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<br /> , - dDOC. .;2.34-n \
<br />I ACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE IMMIDDfYYVY,
<br />, 02/04/2008
<br />I 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 /> INSURED I INSURER A. LIBERTY SURPLUS INSURANCE 10725
<br /> CROSSTOWN ELECTRICAL & DATA, INC. ' INSURER B: UNITED NATIONAL INSURANCE CO. .1.1445
<br />I 5463 DIAZ STREET INSURER C DISCOVER P & C 36463
<br />IRWlNDALE, CA 91706 INSURER D COMMERCE WEST 13Jj'iL-
<br /> INSURER E
<br />
<br />~ -dOO't - \d-.lo
<br />
<br />COVERAGES
<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 /> POLlCIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> I~~: ~~~'~ ~.., . POLICY NUMBER POCICYEFFECTIVE P2~!E.Y,~.~rIRA liON
<br /> LIMITS
<br />I A I ~ERAL LIABILITY EACH OCCURRENCE , 1 000,000
<br /> L~-t;O]MERC,^L GENERAL LIABILITY DGL-SF-184783-026 06/03/2007 06/03/2008 I PREMiSES ';'~~~~r~nce , 50,000
<br />, Cl.Jl.IMS MADE [K] OCCUR , - MED EXP (Anyone ~ersoll) S EXCLUQill..
<br />, I '~XCU. I PERSONAL & ADV INJURY , 1,000,000
<br /> I X OCP 2,000,000
<br /> 2<J' u._ $5,000 DEDUCTIBLE GENERAL AGGREGATE ,
<br /> I I ~'LAGGREME LIMIT APPlS ~ER PRODUCTS \ COM PlOP AGG , 2000,000
<br /> I POLICY X ~~~~ LOC
<br /> ,
<br />! D X ~TOMOBILE LIABILITY I CVA0388720 COMBINED SINGLE LIMIT , 1,000,000
<br /> ANY AUTO 02/02/2008 02/02/2009 (Eaaceident)
<br /> - ,
<br /> I X ALLOWNED AUTOS BODILY INJURY
<br /> (Per person) ,
<br /> "'-'- SCHEDULED AUTOS
<br />I I ~ HIRED AUTOS BODILY INJURY ,
<br />I I~ NON,OWNEDAUTOS (PeraCCldellt)
<br /> PROPERTY DAMAGE
<br /> S
<br />, (Peraccidenl)
<br />I I ! GARAGE LIABILITY AUTO ONLY, EAACCIDENT , -
<br /> I ANY AUTO OTHER THAN EAACC ,
<br /> , AUTO ONLY:
<br /> AGG ,
<br /> ~ESSJUMBRELLA LIABILITY I EACH OCCURRENCE S ._!.,OOO,OOO
<br /> B X OCCUR D Cl.Jl.IMS MADE , FCXOO04804 06/03/2007 06/03/2008 ! AGGREGATE , 1 000 000
<br /> I PRODUCTS> COMP lOP , 1 000,000
<br /> i R DEDUCTIBLE I .
<br /> RETENTION , ,
<br /> WORKERS COMPENSATION AND X I T~~n~JI~S I IOJ~) .--
<br /> C EMPLOYERS' LIABILITY D272W00184 06/03/2007 06/03/2008
<br /> ANY PROPRIETORIPARTNER/EXECUTIVE EL EACH ACCIDENT , 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? E,L. DISEASE> EA EMPLOYEE , 1 000 000
<br /> If yes, dllscribllullder I
<br /> SPECIAL PROVISIONSbelow EL DISEASE) POLICY LIMIT . 1 000 000
<br />! ! OTHER ,
<br /> I I i
<br /> I I
<br /> I I
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICl..ES I EXCl..USIONS ADDED BY ENDORSEMENT I 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 /> '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 />PO. BOX 1988
<br />SANTA ANA, CA 92702-1988
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER WILL~~~MAIL "'30 DAYS WRITTEN
<br />NOTICE TO THE CERTIFICATE HOLDER NAMEO TO THE LEFT,~~M)f.-~~A~
<br />~~2I.M~:('l\~lS,l\,1\JI,~~)Q.
<br />~W.XXXXXXXXXXXX)()()()()()()()XXXXXXXXXXX>
<br />AUTHORIZEO REPRESENTATIVE
<br />PATRICK MCRAE
<br />
<br />ACORD 25 (2001/08)
<br />
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<br />
<br />~ t. -~ T', ~'
<br />
<br />'ACORD CORPORATION 1988
<br />
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<br />
<br />A ,..>;,l" 1 "-,, \' ,:.! l~)r .,~y
<br />
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