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<br />CERTIFICA TE OF INSURANCE <br /> <br />Named Insured: <br /> <br />Page 1 of 1 <br /> <br />MD Tedesco Camoany Consulting <br />18264 Mt Stewart Circle <br />Fountain Va/jey, CA 92708-6444 <br /> <br />Public Entity: <br /> <br />':ily of Santa Ana <br />Attn: Jeff Stevens <br />20 CiVic Center Plaza <br />PO Box 1988 <br />Santa Ana. CA 92702 <br /> <br />Certificate Term <br /> <br />02/20/2001 to 02/20/2002 <br /> <br />Certificate # <br /> <br />SA99.00004 <br /> <br />Coverage SPARTA INSURANCE PROGRAM: Commercial General liability _ Hazard: I [x] IA [J II f 1 IIA r ] III r ] <br />Contract No: N/A <br />Contrad Value: S 30,000 <br />Coverage Period: Annual <br />Insurance Carrier: Essex Insorance Company <br />Master Policy Number. 3CD5587 <br />Master Policy Effective Date: 11/15/99 to Expiration <br /> <br />Limits $2,000,000 General AggregateI51,000,000 each occurrence/51 ,000.000 Products/Completed Operations/$l,OOO,OOO Personal & <br />Advertising Injury/SSO,OOO Fire Damage/Medical Payments Excluded <br /> <br />Deductibles 5500 BI & PD Per Claimant InCluding Loss Adjustment Expense <br /> <br />S 750.DO Premium <br />50.00 Certificate Fee (Fully Earned) <br />22.50 State Tax - 3.0% <br />2.63 Stamp Fee - 0.350% <br />S 82S.13Tota/Premium <br /> <br />Tenns and Conditions <br />1.No Cancellations Allowed. <br />2.0perations and Rating Based: Consultant-Space planning & design archltectual design service. NO DEMOLITION OR BUILDING SANTA ANA ONLY <br />3.Contractual on a Limited Form. NO PROFESSIONAL LIABILITY COVERAGE PROVIDED. <br />4.Additionallnsured(s): <br />5.Department: <br /> <br />Exclusions <br /> <br />Per the Master Policy, a copy IS available by written request to' MunicIPality Insurance Services. Inc, 1920 E 17th St Suite #130, Santa <br />Ana, CA 92705. <br />The Insurance afforded under the specified pOlicy above is subject to all the terms. conditions and excluSions of such policy. (A copy of the policy is available <br />upon written request.) <br />This coverage applies only to the contractor,vendor or eVent noted above and does not extend to any other activities or work performed by the holder. <br />MUNICIPALITY INSURANCE SERVICES, INC., should be nOlified at once of any claim af/slng from your operation. Call 1-800-420-0555 and a claims <br />representative will assist you in the reporting process. <br />Coverage IS primary and not contributing with any insurance maintained by the above public entltY.The limits of insurance apply separately to each <br />contractor,vendor or eVent insured by this pOlicy as if a separate pOlicy of insurance had been issued for that contractor,vendor or evenL If more than one <br />Named Insured is insured for anyone contractor,vendor or event it will not increase the tOlallimits of liability available for that contractor,vendor Or event <br /> <br />- <br /> <br />,ue\s\s5'lt <br />^~\~ + <br />/:.aUlO\\'<f "3~ <br />)\~\:l~~_- <br /> <br />a:!1\O'c1ddV <br />t\'iQ.l Qa. gV <br /> <br />"",r,: <br />fOR- ' <br />AS TO - <br />}\pPBOVf:D ( ~ <br />~ 2- __~ <br />':::-- -'s~ 0 -(o~ <br />\.\SA 1'.',' . I\\tOrt"" <br />'stant C'W <br />""s\ <br /> <br />d~c#~ <br /> <br /> <br />MUNICIPALITY INS, SERV., INC. <br />1920 E, 17th STREET <br />STE.#130 <br />SANTA ANA, CA 92705 <br />