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<br />ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDDIYYYY)
<br />. m 10/05/2005
<br />PROOUCER (610)356-0400 FAX (610)356-1794 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Summit Insurance Group, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />2098 West Chester Pike, 2nd Fl ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />P.D. Box 457
<br />Broomall, PA 19008 INSURERS AFFORDING COVERAGE NAIC"
<br />INSUREO OPEX Corporation INSURER A: St Paul Travelers 25674
<br />305 Commerce Drive INSURER B:
<br />Moorestown, NJ 08057-4234 INSURER c:
<br /> INSURER 0:
<br />A-1h01- (1~1-fl1_ n..-2002-031- o~ 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 DATE MUIDD DATE MMIDDiWf' LIMITS
<br /> GENERAL LIABILITY Y-630-5070A300-TIL-05 10/01/2005 10/01/2006 EACH OCCURRENCE $ 1,000,001
<br /> ~ COMMERCIAL GENERAL LIABILITY I PREMiS~s Ea occurence\ $ 100,O~
<br /> I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 5,OOC
<br />A PERSONAL & ADV INJURY $ 1,000,001
<br /> r- GENERAL AGGREGATE $ 2 OOO,O()C
<br /> ~N'l AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $ 2,OOO,OOl
<br /> ~ POLICY n ~ n LOC
<br /> AUTOMOBILE UABILlTY Y-810-5070A300-TIL-05 10/01/2005 10/01/2006 COMBINED SINGLE LIMIT
<br /> ~ (Eaaccident) $ I,OOO,OO~
<br /> X ANY AUTO
<br /> - ALL OWNED AUTOS
<br /> BODILY INJURY
<br /> - (Per person) $
<br /> SCHEDULED AUTOS
<br />A X HIRED AUTOS
<br /> BODILY INJURY
<br /> X (Per accident) $
<br /> NON-OWNED AUTOS
<br /> - .
<br /> PROPERTY DAMAGE $
<br /> (Per accident)
<br /> GARAGE UABIUTY AUTO ONLY - EA ACCIDENT $
<br /> . ~ .." AUTO OTHER THAN EA ACC $
<br /> AUTO ONLY: AGG $
<br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
<br /> ~ OCCUR o CLAIMS MADE AGGREGATE $
<br /> $
<br /> =1 ~EDUCTIBLE $
<br /> RETENTION $ $
<br /> WORKERS COMPENSATION AND TRJ-UB-2922B09105 10/01/2005 10/01/2006 X ~TOR.m.l,~S I IUER'-
<br /> EMPLOYERS' UABILfTY E,L, EACH ACCIDENT $ I,OOO,oo~
<br />A ANY PROPRIETORIPARTNERlEXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ I,OOO,OOC
<br /> ~~rC!~~~~J1~~s below E.L D!SEASE - POLICY LIMIT $ I,OOO,OO(
<br /> OTHER
<br />~ESCRIPTION Of OPERATIONS I LOCATIONS I VEHtcLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISION;\,
<br />~ity of Santa Ana is named as Additional Insured. . rrW)''F:;) ^,',:' '1'0
<br />/-L,) ...- v' ~ '~~'"j
<br /> I. %:>, ,I<
<br /> ~ n "d- /; L
<br /> Lhriu \, " ::-;t:y'.
<br /> A,:-',::.lstaill Ciiv A,".,:
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br /> SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER 'NILL ENDEAVOR TO MAIL
<br /> -3.0.- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />City of Santa Ana BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLlGATlON OR L1ABILfTY
<br />20 Civic Center Plaza OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
<br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE ...-::c,....- -:lfF/ ,~
<br /> , ... "" -".~
<br />
<br />ACORD 25 (2001/08)
<br />
<br />@ACORD CORPORATION 1988
<br />
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<br />
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