..C_H_~~CIDENT $ i AGGREGATE $ EXCESS LIABILITY I ~f-:I_?~~_tJRRE!'J~E $ , =1 UMBRELLA FORM i ~_~_~:r.~ $ OTHER THAN UMBRELLA FORM $ A WORKERS COMPENSATION AND 7163-12-66 10/01/04 10/01/05 ~_J_IQR$L~JI~s I I u'R ~.' EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 1,000,000 THE PROPRIETORI Fl'NCl .... . .--.-.. $ 1,000,000 EL DISEASE-POLICY LIMIT PARTNERs/EXECUTIVE 1 EXCL OFFICERS ARE: El DISEASE-EACH EMPLOYEE $ 1,000,000 u,ncR APP[- OVEiJ I\S It) I FORM '. .../ i -"'-- /'-"/-1" . c DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLESISPECIALITEMS Lauru Slitt Sheeuy EVIDENCE OF INSURANCE ONLY I\,~:-'Ist c! n '- Cily Al1on,lOY Ce.I'1'II_:..~~'\!Eo.HEll;IlER .. "';C[ fftti/' eAlCCeLLATION ",.'ti..F..' . ..' .... ,," SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL -30 DAYS WRITTEN NOTICE TO THE CITY OF SANTA ANA CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR ATTN: FRANCISCO GUTIERREZ FINANCe & MANAGEMENT SERVICES AGENCY LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES, OR THE 20 CIVIC CENTER PLAZA M17 ISSUER OF THIS CERTIFICATE P.O. BOX 1988 SANTA ANA, CA 92701 MARSH USA INC. ~ BY: Gene Williams I ~/....:.-I ...xX'..'i ~~1(3102) VALID AS OF: 06/08/05 , .:.....', .