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ACORDm PRODUCER AICHER INSURANCE AGENCY 1255 PROSPECT AVENUE HERMOSA BEACH, CA 90254 (310)798-1650 (310)798-1654 FAX OVERLAND PACIFIC & 100 W. Broadway Long Beach, CA CERTIFIGATE OF LIABILITY INSURANCE DATE (MM/DDIYV) 02 27 04 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED CUTLER, #500 90802 INC INSURER A. INSURER B: ILLINOIS UNION INSURANCE COMPANY INSUREA c: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ÞNY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, eXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. l~fR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION GENERAL LIABILITY LIMITS GEN'LAGGREGATE LIMIT APPLIES PEA: PAO- T AUTOMOBILE LIABILITY ANY AUTO LOC EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (per accident) COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0 OCCUR A!..L OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO DEDUCTIBLE RETENTION $ ¿ y AUTOONLY-EAACCIDENT $ EA ACC $ AGG $ $ $ $ $ $ EACH OCCURRENCE AGGREGATE OTHER THAN AUTO ONLY. EXCESS LIABILITY OCCUR D CLAIMS MADE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTH- ER $ EL. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A OTHER ROFESSIONAL RRORS & OMISSIO BMI 20010437 11/15/03 11/01/04 $2,000,000 2 000,000 EACH CLAIM AGGREGATE DESCRIPTION OF OPERATIONS/lOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *30 DAYS EXCEPT CERTIFICATE HOLDER CITY OF SANTA ANA PUBLIC WORKS DEPARTMENT 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 10 DAYS FOR NON-PAYMENT OF PREMIUMS ADDITIONAl INSURED; INSURER LETTER: CANCELLATION SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE 0 THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE 00 ION OR UABIlff'Y OF ANY KIND UPON THE NSURER, ITS AGENTS OR ATIVES. REPR ENfA VE M-36 I ACORD 25-5 [1/97)