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<br />ACORD", CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDfYYYV) <br /> 08/08/2006 <br />PRODUCER 949-829-6900 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />MCRAE ASSOCIATES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />PATRICK MCRAE INSURANCE SERVICES HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />1290 N. HANCOCK ST SUITE 210 ! <br /> ANAHEIM HillS. CA 92807 INSURERS AFFORDING COVERAGE ! NAIC# <br />-- - ---- - ------ .- - ---- L - -.- --- ------- -"--- ------ <br />INSURED INSURER A LIBERTY SURPLUS INSURlINCE I <br /> ---- ---- <br /> CROSSTOWN ELECTRICAL & DATA. INC. ' INSURER B ROCKHill INSURANCE COMPANY ---- ------ --- <br /> ---- -------- <br /> 5463 DIAZ ST A ~.,).(;o5 - ;). 3lf I'NSURERCUSF & G COfy1PANY ---- ------ , ----- -- <br /> IRWINDAlE. CA 91706 INSURER D: ----- ----- I --- <br /> , - ----- ----.. ..------ --- <br /> 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 />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />lNS-R DD'i ---------, POLICY NUMBER POL.ICYEFFECTIVE TpOLICYEXpiRATlON ! <br /> <br /> <br />GENERAL LIABILITY <br />,-X~~OMMERCIALGENERALLlAB1L'TY IOGL-SF-184783-016 <br />:- I I CLAIMS MADE I-xl OCCUR I <br />iX'XCU <br />XJQ<:;P <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />i POLICY - - X : PRO) LOC <br />AUTOMOBILE LIABILITY <br />~l ANY AUTO <br />l ALLOWNEDAUTOS <br />- I' SCHEDULED AUTOS <br />r- HIRED AUTOS <br />NON,OWNED AUTOS <br />i <br />I <br /> <br />06/03/2006 <br /> <br />06/03/2007 <br /> <br />LIMITS <br />I EACH OCCURRENCE $ 1,000,000 <br />~~~a~~~~E~~~~~nce) _ r-~------ _ 50,000 <br />I MED EXP(~y one perso_n)__f!- ~~CL~QED__ <br />'t'_PERS.QNAL&APVINJU~. _ 1$ _____:LOOO,OOQ <br />GENERALAG.9REGATE $ 2,090,000 _ <br />'PRODUCTS)CO~PfOPAGG $ 2,.0091.000 <br />1-- ---- -- -- - <br /> <br />A <br /> <br />COMBINED SINGLE LIMIT I <br />I (Eaaccid~nt) -- +~-- <br />BODILY INJURY - <br />(Per person) --t$ <br />I BO DILYINJURY 1$ <br />(Per accident) <br />--- --- <br />! PROPERTY DAMAGE I $ <br />(Peraccidenl) <br /> <br />I GARAGE LIABILITY <br />~J ANY AUTO <br /> <br />AUTOONLY,EAACCIDENT : $ <br />-------- <br /> <br />I OTHER THAN <br />AUTO ONLY <br /> <br />EAACC $ <br />AGG $ <br /> <br />B <br /> <br />~~CESSlUMBRE~_~8111TY I <br />Ll< I OCCUR___: CLAIMS MADE CUl01012106 <br /> <br />06/03/2006 <br /> <br />06/03/2007 <br /> <br />EACH O~CURRENCE --* _ 1 ,000,000 <br />AGGREGATE $ ~.o,OOO <br />I--'PROOUCTS~ COMP/OP $ 1,000,000 <br />f- -- -- -- ---- <br /> <br /> <br />j DEDUCTIBLE <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />C ,EMPlOYERS'L1ABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERfMEMBER EXCLUDED? <br />~~~~I~~~~~~1~4~NS below <br />OTHER <br />! <br /> <br />1 D272W00098 <br /> <br />06/03/2006 <br /> <br />06/03/2007 <br /> <br />DESCRIPTION OF OPERATIONS / lOCATIONS I VEHICLES I EXCLUSIONS ADOED BY ENDORSEMENT / SPECIAL PROVISIONS <br />THE CITY OF SANTA ANA. ITS AUTHORIZED OFFICIALS. OFFICERS. EMPLOYEES. AGENTS AND VOLUNTEERS AS REQUIRED BY <br />WRITTEN CONTRACT ARE NAMED AS ADDITIONAL INSURED WITH RESPECTS PROJECT: MAINTENANCE OF CITY OF SANTA ANA <br />(CROSSTOWN JOB NO.: 1315) <br /> <br />'10 DAY NOTICE OF CANCEllATION FOR NON PAYMENT OF PREMIUM <br />CERTIFICATE HOLDER 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 /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER Wlll~~"All *30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT~n. <br />~~~ ~ <br />~XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX <br />AUTHORIZED REPRESENTATIVE /IJ...il <br />/ PATRICK MCRAE Mil'- <br /> <br />ACORD 25 (2001/08) <br /> <br />'ACORD CORPORATION 1988 <br /> <br />'_.1. <br />