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<br />WITTENT-01
<br />
<br />DUBR
<br />
<br />ACORD,.
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />I
<br />
<br />'RODUCER (916) 231-1741
<br />~cordia of California Insurance Services, Inc.
<br />;A rno lIC #0352275
<br />10 obblerock Drive, Suite 100
<br />~ancno Cordova, CA 95670
<br />
<br />I INSURERS AFFORDING COVERAGE " NAIC #
<br />--- --t;: - - -----" -------------------.--.----.- 'T'---' _un.
<br />~I~URER A_ ~~rt!'?rd~as~~~~y_ ~_~~T~_rl~e 5~~~p~_~y____I-
<br />~N~~~E~.~ ..~.:E~bli~~~~.!!I_n~~_~~~J'!:I_~..!:ig~___ ___ _______L
<br />I~~?_~I~E~C __~~~~._~_ti~eBj!~.I_~d_e_r:!l~_ty~_ ~_~c:_
<br />~ ::~:~~-:~-~ ---- -"- - -------------- -- ----------- -----1-----
<br />
<br />NSUREO
<br />
<br />_n ..-_
<br />Wittman Enterprises, LIe
<br />p, O. Box 269110
<br />Sacramento, CA 95826-9110
<br />
<br />:OVERAGES
<br />THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
<br />ANY REQUIREMENT, TERM OR CONDITIO"I OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAj!;j 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 />NSR ADD'U i POLICY EI'FECTIVE I POLICY EXPIRATION i
<br />_TR INSRD TYPE OF INSIJRANCE POLICY NUMBER ATE M I DIYY DATE MMI DIYY LIMITS
<br />:GENERAl LIABiliTY I' i: EACH OCCURRENCE --L $ __ __..~,.~~_O~~O
<br />A X-- COMMERCIAL GENERAL 1I481LITY ,57SBAAT6490 7/1/2005 ' 7/1/2006 [~1~~~~~1];~~_1-;--= __ ~3.Q.O_!..q_o
<br />J 1 CLA.IMSWDE 'x OCCUrt i l,~~EX~J.~-~.o.!.:.=_person.L__ +~--- --~~--~~'-~~
<br />
<br />i ,. ~:::-;;~~:~:~~ev -- t: --- . ,. ~~~~~~_o
<br />
<br />:;:::N'L "-GGR'O:GATE LIMIT "PPLIES PER i ! ~-R-;;-D~;~;' COMP/; ~-;; ! -;-- -- - ~ 4-:-6oo~oo-
<br />in ! POLICY i -I ~rgT ! ! LOC i--------.---n--- ------
<br />
<br />A
<br />
<br />i AUTOMOBILE LIABILITY
<br />!-~-j ANY "UTO
<br />r- --,
<br />~___~ AL:" OW~<ED AUTOS
<br />, ! SCHEOULEC' ;'UTOS
<br />-',
<br />I_~ J HIREO;'UTOS
<br />; X I
<br />L__ 1 t.ON-OVVNEO AUTOS
<br />
<br />I
<br />157sBAAT6490
<br />!
<br />I
<br />
<br />7/1/2005
<br />
<br />7/1/2006
<br />
<br />, GARAGE LIABILITY
<br />I J.NY hUTQ
<br />
<br />
<br />I COMBINED SINGLE LIMIT i $ 2,000,000
<br />
<br />1-:--1 ~EO~:~~;:l~~~~ ----- t;--- ....---~-
<br />,IPe'perSOn)
<br />r- -.-- - --.-----.-.-.~--.--r-. --. --- -~- .__"n
<br />I BOD'L Y :NJURY
<br />i (Perac:cident)
<br />
<br />i$
<br />;
<br />:--~OP~-~T~-D:~E-' r$~- -.-.- --------,
<br />(Per aCCIdent) I
<br />~ ~~c:~N'-Y _:_~ h~~~_E~~~..!..,._,__________._
<br />I OTHER THAN .~~ACC -i---$-.
<br />, AiJTO ONLY f.GG : $
<br />
<br />! EXCESS!UM6RELlA LIABILITY
<br />I OCCUR CLA,MS M,tl..DE
<br />
<br />_ j DEDUCTIBLE
<br />: RETn.;rIO~J
<br />
<br />:3
<br />
<br />I WORK~RS COMPENSATION AND
<br />EMPL.OYERS' LIABILITY
<br />Af"-,'Y PPQ?;;/IETORIPARTNERIEXECUTIIJE
<br />orFICERIMEMi3fR EXCLUDED?
<br />,~ YlCS. descnDe under
<br />SPfCIF'_ PRO~':Slc-r~s belN'
<br />
<br />I
<br />~16620401
<br />,
<br />
<br />i
<br />, 7/1/2006
<br />I
<br />L
<br />
<br />1
<br />! 7/1/2006
<br />I
<br />
<br />7/1/2005
<br />
<br />OTHER
<br />
<br />C !Profesional Liability
<br />
<br />:81716616
<br />
<br />7/112005
<br />
<br />1$1,000,000 Limit
<br />,
<br />
<br />$7,500 deductible
<br />
<br />i EACH OCCURRENCE I s
<br />i:~;~:-~';"---- ---.- ni';'-~----
<br />,------_.,--------- '-"r;---~
<br />
<br />r - _u.___.._.._____.__. '$
<br />!--- - ------t-;- --
<br />I ,$
<br />x' wc STATU. 1 IO"TH_I"
<br />:___J.lQ8XJ...!1",.!.T,S-'_____ .LE.-j._ ,. ______ ___._..,____
<br />I_E~..E.:."~_,'Iccle~_::._,_____b_ ____ ,.___ __~~~~~
<br />i~~D_'_::~AS~__.:.~~~?_~EEi--~---_ .__ 1,000,000
<br />I E L DISEASE _ POL~CY LIMIT I $ -1-:-000~OOO
<br />!
<br />
<br />Dk:SCR~PT10N OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
<br />Certificate holder is included as add' I insured per SS 044905 93 attached. subject to 10 day notice of cancellation for non-payment
<br />of premium.
<br />
<br />AFP;?J)\' t~~) ,~:. 10 L-U.;~,.l
<br />
<br />CERTiFICATE HOLDER
<br />
<br />. 1 - . /
<br />_~._).;,yL_/ ./ L c.
<br />.,7T
<br />
<br />., J
<br />
<br />C';:'NCELLA TION
<br />
<br />City of Santa Ana
<br />1439 Broadway
<br />Santa Ana, CA 92701-
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER W1LL~~~AIL 3Q~ DAYS WRITTEN
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Bc<r)tXl)A]IItl06ti(IXi:l(~
<br />X*l(S(lil(lfIl(JU_~~)(~~~XJl(_~~~Kllil(XX)
<br />)(~)(_X~IO(
<br />
<br />'<",-\, -,'
<br />
<br />AUTHORIZED REPRESENTATIVE
<br />
<br />---~ -~
<br />~-~
<br />- - - . "_._---------~- --_.~_.._-------- ----
<br />
<br />ACORD 25 (2001/08)
<br />
<br />@ACORDCORPORATION 1988
<br />
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