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<br />ACORD" CERTIF1CATE OF LIABILITY INSURANCE I DATE (MMlDDNY)
<br />02/26/2002
<br />PRODUCER (270)651-8837 FAX (270)651-8127 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Pedigo-Lessenberry Ins. Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />103 Pin Oak Lane ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />P. O. Box 1899 INSURERS AFFORDING COVERAGE
<br />Glasgow, KY 42142-1899
<br />INSURED I.C.E. Builders, Inc. INSURER A St. Paul Fire & Marine Insurance COq)any
<br /> 421 East Cerritos Ave. INSURER B:
<br /> Anahei m, CA 92805 INSURER C
<br /> INSURER D:
<br /> I INSURER E:
<br />
<br />COVERAGES
<br />
<br />THE POllCIE$ 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 REDUCr:O BY PAID CLAIMS.
<br />INSR TYPE OF INSURANCE POLICY NUMBER P~k.J.~Y ~~68;W1E POLICY EXPIRATION LIMITS
<br />LTR DATE fMMlDDNYf-
<br /> ~NERAL UABILlTY KK04100725 10/01/2001 10/01/2002 EACH OCCURRENCE , l,OOO,OOC
<br /> X COMMERCIAL GENERAL LlABILlTY FIRE DAMAGE (Anyone fire) , 100, OOC
<br /> I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 10,00(
<br />A PERSONAL & ADV INJURY $ I,OOO,OOC
<br /> r- 2,OOO,OOC
<br /> GENERAL AGGREGATE ,
<br /> r- 2,OOO,OOC
<br /> GEN'L AGGREGATE LlMIT APPLlES PER PRODUCTS - COMPtOP AGG ,
<br /> h -LlPRO- n
<br /> POLICY JECT LOC
<br /> AUTOMOBILE LIABILITY KK04100725 10/01/2001 10/01/2002 COMBINED SINGLE LIMIT
<br /> ty (Eaaccidenl) $ 1,000,000
<br /> ANY AUTO
<br /> -
<br /> - ALL OWNED AUTOS BODilY INJURY
<br /> (Per person) ,
<br />A X SCHEDULED AUTOS
<br /> HIRED AUtOS BODILY INJURY
<br /> X $
<br /> NON-OWNED AUTOS (Peraccidenl)
<br /> X Hired PhYSical Dmg ~100 OEO. COMPREHENSIVE PROPERTY DAMAGE
<br /> - $500 OED. COLLISION (Peraccidenl) ,
<br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
<br /> ==i ANY AUTO OTHER THAN EA ACC $
<br /> AUTO ONLY: AGG ,
<br /> EXCESS LIABILITY KK04100725 10/01/2001 10/01/2002 EACH OCCURRENCE $ 50,000,000
<br /> !J OCCUR 0 CLAIMS MADE AGGREGATE , 50,000,000
<br />A $
<br /> =1 ~EDUCTlBLE $
<br /> RETENTION , ,
<br /> WORKERS COMPENSATION AND WVK4100282 10/01/2001 10/01/2002 I TO'R,V LiMits I IUER'-
<br /> EMPLOYERS' LIABILITY EL EACH ACCIDENT , 1,000,000
<br />A
<br /> EL DISEASE - EA EMPLOYE $ 1,000,000
<br /> E.L. DISEASE - POLICY LlMIT $ 1,000,000
<br /> OTHER
<br />,..~ESCRIPTlON OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECiAl PROVISIONS
<br />>'''' of "'"U .... n, o"'~~. ....". ...'"....~........ ....'~r
<br />"ttached. C TINE EE SHAW
<br /> Deputy City Attorney
<br />CERTIFICATE HOLDER I f ADDITIONAl INSURED; INSURER LETTER: CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ~ MAlL
<br /> ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT,
<br /> City of Santa Ana, California
<br /> 20 Civic Center Plaza
<br /> Santa Ana. CA 92701 AUTHOR~E~r-'
<br /> P DlGO-L SENBERRY INSURANCE
<br />
<br />ACORD 25-S (7/97)
<br />
<br />Agency. Inc_
<br />
<br />@ACORDCORPORATION 1988
<br />
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