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<br />.
<br />
<br />ISSUE DATE (MMIODlYV)
<br />No 9~3Z0 [03/31/05
<br />
<br />AC4tlllt. CERl'fFICATE.OF INSURANce
<br />
<br />vAt;;62'Z6'
<br />
<br />, .,~-
<br />
<br />PRODUCER
<br />Barney & Barney, LLC-CA
<br />BarneY & Barney, Inc-CA
<br />P.O. BoX 85638
<br />San Diego, CA
<br />(858) 457-3414
<br />Mst#: 5564
<br />
<br />, THIS CERTIFICATE 1$ ISSUED AS A MATTER OF INFORMATION ONLY AND
<br />LJ.cOC03950 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
<br />LicDC2431 DOES NOT AMENO, EXTEND OR AlTER THE COVERAGE AFFORDED BY THE
<br />POLICIES BELOW.
<br />COMPANIES AFFORDING COVERAGE
<br />.--. --.--
<br />HARTFORD-HARTFORD FIRE INSURANCE
<br />
<br />92186-5638 .J(,
<br />A-;).OO~ I-r<r
<br />A.- ~D;.L-i'f8-f
<br />A- ;;>'00;;.-1<1 t-Q;.>-
<br />
<br />'~~R<:: V ~~~~;P~~;o~~S~~~~~?NE:-l:~~;; B
<br />
<br />ALLY SON 'LETT'. C
<br />ETAL (SEE ATTACHED)
<br />425 S. HACIENDA BOULEVARD
<br />CITY OF INDUSTRY CA 91745
<br />
<br />,
<br />I COMPAPfY A
<br />r.~.~:-~---
<br />
<br />CO
<br />
<br />TRAITf;LERS--TRAVELERS--iNDEMN ITYCO
<br />HARTFORb-=HARTFORDrNSURltNCECO 'oF
<br />THE MIDWEST
<br />Iio"cf)VERAGE ON THIS IJOCUMENT-'
<br />NO COVERAGE ON THIS' DOCUMENT
<br />
<br />COMPANY D
<br />iLETTEA.
<br />
<br />; f~:Y E
<br />
<br />
<br />CO~",f,ll\Il~.
<br />
<br />THIS IS TO CeRTIFY THAT THE POLICIES OF INSURANCE BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED
<br />NOTWITHSTANDING ANY REQUIREMENT, TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFiCATE MAY
<br />BE: IssuED OR MAY pERTAIN, THE INSURANCE AFFOROeO BY THE roUCtES OESCfl,IBEO HER.EIN IS SUBJECT 10 All 'THE TERMS, EXCLU$}QNS AND
<br />CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLAIMS.
<br />._~--- ---.....---.-_..,.._--'_.~.
<br />POLICY NUMRER POUCY EFFECTlVt-l POUCY EXPIRATION I
<br />DATE (MMlDDIYVi ! DATE (MMIDOIYY) !
<br />
<br />,
<br />CO:
<br />LT.
<br />
<br />LIMITS
<br />
<br />TYPE OF-INSURANCE
<br />
<br />lGENERALAGGREGA.TE '~_~ 000 ..gpg
<br />r~iDUCT;~~~~!O? AG~~-- s *2 0 0 OJ. gfL 0
<br />04/01/061_~~~~_&AOv. I~~~:._. __> .!..~J.JQ(.LQ1 000
<br />~~~~.~u~_~~_~~_____~._~J._LQ_g_~..Q_QQ
<br />j~~~E~~E (Arry one f1re)_n.j.s",~.~'!}J!2_LO Of!
<br />MEO,EXPENSE1AnYl>nePllf$Ol\)]S ****10 000
<br />,
<br />,
<br />\$ *1 000 000
<br />.-. ..'---~-----' .i--~--.J_--_...
<br />i '
<br />_~!.**-*~*~'!.~.91
<br />
<br />-t~-~********O
<br />
<br />$*********0
<br />s*********O
<br />$*********0
<br />
<br />GENeRAL LIAB1UT"r' I
<br />S COMMERC\{I,l GENERAL LIABILITY I
<br />Aj""..1 i C""MSMAD€W OCCUR"I 72CESOA1.988
<br />, I OWNER'S & CONTMCTOR'!;, PROT_
<br />'~..J.$..2.500 D'ED. !
<br />
<br />04/01./04
<br />I
<br />I
<br />
<br />AUTOMOBILE LIABILITY
<br />
<br />COMBINED SINGLE
<br />lIM1T
<br />
<br />X ANY AUTO
<br />ALL OWNEO AUTOS
<br />SCHE;OULEO A1.lTOS
<br />
<br />l BODILY INJURY
<br />J !lPer~)_._,
<br />04/01/051 04/01/M1:BOO<Lv",w",
<br />\ ,!P\lraeclclenl)
<br />I Ln___
<br />I
<br />\ PROPERTY DAMAGE.
<br />i EACH OCCUFlR[;HCE
<br />r-- -~
<br />AGGREGATE
<br />
<br />H,.'OAUTO$ 810525D5839
<br />I NON-OWNED ,4JJTOS
<br />GARAGE UABIUTY
<br />
<br />EXCESS UASIUTY
<br />UMOREllA FORM NO COVERAGE
<br />Ol11ER THAN UMBRElLA FOAM
<br />
<br />,::~,,: 'fe-._ "i\",.,. ,-',,:>
<br />I X...JSTATUTORYUMITS
<br />04/0 1/0 ~~'EA2!'.ACC'D€NT _,__
<br />D~~~~E~~
<br />DISEASf': - EACH EMPlOYEE
<br />I
<br />j
<br />
<br />I
<br />04/01/051
<br />,
<br />
<br />WORKER'S COMPENSATION
<br />AND
<br />EMPLOYERS' LIABILITY
<br />
<br />. *1, 000, o.QP
<br />s '!'_~, 000,000
<br />.*1 000 000
<br />
<br />72WNMG3040
<br />
<br />OTHER
<br />
<br />NO COVERAGE
<br />
<br />I '
<br />i
<br />
<br />1/"
<br />
<br />
<br />DESCRIPnON Of' OPERAnONS I LOCATIONS t IreHICW' SPEClAL ll1i!:MS
<br />
<br />CANceUA'110
<br />SHOULD ANY OF fHE ABOVE DESCRIBED POUCIE'S BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILt XX9iJN~(}gK~
<br />MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 10 THE
<br />lEFT, IKJ)(XMiiGlf!r<XHMiX1l1Jt)j~i!fJ;I(~HiWJ(>>iKJ6~IftXKo{
<br />tM~!iKlX<iM1K<JPJl\K~~X~KX~<<>f~
<br />
<br />CERnFJCA'IC-'HOl.bER'
<br />
<br />CITY OF SANTA ANA, ITS OFFICERS,
<br />AGENTS, EMPLOYEES AND
<br />REPRESENTATIVES; P.O. BOX 1988
<br />20 CIVIC CENTER PLAZA Mll
<br />SANTA ANA CA 92702
<br />
<br />
<br />AUTHORIZED
<br />
<br />,.~PCORpORATKiN.;llIliO
<br />ENDORSEMENT.
<br />
<br />ACoRD'~ .
<br />
<br />(1.JL
<br />
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