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<br />CERTIFICATE OF liABILITY INSURANCE
<br />949-6 -
<br />
<br />DA T5llllllMllllYYYYI
<br />07/1312007
<br />THIS CERTIFICATE IS ISSUED AS A MATTIiIt OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERT1FICATE
<br />HOLDER. THIS CEJltTI',CATE DOES NOT AMEND, EXn:..O OR
<br />ALTER THE eOVERAG AIIII ItD D BY TH POllCll!S BI!LOW.
<br />
<br />1'll0DL/CElI
<br />MCRAE ASSOCIATES
<br />PATRICK MCRA= INSURANCE SERVICES
<br />1290 N. HANCOCK Sf SUITE 210
<br />ANAHEIM HIL.L.S. CA 92807
<br />
<br />
<br />INSUItEItS AJlIIORDING OOVERAGE
<br />lNaul'lEU, LIBERTY SURPLU INSURANCE
<br />INSUlleIlS: UNITED NATIONAL INSURANCE CO,
<br />fN""Il"C: DISCOVER P & C
<br />'"OII""R II; CO E
<br />1M_1I11l!:
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<br />HAle.
<br />10725
<br />1144~
<br />36463
<br />1 1 1
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<br />CROSSTOWN ELECTRICAL &. DATA, INC.
<br />5463 DIAZ STREET
<br />IRWlNDALE. CA 91706
<br />
<br />
<br />COVERAGES
<br />
<br /> THE POLICIES OF INSURANCE LISTeo BI!LOWHAIIE BEEN ISSUED TO THE IN$URIiD NAtoIl!O AIOII! FOR THE POlICV PERIOD INDICA TED. NOTWITHSTANDING
<br /> ANY Ffl!ClUIFlIMI!NT, Tl!!~M OR CONDITION OF ANY CONTRACT OR OTHeR OOQJt.teNT WITH RESPECT TO WiICH THIS CERTlI'ICATE MA)' IE ISSUIO OR
<br /> MAY PERTAIN, THE INSURANCE APFORCI!O IV THI! POLICIES DESCRIBED HEREIN 18 SUBJECT TO AU. THE TERMS, exCLUSIONS AND CONDITIONS OF SUCH
<br /> POI.tC:IIS. AOGl'l!GA.TE LIMITS SHO'M/ MAY HAVE BEEN ReCVeiOSY PAIOeLAIIolS.
<br />1Kf' ~!~~ PDUIlT IIn,..EJII U11IT$
<br /> .!!NE""L Ll_LlTY EA\:H OCCIIRAI"I:" $ 1 000 000
<br />A ~ ::J'MCR\:Io4~GENIl'lXrl"'T'I' OGL.SF.184783-026 08103/2007 08/03/2008 ~m:1lIIaW2I (,. DDCJUNnG.~ , 50 000
<br /> _ CUI'IISM4llE X OCCUR MEDEllP(,tlny"'.p......, , EXCLUDED
<br /> X XCU PEIlSOAAI. & AtJV INJURY $ 1 000 000
<br /> LOOP $5.000 DEOUCTIBlE aENEI!"LAGQ~TI , 2 000,000
<br /> ~...AQO~mIELI"'T.....nPf!A. PIlODUCT..COMP~PAQO , 2 ""^ ,,,,,,
<br /> POLICY X ~~~ LOC
<br />0 X ~~oe'UL"""U"" COIoIlflED SINOLUIIIIT , 1,000,000
<br /> NlYI\VTO CVA0388720 0210212007 02102/2008 CEo ....d...)
<br /> -
<br /> X ALL OWNED AUTOS DODll Y INJ\/RY
<br /> lICl"!DUl ED AUTOS {P..-pel"llll' $
<br /> -=-=-
<br /> ~ ""RIDAIIToe IlOI.l'll'ftlAlll...
<br /> $
<br /> ~ PlOlhOWNED"UTOS 1"....,141..111
<br /> PIlOPElllY DAMAUli ,
<br /> {Pt! ICC_II
<br /> RAUL_LIlY AUTO OIILY .I!AACCIOENT I
<br /> ANYAUTO Ot>lIER THAN EAACC ,
<br /> AIITDDNlY: A<lG ,
<br /> PD.UI_.LLALlAlILlTV EAeHOCCURRENCE , 1,000,000
<br />B OI:I:UR 00....,...,,- FCXOO04804 0610312007 0610312008 _EClaTE . 1 000 000
<br /> PRO/lUCTS> COIAP 101-' $ 1 000 000
<br /> ~ pliOI.Icn'lli ,
<br /> RETENTION S S
<br /> WOIlKEII' llOllPtIlllA nON AND X aTAr I lOll:'
<br />c ilIIPLOya,' LlMIll..... D27211VOOO184 06lO3f2OO7 0610312008 1.000 000
<br /> ANY PAD'ItIIETOIlIPAITNEIl/DfECUTIIIE &.L.OC14 A=DIiNT I
<br /> OFfaR~IM'E" EXCLUll(P? E.l. DISEASE, E.AEMPlOYEf I , 000 000
<br /> ~~~~L~_ I.L. CIlIAtE, POLICY LIMIT I 1 000 000
<br /> OTHER
<br />lIIillClIlf'no" Of Df'I<ItA no"a/lOCA nOtla/VDllCI.n/lllCU/$ICIrS AOOIO IfY IIfNDOllseM.'" J tPlClAI. ~RO\I/IION'
<br />THE CITY OF SANTA ANA. ITS AUTHORlleD OFFICiAlS, OFFICERS, EMPLOYEES. AGENTS AND VOl.UNTEERS AS REQUIREO 8Y
<br />WRITTEN CONTRACT ARE NAMED AS ADDITIONAl INSURED VV1TH RESPECTS PROJECT: MAINTENANCE OF CITY OF SANTA ANA
<br />(CROSSTOWN JOe NO,: 1315)
<br />.'0 DAY NOTICE OF CANCEl.lATION FOR NON PAYMENT OF P~EMIUM
<br /> DlER eANCIi~A110'"
<br /> llHOIH.D ANY 0' THI! A80VIl DacRI." I'OllClU .1 CA/lClill.O IlifOllIi 11I1i Ii'-" lION
<br /> DATE THEItEO.. THE 181111NO INStIll!" wa.L:ti~A1L "30 Mil' _TTIiN
<br /> CITY OF SANTA ANA ItOftC! 1'0 TMIi ClllI'lIrtCATIi ItOlDIill NANID TO THIE L"T~lti'
<br /> 20 CIVIC CENTER PLAZA (M-30) ~~ .'Ql~~
<br /> P.O. BOX 1988 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX>
<br /> SANTA ANA, CA 92702-1988 AlITlIou:nAIiMII.DlTATIW :fi/Jft.
<br /> I PATRICK MCRAE ; ~..,-
<br />
<br />ACORD 25 (2001108)
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<br />. ACOROOORPORATlON 11188
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<br />900/IOO~
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<br />1VJIRLJ313 Ni01SSOHJ ~099 ~T9 9Z9 XV~ TO:9 rrRL LOOZltT/60
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