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<br />09/0712005
<br />ACORD..
<br />
<br />15:57
<br />
<br />5305252539
<br />
<br />ISU ATWOOD AGENCY
<br />
<br />PAGE
<br />
<br />02/03
<br />
<br />PROOUl:l!R
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />THIS CERTIFICATE IS ISSUED AS A MATTE~ OF INFORMATION
<br />ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE:
<br />HOLDER THIS CERtiFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER llfE COVERAGE AFFORDED BY THE POlICIES BELOW.
<br />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />
<br />leu Ins ServiceS-Atwood
<br />
<br />800 Pacific St.
<br />
<br />P~aC!ervi~1e, CA 95667
<br />
<br />530-626-253.3.
<br />Ift8UAED
<br />
<br />I\g&ncy
<br />
<br />Empire Economics, Inc.
<br />35505 Camdno Capistrano '200
<br />Capistrano Beach, CA 92624
<br />
<br />"SlJR~.." M"'Ylan<L.C.as.Ual~.Q._{ZJ.l.2:.tJ:lhL
<br />INSURER B;
<br />1N$lI~c: tJni.:t.Ead gtat~.abi1ity TY}.S.._C
<br />~RE:R:O:
<br />INSURER E:
<br />
<br />COVERAGES
<br />
<br />TKO POlICIES OF INS~ USTeO BELow HAVE BEEN ISSUED TO THE INSl.OlED NAMED AIlO\/E FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDfNlJ
<br />I'Nf ReQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOClNENT Wrnl RESPEcT TO WHICH 1>1IS CERTFICATE ....Y 8E ISSUED OR
<br />.....Y PERT_, THE INSURANCe AFFoRDED ey TliE POLICIES DESCR,,",D HEREIN IS SUIlJECT TO All THE TeRMs, EXClUSION$I\NO CONDITIONS OF SUCH
<br />POUCIES. AG"'lEGATe L",",S SHOWN....Y IlAIIE REN REDUCED BYPAID ct.AIMs. _
<br />
<br />1m TYl'eOl'INSURA"". -. p,,'-'Cyou...... . POLICY"~I~ . LIMITS'
<br />
<br />OEN......LIA.IUTY ."^CH~..,e 'i Q!'n nnn
<br />
<br />r; C"",",EROIALGENE"'IJAlllUlY ~~.~'M.ce(Any_.~~1 '.L.D.O.O. 000
<br />
<br />I CLAIMSMAOE CiJ oeCUR ~(^nyOMperstJl'l) S 10.000
<br />
<br />PAS 39816088 01/08/05 01/08/06 _SllNAL'~'2'''NJlJRY 'Ex-ot............
<br />
<br />GENERAL A(;GReGA", '2....QQQ.,J)"O.0
<br />
<br />PROCUCTS.COMPIOPAGO , "_ 000.000
<br />
<br />A
<br />
<br />-= .
<br />~'LAGGREGATE UMrr A~~S PER
<br />" I POWCY 51; I I lOO
<br />~TOMOBIt..E L1A81l,1.....
<br />ANY AUTO
<br />r-
<br />r- ALL OWNED AUTOs
<br />r- SCH~UlED AllTOS
<br />A~ HIRBlAUiOS
<br />..x, NON-owNEO AtJT'OS
<br />
<br />COMBINeD SINGLE LlMrr
<br />(Eaaecidtlnt)
<br />
<br />, 1,000,000
<br />
<br />PAS 39816088
<br />
<br />01/08/05 01/08/06
<br />
<br />BOOIlYINJUFlY
<br />(Perpllf8OR)
<br />_...
<br />eOOlly INJURY
<br />CPeraccldl!lRt)
<br />
<br />$
<br />
<br />,
<br />
<br />n~UABfUTY
<br />I A,t'('f AlITO
<br />
<br />~~lIABa.ITY
<br />----1OCCllR 0 ClAIMS MADE
<br />
<br />hl:E)l,.lCTlBlE
<br />H R:eTCN'T1oN $
<br />WCRt(~$ COMPEl.tSATION AND
<br />EMPLOYlZA8' IJABIlTTV
<br />
<br />PRClPFi!i~ DAMAGE
<br />(PerllClCWel'llJ
<br />
<br />.
<br />
<br />OTHJ!R n-IAN
<br />AUTO ONlY:
<br />
<br />Auto ONL V . EA ACcIDENT S
<br />CA ACe $
<br />"013 S
<br />.
<br />$
<br />,
<br />.
<br />.
<br />
<br />^r~n
<br />I.,
<br />
<br />)\>--<~) ~:', 'l"() 1-01\iv1
<br />
<br />EACH OCCtJRRecE
<br />AOOREGA~
<br />
<br />.. ".t; . /
<br />-...~ ..)./:~ '::'.:c. ;.c...../..!..... c..
<br />,,/ ~,.,. '. .'- L: ) ~:CL)
<br />A:'::'J~t;;,H Cily'A lur'.n'
<br />
<br />-..
<br />
<br />OlM..
<br />
<br />~y({':;Ir.1 I::'W
<br />E.I." lEACH ACCIDeNT $
<br />~:LOISEASE..EA~MF'L.OYJ:: $
<br />EL DISEASE - POUCY LIMIT $
<br />
<br />"-
<br />
<br />C Professional
<br />T' _,-.,.
<br />DISClRfPtloN OF: OPERA OCAT1ONa"IEHIClBSIEXCLUSIONSAOC/IED BY ENDOR8EMENmiPEcIAL. PROWofONS
<br />Certificate holder is listed as an AdditionaJ. Insured with rEtapects
<br />insureds cOnJSuJ.ting operations per form CG20~0 10/01 attached.
<br />
<br />SP~001190C
<br />
<br />02/05/05 02/05/06 $1,000,000
<br />
<br />to the
<br />
<br />City of Santa Ana
<br />ExecutiVOl Director of Finance
<br />20 Civic CentElr P~a"a
<br />PO Box 1988
<br />Santa Ana, CA 92702
<br />,,,..... . ""- "',....
<br />ACORD 2&-& (7$7)
<br />
<br />*Exoept 10 day notice of cance~1ation for nonpayment of premium.
<br />
<br />CERTIFICATE HOLDER . I x I All""",,,AL INSUIm>; INllUR... LElTSI'-1lo C,4\NCELLATJQN
<br />SffOULD ANY OF,.... Aeove ~IBS) fta.lCII!ti ~CANel!'LlED B&"ORBTHI; ~PlRATIC
<br />M~ lJI'EMDF, ntE ISS~ INSURER WILl. ENDEA,VOft: TO MAII.i3Q DA.YS WRrtTI!N
<br />NDnCEro lMI!!OER1lFJCATEi: HOLD~ NAMeD TO THIE,U;Ft, BUT I'AILURETu DOSOSIiAu..
<br />lMPOSI!! NO oal'GAT'lQN OR l..I.flBILITY OF ANY KRtm uPoN nG; "~BR. ITS AOENTS OR
<br />REPRESeNTA11VE5. ./
<br />
<br />AUT~'_EsE>/r~-e:RIC-f, ~j.cb/x.a--
<br />
<br />I .. ACORO CORPORATION 18..
<br />
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