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<br />ACORD.. CERTIFICATE OF LIABILITY INSURANCE QP 10 LII.. OAT!:: (MMlOONYYVI <br />CJSEG-1 12/30/05 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Andreini & Company-South Coast ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License 0208825 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />One MacArthur Place, Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />South Coast Metro CA 92707 <br />Phone: 714-327-1400 Fax:714-327-1499 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: CompWest Insurance Company <br /> INSURER B: <br /> C.J. Segerstrom & Sons INSURER c: <br /> 3315 Fa1rview Road A-dDCf5~IC(S INSURER 0; <br /> Costa Mesa CA 92626 <br /> INSURER E: <br /> <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 WITH 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 />LTR NSR TYPE OF INSURANCE POLICY NUMBER \ PS'4~;MM/DD'Y~(\" P DATE MMlb~lY~f-l LIMITS <br /> ~NERAL LIABILITY EACH OCCURRENCE , <br /> COMMERCIAL GENERAL LIABILITY PREMISE~ YE~~~u~~nce) $ <br /> I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) , <br /> - PERSONAL & ADV INJURY , <br /> GENERAL AGGREGATE , <br /> - <br /> ~'L AGG~EnE LIMIT APnS PER: PRODUCTS - COMP/Or AGG , <br /> PRO- <br /> POLICY JECr LOC <br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT , <br /> ANY AUTO (Eaaccidenl) <br /> - <br /> - ALL OWNED AUTOS BOOIl Y INJURY <br /> (Per person) , <br /> - SCHEDULED AUTOS <br /> I- HIRED AUTOS BODILY INJURY <br /> (Peraccldenl) , <br /> \- NON-OWNED AUTOS <br /> \- PROPERTY DAMAGE , <br /> . {Per accident) <br /> RRAGC LIABILITY c4uopd AUTO ONLY. EA ACCIDENT , <br /> ANY AUTO j f7 EA ACC , <br /> ';J I>' OTHER THAN <br /> AUTO QNL Y: AGG $ <br /> [JESS/UMBRELLA LIABILIty EACH OCCURRENCE , <br /> OCCUR 0 CLAIMS MADE AGGREGATE , <br /> , <br /> R ~'DUCTIBL' $ <br /> RETENTION $ , <br /> WORKERS COMPENSATlm! AND X IT;;'~)j(l~lTIJ_jU~lt ------ <br /> EMPLOYERS' LIABILITY 0~/01/06 0~/01/07 <br />A ANY PROPRIETOR/PARTNER/EXECUTIVE CA005001042-001 E.L. EACH ACCIDENT ,~,OOO,OOO <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000 <br /> If yes, describe miller E.l. DISEASE - POLICY LIMIT '1,000,000 <br /> SPECIAL PROVISIONS below <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS' VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />RE: GREENVILLE BEAN GROWERS. <br /> <br />City of Santa Ana <br />So. Civic Center Plaza <br />P.O. Box ~988 <br />Santa Ana CA 92702 <br /> <br />CANCELLATION <br />CITYSAA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUlNG INSURER WILL ENDEAVOR TO MAIL 30* 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 KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REP~ESENTATrVE <br /> <br /> <br />@ACORDCORPORATION 1988 <br /> <br />CERTIFICATE HOLDER <br /> <br />ACORD 25 (2001108) <br /> <br />( (' <br />