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<br />MAR 08 2005 14:53 FR FREEMAN - PEARCE <br /> <br />714 528 1330 TO 5475515 <br /> <br />P.0V04 <br /> <br />ACORD. CERTIFICAT"UF LIABILITY INSURAN(; CSR MS I DATE IMMlPDfrn'V1 <br />SOUTH-1 03/06/06 <br />PROOUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Freeman & Pearce Ins. - COCIA ONLY AND CONFERS NO RIGHTS UPON THE; CERTIFICATE <br />Lie. 110559854 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1216 N. Tustin Street Al TER THE COVERAGE AFFORDED BY THE POLICIES lIELOW. <br />Orange CA 92867 <br />Pnone:714-558-1334 Fax: 714-628-1330 INSURERS AFFORDING COVERAGE NAIC. <br />IN&URED SoUthland Commun~cation8 "'. ~ '.. ..- <br />A ..;;J.!J05-il'f IN&iJRER ,.. Oolo.n .olOl./h...l.... In_ Co 10836 <br /> " Data Inc. .." . <br />. DBA: SOUTHLAND CA.R COUNTERS INSlJRERS <br />DBA: PHOENIX DATA SERVICES ~'...- - <br /> DBA:FIELD DATA SVCS-INLAND I!MP ~_E~9.. ._ .~_., <br />( 380 s. TU"~~B INSURER 0 <br />0"...'1" CA 66 on. . .. ..._- <br /> i IIllSUREflE, <br /> <br />COVERAGES <br /> <br />Tl"IE POLlC'~S OF INSURANCe LISTED BELOW 1-4"'\1[ BEEN IS6UED TO TtfE INSURED NAMED ABOVE FOR THE pOLICy PERIOD INDICATED. iljOnMTHSTANOING <br />ANY REOUlREMENT, TERM OR CONDITION O~ ANY COfllTRACT OR OTHER DOCUMeNT WTI-l RESPECT TO WHICH TI115 CEfUIFICATE M'-'V BE ISSuED OR <br />MAY PERTAIN. THE INSuRANCE A~FORDED BT THE POllCI~S DESCRIBED .-.EREIM IS SU6JECT TO ALL THE TERMS. 8tCl\J910N~ AND CONDlllDI'iS Of SUCH <br />POLICIES AGGREGATE LIMITS SHOINlll MAY HAVE BEEN REOUCED BV PAID CLAIMS <br />I ~"-,-" -'0 '7lI<~IoATIO <br />IT. N'. TYPE. Of INSURANCE POl..cT l\IUM,8ER DATE'MM I r~'T"'M.lDorN)" UMI'T1l <br /> ~NER.&l WABIl.IlY EACH OCCURRENCE I. 1 000 OO_C!...... <br />A X X COM~RCw.. GE"4f.RAL LIMIlI'TY CBP9888381 09/30/051 09/30/06 PREMISES E~a~) 1.100,000 ._ <br /> ~ CLAIMS MADE [!J OCCUR MED EXP (My a". p."on) .10 000 <br /> ..u. <br /> e---' . PERSONAL & AO\l' INJURV .1 00~r.~09_ <br /> GENERAL AGGREGATE . 2 ,000 000 <br /> - 12,000,000 <br /> GEN'L AGGREGATE LIMIT APA6 PER PRODUCTS - COMP/OP AGG <br /> '-l .n ,.0. <br /> POllCV JeeT Loe <br /> ~TO"OBlLE UA81LJ1V COMBINED SINGLE LIMIT . <br /> ANY AUTO (Ea.:lQt:;o....I\ <br /> r- .~.~..,_.. <br /> ALL OWNEO AUTOS 1300lL Y INJURY <br /> ~ (PlIrpa'JQ(l) . <br /> ~ GCI1EO\llED AUraS -'-"'._...' <br /> - HIRED AUTOS QOOIl.YlN.lUP.'f <br /> . <br /> NON-OWNED AUTOS /~c. (p.,.c.clden,) <br /> - "l/.N .u_ <br /> -, f'RQPf.AT\' DAMAGE . <br /> I (plIlrllc:c.ICf.."I) <br /> CARAGI; UABlLllY A.U'rC ONLY. EA ACClOENT . <br /> ~ ANVAUTO OTHER THAN EAACC . <br /> ^UTOONl.V, AGO . <br /> UCE3S1UMBflEUA UABlllTY EACH OCCURRENCE . 5,000 ,_l!ll.ll._ <br />A ~ OCCUR 0 'CLA~S "".I\OE CU 8070943 09/30/05 09/30/06 AGGREGATE .5 000 000 <br /> .._-,_.~.. -,--- <br /> . <br /> - .-.~. <br /> H Ofoue"S'f . <br /> ReTENTION . . <br /> WOflKE~8 COMPENSATION AND ~R"'l:!~!!SI ]UE~ <br /> ENPlOY!:RS' LIABlUTY . <br /> ANY PROPRIE.TORfPARTNeRlEXEC\lTI\ffi 'E,L EACH ACCIOENT . <br /> O~f:ICE~EMBER EXCLUDED? E L DISEASE. EA EMPlOVEE . <br /> ~JECI:lJ~VI~O~S~ - <br /> E L DISEASE. POLICV LIMIT . <br /> OTH~~ <br />DE.&CRIPT\ON Of OPEAAl1Ot4S II..000llONS I VEHICLES fEXCLU8IONIADD6J BY fNDORSflllll!~T f SP'!ClA1. PROVISION' <br />ACANCELLATION - EXCEPT 10 DAYS NOTICE P'OR NON PAYMENT OF PREMIUH. <br />TKE CITY OF SAN"l'A MA, ITS OFFICERS, EMPLOYEES, AGENTS , VOLUNTEERS ARE <br />NllHED AS ADDITIONAL INSURED BUT ON!.Y INSOFAR AS THE OPERATIONS UNDER THIS <br />CONTRACT ARE CONCERNED.RE: TRAFFICE DATA COLLECTION <br /> <br />CERTIFICATE HOLOEII <br /> <br />CANCELLATION <br /> <br />CITY OF SANTA ANA, <br />PUBLIC WORKS AGENCY <br />Attn: Laura/FAX '714-647-6515 <br />20 CIVIC CENTER M-43 <br />SANTA ANA CA 92702 <br /> <br />SAN'I'O 13 SHOUlO ANY OF THIE ..,BOIIE OESCRISfO POlICIES ee C",NCELLED BEFME THE EXPIRA liON <br />DATE THEREOF. TNE 155U1NGINSUflEA\Mll ENDEAVOR TO MAIL 3011 DAY.tWRlTT!H <br />"40TlCE TO THE CEATlFlC.ATE HOlDEA NAMED TO THf; lII:~T. BUT F'A1LURE 10 DO so SH.ALl <br />IMPOSE: NO OILlGAOON OR llABIUTY OF ANV KINO UPON THE INSURtl\ ITBAGEHTS Oft <br />Rf:PRfSENTAnVE6, <br />",UTHORlZeo REPRE6E <br /> <br /> <br />~ ACORD CORPORA liON 1988 <br /> <br />ACORD 2612001/08) <br />Q,V., <br />