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~ ACORD <br />CERTIFICATE OF LIABILITY INSURANCE °"'~ <br />,~ <br />~ 03-24-2006 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HAYWARD, TILTON&ROLAPP INS~PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> <br />185019 P: (866)467-8730 F: (877)905-0457 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />PO BOX 33015 - <br />SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE <br />INBDaED -~~;3-4T <br />' INSURERA:Hartford Casualty Ins Co <br />1J. aoo3-U <br />78-d1 - <br />/J <br />3-0~7 (j-Cy <br />~ INSUflER B: <br />. <br />[)p <br />CYCOM DATA SYSTEMS INC <br />N 3pc3-c~h-c3 INSURER C: <br />6 8 3 5 ROBERTA RD . S . W . <br />A ~ <br />31XZ~ v <br />9 wsUREq o: <br /> <br />. <br />OCEAN ISLE BEACH NC 28469 <br />'' ___ <br />INSURER E: <br />COVERAGES <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 ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSU F <br />D OR <br />. <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGAT[ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTa <br />TYPE OF INSURANCE <br />POIK:Y NUMBER DATETE IM FDD/YYI DATEYIMMIDOT/VYN LIMITS <br /> GENEIIAL LIABILITY EACH OCCURRENCE 1 <br />0 0 0 <br />O O O <br /> 5 <br />, <br />, <br />A COMMERCIAL GENER <br />A <br />L LI <br />A8ILITV 72 SBA NJ1649 06/04/06 06~04~O7 FIRE DAMAGE IAny one fiml 53OO, 000 <br /> ~ <br />y <br />~ <br />J CLAIMS MADE 1 " 1 OCCUR MED EXP IAny one petnon) 91 O , O O O <br /> X Bus>ness Liab PERSONAL&ADVINJURY j Sl <br />OOO <br />OGG <br /> , <br />, <br /> GENERAL AGGREGATE 52 <br />0 0 0 <br />O O O <br /> , <br />, <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG SZ , O O O , O O O <br /> POLICY PRO <br />JECT X Loc <br /> AUT OMOBILE LIABILITY <br /> <br />A <br />ANV AUTO <br />72 SBA NJ1649 <br />06/04/06 <br />06/04/07 COMBINED SINGLE LIMIT <br />IEa a~cltleml Sl, OOO, OOO <br /> ALL OWNED AUTOS <br /> <br />SCHEDULED AUTOS BODILY INJURY <br />(Per perm) S <br /> i <br /> X HIRED AUTOS <br /> <br />X <br />NON-OWNED AUTOS BODILY INJURY <br />IPer accident) <br />LLL <br />S <br /> <br /> PflOPERTY DAMAGE <br />S <br />_ IPer accitlentl <br /> GARAGE LIABILITY AUTO ONLY ~ EA ACCIDENT 5 <br /> ANY AUTO OTHER THAN EA <br />AUTO ONLY <br /> <br />: <br />AGG 5 <br /> EXCESS LIABILITY <br />EACH OCCURRENCE <br />S <br /> <br />OCCUR a CLAIMS MADE <br />-,* \;~ <br />AGGREGATE _ <br />~_ <br /> <br /> <br />I " ~ S <br /> DEDUCTIBLE A., _, ~- S ------~-- <br /> RETENTION 5 __ 1 4 <br />WORNEAS COMPENSATpN AND -~ ~ WC STATU- OTH- <br />EMPLOYEAS' LIABILITY TD __. <br />E.L. EACH ACCIDENT 9 <br />E.L. DISEASE - EA EMPLOYEE 9 <br />~- - C.L. DISEASE -POLICY LIMIT 5 ---~ <br />OTNE11 I <br />DESCRIPTgN OF OPERATIONS/LOCATIONSAIFNX:LESIE%CLUSNINb ADDED BY ENDORSEMENT/SPECIAL PROVISgNS <br />Those usual to the insured's opertations. <br />CERTIFICATE HOLDER ADDITNINAL INSUaeD: INSURER IETTER: CANCELLATION <br />City Of Santa Ana its Officers SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> <br />Employees <br />Agents & Volunteer EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOT <br />C <br />, I <br />E 110 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE <br />Office of the City Attorney HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO <br />20 C1V1C Center Plaza OBLIGATION OR LIABILITY OF ANV KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES. <br />Santa Ana, CA 92701 <br /> A ORI D R ESE~N~]ATI1~f~~~~.~ <br /> <br />ern°n oc c t~IO~r _ /~ <br />~~~'~~ `°-° '"""' ~' ACORD CORPORATION 7988 <br />~. <br />