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<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 (MMIDDfYYYYl
<br />08/2912005
<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 />ACORD",
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />CROSSTOWN ELECTRICAL & DATA, INC.
<br />5463 DIAZ ST
<br />IRWINDALE, CA 91706
<br />
<br />IN~URERSAFFORDINGCOVERAGE . ~~_n
<br />INSURER A .l.!\.NDMARK AMERICAN INSURANCE CO ~
<br />:~:~:::~. UNITED NATIONAL INSURAN~E___J-_---
<br />
<br />t4SURED
<br />
<br />COVERAGES
<br />
<br />
<br />INSURER D:
<br />~._-
<br />, INSURER E:
<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 />POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ..,
<br />~~: ~':l:~ , P,p}.!5,'fEFFECl1vE POLICY EXPIRATlOH
<br /> ,^" POLICY NUMBER LIMITS
<br /> ~J\lERAL LIABILITY EACH OCCURRENCE , 1,000,000
<br />A LHA128227 06/03/2005 06/03/2006 ^OAMAGE. TQIU::.NlI:.U- 50,000
<br /> X, COMMERCIAL GENERAL LIABILITY E...R_E~I~E;S(EaoccUrenC81 ___~
<br /> I J CLAIMS MADE [1<] OCCUR _~El?__~_XP(Anyone peraon) , 5,00().
<br /> ]RCU PERSONAL &ADV INJURY , .1,000,000
<br /> X OCP GENERAL AGGREGATE , . 2,000,000
<br /> ----
<br /> _ GE~'LAGGRE~lllMIT ATLI-Ei PER: ~l?~CT~)COMP~PAGG , - 2,000,000
<br /> I POLICY X ~~R.f LOC I
<br />! AUTOMOBLE LIABILITY COMBINED SINGLE LIMIT
<br /> (Eaaccldent) ,
<br /> I ANY AUTO ---
<br /> ___J ALLOWNEDAUTOS BODILY INJURY ,
<br /> SCHEDULED AUTOS (Per parson)
<br /> , _n
<br /> l HIRED AUTOS BODILY INJURY I'
<br /> __ ., NON10WNE D AUTOS (Peraccidant)
<br /> -----
<br /> j ---j -- ------ : PROPERTY DAMAGE ,
<br /> ! i ' (Paraccldenl)
<br /> . ~~~r- .-.- - --...-
<br /> I GARAGE LIABILITY : AUTOONLY,EAACCIDENT , --- --
<br /> ~. -l ANY AUTO OTHER THAN EAACC , ----
<br /> I --AGGI,-
<br /> I AUTO ONLY
<br /> ~CESSJUMBREUA LIABILITY , EACHOCCURRENC'=--f_ ._
<br />B f OCCUR n CLAIMS MAD' ! F CXOO02621 06/04/05 06/04/06 ~ArE__ , .'., 1 000000
<br /> u _, .._ 1,000,QOO
<br /> I ~ DEDUCTIBLE - - i$ ----- -------
<br /> I
<br /> 1 RETENTION , ,
<br /> WORKERS COMPENSATION AND 1"\..0: l.C'._\.J 1::...;;;- f\~ i {'; we STATU) L] IOJ~)1
<br /> EMPLOYERS'L1ABILITY -----i/t-~ J4;j/}. , TORY LIMITS. ---
<br /> E,L, EACH ACCIDENT ,
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE --------
<br /> OFFICERIMEMBER EXCLUDED? I . E:L.: DISEASE I EA EMPL()'(EE; $
<br /> ~~~t;I~~~R~~I~~~NS below , I E.l. DISEASE I POLICY LIMIT'S
<br /> OTHER 'J" '-'~..<. . !
<br /> I
<br />DESCRIPTION OF OPERATIONS I LOCATIONS 'VEHICLES I EXCWSIONS ADDED BY ENDORSEMENT' SPECIAL PROVISIONS
<br />CITY OF SANTA ANA IS NAMED AS ADDITIONAL INSURED AS RESPECTS MAINTENANCE OF CITY OF SANTA ANA
<br />10 DAY NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM
<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 ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />AIL *30 DAYS WRITTEN
<br />EFT~
<br />
<br />ACORD 25 (2001/08)
<br />
<br />
<br />. ACORD CORPORATION 1888
<br />
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