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<br />WITTENT-01
<br />
<br />DUBR
<br />
<br />ACORD," CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIVYYY)
<br /> 6/30/2005
<br />PRODUCER (916) 231-1741 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Acardia of California Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />CA 001 L1C #0352275 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />11017 Cobblerock Drive, Suite 100
<br />Rancho Cordova, CA 95670 , INSURERS AFFORDING COVERAGE NAIC#
<br /> --c ------------- -- -------.-....-
<br />INSURED Wittman Enterprises, Lie INSURER A Hartford Casualty Insurance C,,-mpany
<br /> P. O. Box 269110 i INSURER 8: Republic Indemnity of America
<br /> Sacramento, CA 95826-9110 ~~;~-R--~:Executive Risk Indem_r'l_i~.!_I_~~.____
<br /> It - ;;"OOd.. - 073
<br /> r~~-~~~g:------------------------------ -- --------- -- ----
<br /> 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 />POLlCIES_ AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />
<br />I~~: D~~ POLICY NUMBER POLICY EF~ECTIVE ,POL.ICY EX~IRATION L.IMITS
<br />
<br />GENERAL LIABILITY
<br />
<br />A X C0~.1MERC!AL GENER!.~ U,\8!UTY !S7SBAA T6490
<br />
<br />I CLAIMS MADE xj OCCUR
<br />
<br />
<br />i GEN'L AGGREGATE LIMIT APPLIES PER
<br />j~OT LaC
<br />AUTOMOBILE LIABILITY
<br />! ANY AUTO
<br />I ALL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />X , HIRED AUTOS
<br />X NON.OWNED AUTOS
<br />
<br />'57SBAA T6490
<br />
<br /> EACH OCCURRENCE 2,000,00
<br />7/1/2005 7/1/2006 --------------- -
<br />ff3:~MLsE_;;;_~_~~I,!E~~~0lL --~-$----- 300,00
<br /> -----------
<br /> MEO EXP{~ny one person) $ 10,00
<br /> PERSONAL & AOV INJURY $ 2,000,000
<br /> GENERAL AGGREGATE $ 4,000,00
<br /> ------------- _________n
<br /> ,PRODUCTS - COMP/OP AGG $ 4,000,00
<br /> ----------------------
<br /> COMBINED SINGLE LIMIT 2,000,00
<br />7/1/2005 7/1/2006 (Eaaccident)
<br />
<br />
<br />A
<br />I
<br />I
<br />
<br />i BODILY INJURY
<br />! (Per person)
<br />
<br />i
<br />j$
<br />__L-__
<br />
<br />BODILY INJURY
<br />(Per accident)
<br />
<br />PROPERTY DAMAGE
<br />(Peraccidenl)
<br />
<br />GARAGE LIABILITY
<br />ANY AUTO
<br />
<br />'\;~J"I)f}()VI;;:" j"
<br />. _ ..', _ _ ___q' -'~3
<br />
<br />ro j.: JRrVJ
<br />
<br />AUTO ONLY - EA ACCIDENT ,$
<br />
<br />OTHER THAN
<br />AUTO ONLY
<br />
<br />_ EA A~_~_$_
<br />AGG $
<br />
<br />EXCESS/UMBRE1.L.A L.IABIL.ITY
<br />- - I OCCUR CLAIMS MADE
<br />
<br />.;.;.c'l:~ ft:~.--;,:.-
<br />
<br />" ,,_; J: ~__" i\ l
<br />
<br />EACH OCCURRENCE $
<br />
<br />AGGREGATE $
<br />
<br />$
<br />
<br />DEDUCTIBLE
<br />RETENTION
<br />! WORKERS COMPENSATION AND
<br />B ! EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />ilfyes,describeunder
<br />SPECIAL PROVISIONS below
<br />i OTHER
<br />,
<br />C IProfesionalliability
<br />
<br />~-----
<br />
<br />$
<br />
<br />;16620401
<br />
<br />7/1/2005
<br />
<br />7/1/2006
<br />
<br />$
<br />v we ST P-TU- OTI-I-
<br />.~'~.~~: ~~~":~N~- EJLt;
<br />E.L DISEASE - EA EMPLOYEE! $
<br />--+-
<br />E,L. DISEASE - POLICY LIMIT $
<br />
<br />1,000,00
<br />-----------
<br />1.000,00
<br />1,000,00
<br />
<br />
<br />,81716616
<br />
<br />711/2005
<br />
<br />7/1/2006
<br />
<br />1$1,000,000 Limit
<br />
<br />$7,500 deductible
<br />
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
<br />Certificate holder is included as add' I insured per SS 04 49 05 93 attached. subject to 10 day notice of cancellation for non-payment
<br />
<br />of premium.
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br />City of Santa Ana
<br />1439 Broadway
<br />Santa Ana, CA 92701-
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL.L.ED BEFORE THE EXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER WlLL~lfl(~AIL. 3~ DAYS WRITTEN
<br />NOTICE TO THE CERTIFICATE HOL.DER NAMED TO THE L.EFT, B~X1DlC)66())G()OUt
<br />_:U__III__lCilll*ll1lfli<_MUlilI:_KlIi<XX
<br />lUt_XMK
<br />
<br />AUTHORIZED REPRESENTATIVE
<br />
<br />~
<br />-- ---------------
<br />
<br />-~
<br />
<br />ACORD 25 (2001/08)
<br />
<br />@ ACORD CORPORATION 1988
<br />
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