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<br />. .. -.~ -- . <br /> <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 '6aJ DATE (MMIODIYYYY) <br />ADVAN-6 11/23/05 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Bolton & Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />CA License #0008309 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />245 S. Los Robles Ave, Ste 105 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Pasadena CA 91101 <br />Phone: 626-,99-,000 Fax: 626-441-3233 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A ",..tpart Xaaw:..nc::c eorpou.t.ilm <br /> ~_RER8 ~ireman's Fund Insurance 21873 <br /> Advanced Automated Systems Inc INSURER C Peerless Insurance company <br /> 23691 Via Del Rio ~-~-,-_.-_._--,~- <br /> Yorba Linda CA 9288, f--- ---- <br /> INSURER E <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSUPMICE USTED BELOW HAVE BEEN ISSUED 10 1'rlE INSuRED NAME~ ABOVE FORTHE POliCY PERIOD INDICATED NOTVVITHST.ANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY COr-.1RACT OR OTHER DOCUMENT WITH RESPECT TO WHICH T'1IS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE .AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO JILL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POl.lClES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDLiCfD BY PAID CLAIMS <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER ~~~1~MIOO1YY) DATE (MMIODIYY) LIMrTS <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> c- WCP117003565200 01/18/05 01/18/06 PREM~ES ~E~!:.~G'G~<aw",,\ $ ~OO ,000 <br />A X ~pMmC'AL GENERAL liABiliTY <br /> ___ CLAIMS MilDE ~ OCCUR MED EXP (Ally on8 person) $10,000 <br /> ~-~--- '-- -~~~-'-~- <br /> X $1,000 PO Ded PERSONAL & MJV INJ\JRY $1. ,000 ,000 <br /> GENERAL AGGREGATE '2,000,000 <br /> GEN'L AGGREGATE liMIT APPLIES PER PRODUCTS - CaMP/OP AGG $ 2,000,000 <br /> I F IXI PRO~ n <br /> POLICY X )ECr LOC <br /> AUTOMOBILE LIABIUTY COMBINED SINGlE LIMIT <br /> - $1,000,000 <br />C ~ ANY AUTO BA9891367 11/13/05 11/13/06 ~ Ea aCCident! <br /> .AlL OWNED A.lJTOS BODILY INJURY <br /> - , <br /> SCHEDULED AUTOS (Per person) <br /> --c <br /> HiRED AUTOS BODilY INJURY <br /> - , <br /> NON--OVVNED AUTOS (per acclden~) <br /> - <br /> PROPERTY DAMAGE , <br /> (Per aCCIdent) <br /> GARAGE lIABIliTY AlJT() ai'lL Y - EAACCIDENT I <br /> ~ ANY AUTO OTHCR n1ftN EAACe . <br /> AUTO ONLY AGG . <br /> EXCESSIUMSRElLA LIABilITY EACH OCCURRENCE $ 2, O.E.~~~__ <br /> ~ OCCUR 0 CLAIMS MADE 01/18/05 ---.--_.. <br />B XSM86680410 01/18/06 AGGREGATE $2,000,000 <br /> . <br /> ~ ~'DucnBL' . <br /> X RETENTION .0 I <br /> WORKERS COMPENSATION AND ITORYLlMITS I IU~~. <br /> EMPLOYERS' UABu..ITY <br /> ANY PROPRIETOR/PARTNEP/EXECUTIVE E L. EACH ACCIDENT I <br /> OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE ~--- <br /> , tIlles, des;;floo IJllOOf --.--..---..---.-- <br /> SPECIPJ., PROVISIONS below E I DISEASE. POLICY LIMIT . <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />The city of santa Ana and Siemens Building Technologies, Inc. , their <br />officers ,employees,agents ,volunteers and representatives are included as A/I !:p/ <br />per form CG 2009 (1/96) attached. Primary wording per the attached. <br />Job: City of Santa Ana HVAC Buildi.nq service agreement. <br />*10 Notice for non payment. @ <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />SAN'l'AA1 <br /> <br />SHOULD AI'oN OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORe THE EXPIRATION <br />DATE THeREOF, THE ISSUING INSURER WILL MAll 30 * DAYS WRITTEN <br />NOTlCE TO THE CERTIFICATE HOlOER NAMED TO THE LEFT, <br /> <br />City of Santa Ana <br />Attn:Clerk of the city Council <br />20 Civic Center Plaza (M-30) <br />P.O Box 1988 <br />Santa Ana CA 92702 <br /> <br /> <br />@ ACORD CORPORATION 1988 <br /> <br />ACORD 25 (2001/08) <br />