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<br />AkORQ, CERTIFICATE OF LIABILITY INSURANCE <br /> <br />PRODUCER (626)584-3040 FAX (626)795-4881 <br />Hayward Tilton & Ro1app Ins. Assoc., Inc. <br />License #0614~65 <br />225 5. Lake Avenue, Suite 250 <br />Pasadena, CA 91101 <br />INSURED T 5 J Electrical & Communications Inc. <br />DBA: Masters Electric <br />11651 Sterling Avenue Suite H <br />Riverside, CA 92503 <br /> <br />I OATE(MMiDDIYYYY) <br />10/31/2005 <br />THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMA TlON <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 />INSUR~1lS AFFORDING COVERAG: Co' ~IC # _ <br />INSURER A <br />lNsuRERB Clarendon National Ins <br /> <br />INSURER ~> <br /> <br />N- AJo5-)3Q <br /> <br />INSURER 0: <br /> <br />INSURERE: <br /> <br />C <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTrlE INSURED NA!\I1ED ABOVE FOR THE POLICY PERIOD iNDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TQWHtCH THIS CFRTIFICATE 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. AGGRE~~TE LIMITS SHOWN ~~A'yE BEEN REDUCED BY PAl,? CLAIMS, XPlRATlON -- <br />INSR tWO' TYPE Of INSURANCE POlley NUMBER POLICY EffECTIVE POUCY LIMITS <br /> GENERAL LIABILITY EACf" OCCURRf.NCI- $ <br /> - COMMERCIAL GFNF:RAL LIABILITY DAMAGE TO RENTED ...1...- <br /> - -1 CLAIMS MADE r,J OCCUR PREMlSES-(Bu:x:curancal-- -- <br /> MED EXP (Anyone person) , <br /> - - <br /> - PERSONAL & ADV INJURY $ <br /> ---- ._- <br /> GENERAL AGGREGATE I <br /> ....--. -' .- <br /> GFNt AGGREGATE LIMIT APPLIES pm. PRODUCTS.COM~OPAGG , <br /> I POLICY r--~f ~~T illof: - <br /> - <br /> ~OMOBILE L1ABIUTY COMBlN!::D SINGLE LIMIT $ <br /> Atf'{AlJTO (Eaaccidel1t) <br /> .--1 ---.-. -.-- <br /> ---j ALL OWNED AUTOS BODILY INJURY <br /> , <br /> SCHEDULED AUTOS :Perpersofl) <br /> - <br /> HIRf.:J AUT 0:; HODIL Y INJURY <br /> .- I <br /> NON-OWNED AUTOS (Peraccidlll1l) <br /> - _.- -- <br /> - -- - PROPERTY DAMAGE $ <br /> (Peraccidem) <br /> _. <br /> lAGE LIABILITY AUTO ONLY - EA ACC:IOFNT I <br /> AI'Y AUTO -.-- <br /> .. OTI-1ERTHAN EAACC , <br /> AUTO DNl y. AGG $ <br /> EXCESSlUMBRELLA LIABILITY I::ACH OCCURRENCE , <br /> OCCUR o CLAIMS MADE AGGRI"GATF , <br /> .- <br /> ___u , <br /> .- <br /> =1 DEDUCTIBLE , <br /> -.- -- -- <br /> RETENf,,?N , $ <br /> WORKERS COMPENSATION AND 01KROO31566 10/18/2005 10/18/2006 X I ~9.~I~~1?~J--I?~~ <br /> EMPL.OYERS' LlABIUTY 1 000 000 <br />B ANY PROPRIETORl?ARTNERlEXECUTlVE E.L. EACH ACCIDENT , <br /> OFFICER/MEMBER EXCLUDEm ~EA:,;E - EAB.1PLOYE $ 1,000,000 <br /> ~~ECJ~~SI~1gNS below E.L. DISEASF - POLICY LIMIT . 1,000 000 <br /> OTHER <br />D!~~IPTlON OF fPERATIONS I LOCATIONf I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS <br />Vl ence 0 Insurance on y. <br /> Cance11ation*10 days notice for non-payment of premium. <br /> <br />IF TE HO <br /> <br />A <br /> <br />T <br /> <br />The Depot of Santa Ana <br />1000 East Santa Ana Blvd. <br />Suite 108 <br />Santa Ana, CA 92701 <br /> <br />SHOULO ANV OF THE ABOVE DESCRIBED POliCIES BE CANCELL.ED BEFORE THE <br />~IRATION DATE THER!!.OP. TtIf ISSUING INSURER W1LL.I:.NDEAVOR TO WAlL <br />*30 DAYS WRITTEN NOTICE TO THE CERTIACATE HOLDeR NAMED TO THE LefT <br />BUT FAlL.URE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUSATION OR lIABIL.ITY <br /> <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br />ACORD 25 (2001108) <br /> <br /> <br />Sandra <br />FORM <br /> <br />Marro u;n SAM <br /> <br />~rA.~I"~:~ <br />@ACORD CORPORA TlON 1988 <br /> <br />10d <br /> <br />./1iz!i <br />;lUrn Sl it!: Sheedy <br />':>:,j,-.:li.ilH Cily A{tor:1~Y <br /> <br />1:1"11.1 <br /> <br />"62'60 SO 60 ^O~ <br /> <br />