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<br />\ . " <br />r <br />,4CORD~ <br /> <br />PRODUCER <br />PATRICK MCRAE INSURANCE SERVICES <br />1290 N HANCOCK ST. STE 210 <br />1290 N HANCOCK ST STE 210 <br />ANAHEIM. CA 92630 <br /> <br />949-829-6900 <br /> <br />DATE (MMIDDIYYYYI <br />08/29/2005 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />I <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />I <br /> <br />CROSSTOWN ELECTRICAL & DATA. INC, <br />5463 DiAl ST <br />IRWINDALE. CA 91706 <br /> <br />lINSU~ERS AFFOR[)~NGc:()VERAGE" H_ __~AI~__ <br />'NSURERA LANDMARK AMERICAN INSURANCE CO , <br />---- ---.-.-- .--- '----.-r--- .--- <br />INSURERS UNITED NATIONAL INSURANCE <br />-- ------ ------- ---- .---- <br /> <br />-----+- ----- --- <br />I <br />+---- ---- <br />. --+-- <br />I <br /> <br />INSURED <br /> <br />INSURER C: <br />IINSU_I!ER.Q~__ <br />I INSURER E: <br /> <br />COVERAGES <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 />! iN!"R~DfV-'--- -jiQLlCVEFFECiiVE i-POLICye"xPIRAll6tr"T- <br />POLICY NUMBER <br /> <br />A <br /> <br />GENERAL LIABILITY <br />-x ~COMMERCIAlGENERAL.LIABILITY <br />~_-:-+ -, CLAIMS MADE r x I OCCUR <br />l<J XCU <br />Ix IOCP - <br />I GEN'LAGGREGATE LIMIT APPLIES PER <br />.- i POLICY ;-'XI PRO. ~----: LOC <br />AUTOMOBLE LIABILITY <br />: ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDUlEDAUTQS <br />HIREDAUTQS <br />NON,OWNEDAUTOS <br /> <br />LHA 128227 <br /> <br />06/03/2005 <br /> <br />06/03/2006 <br /> <br />LIMITS <br />I EACH OCCURRENCE I S 1,OQQ,OOO <br />i-CAMAGI:. IU Kt:NTED -t 50000 <br />~R:I:J.,-,~SfEao~~ncel '$ __-------.!.._._ <br />~_~DEXP(Anto_nepel'lo!!L . ~___ _p,OOO <br />,PE,R~"_9_NA~,-&AD,,V,"N._JU','~Y"_*-" 1 ,000,000,_. <br />_G!=NER~LA~~~G~,!"~__ ~__ ____ 2,ooO,OQ9 <br />r_!"ROQ.l!f~~~~~P.lOP~S;G $ ____ 2,000,000 <br /> <br />I COMBINED SINGLE LIMIT I s <br />I (Eaaccident) I <br />f------ -----------~ <br />! <br /> <br />In-i-u <br /> <br />BODILY INJURY <br />i (Per person) <br />1.---- <br />i BODIL ytNJURY <br />i (Per accident} <br />[ PR~-~~;;-~~~GE <br />I (Per accident) <br /> <br />I' <br /> <br />- ------+-- <br /> <br />I' <br />, <br />----+---- <br />I, <br /> <br /> <br />EXCESS/UMBRELLA LIABILITY <br />.1<.1 OCCUR CLAIMS MADE FCX0002621 <br /> <br />06/04/05 <br /> <br />06/04/06 <br /> <br />l_~~OO~~'I' )EA~~9Q~~I_ _~ $ <br />, OTHER THAN EAAC_U~___ <br />AUTO ONLY: AGG i $ <br />,~!-CH OCfURRENCE $ <br />f.AGGRE.GA_TE _ __, 1.000.090 <br />~_ . __ . :_ ___.1,000.000 <br /> <br />~------ ---------'- <br /> <br />GARAGE LIABILITY <br />ANY AUTO <br /> <br />J DEDUCTIBLE <br />RETENTION $ <br />I WORKERS COMPENSA nON AND <br />, EMPLOYERS'L1ABILITY <br />i ANY PROPRIETOR/PARTNER/EXECUTIVE <br />i OFFICE RIM EMBER EXCLUDED? <br />! ~~~~~~6~rs~~NS below <br />OTHER <br /> <br /> <br />, <br /> <br />OTH) <br />---~---- <br /> <br />DESCRIPTION OF OPERAnONS J LOCATIONS / VEHICLES I EXCWSIONSADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />CITY OF SANTA ANA IS NAMED AS ADDITIONAL INSURED <br />I <br />10 DAY NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM <br /> <br />?! <br />" TO FdRM~ <br /> <br />, A?d,llh <br /> <br />',~,tl'I~j ,'lI:lt:iJ1:fcdy <br />f\::'':'lS1ant Lll \1 A tt <br />.J orne _,_~ <br /> <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA (M-30) <br />P.O, BOX 1988 <br />SANTA ANA. CA 92702-1988 <br /> <br />SHOULD ANY OF THE ABOYE DESCRIBED POLICIES BE CANiCEUED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL~~IL ~ DAYS WRITTEN <br />NOTICE TO THE ERTIFICATE HOLDER NAMED TO THE LEFT~ <br /> <br />AUTHORIZED REP <br /> <br /> <br />. ACORD CORPORA TION 19B8 <br /> <br />ACORD 25 (2001/0BI <br />