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<br />
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<br />CERTIFICATE OF L1AB L1TY INSURANCE
<br />
<br />~.
<br />
<br />DATE
<br />
<br />PRODUCER
<br />Wilkinson Barneson Agency
<br />10350 Heritage Park Drive, Suite 108
<br />Santa Fe Springs, CA 90670
<br />
<br />07/12/02
<br />
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<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 />INSURERS AFFORDING COVERAGE
<br />
<br />James H. Russell & Son, Inc.
<br />2122 S. Wright Street
<br />Santa Ana, CA 92705
<br />
<br />INSURER A: Western Herita e Insurance Com an
<br />INSURER B:
<br />INSURER c:
<br />INSURER 0:
<br />
<br />INSURED
<br />
<br />COVERAGES
<br />
<br />THEPOLlCIESOFINSURANCELlSTEDBELOWHAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIODINDICA TED. NOTWITHSTANDING
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MA YPERT AIN, THEINSURANCEAFFORDED BYTHE POLICIES DESCRIBED HEREIN ISSUBJECTTOALL THETERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />'~~:I TYPE OF INSURANCE POLICY NUMBER PRH~Y EFFECTIVE POLICY EXPIRATION LIMITS
<br />I GENERAL LIABILITY ,I EACH OCCURRENCE ! ,1,000,000
<br />A 7 COMMERCIAl. GENERAL UABJL1TY SCP0420465 OS/20/2002 OS/20/2003 FIRE DAMAGE {AlI~ OIUI :rnl' ,50,000
<br /> I CLAIMS MADE [K] OCCUR MED EXP (Anv one carsonl ,1,000
<br /> PERSONAL & ADV INJURY ,1,000,000
<br /> GENERAL AGGREGATE ,2,000,000
<br />~'~ AGG~nEf LIMIT An~ PER: PRODUCTS. COMPIOP AGG ,1,000,000
<br /> POLICY ~~!?.; LOC
<br />~TOMOBJLE LIABILITY COMBINED SINGLE LIMIT ,
<br /> ANY AUTO (Eaaccldent)
<br />-
<br />I-- ALL OWNED AUTOS BODILY INJURY
<br /> (Per person) ,
<br />c- SCHEDULED AUTOS
<br />c- HIRED AUTOS BODILY INJURY I'
<br /> NON-OWNED AUTOS (Per accident)
<br />- i
<br /> PROPERTY DAMAGE
<br /> (Peraccldenl) I'
<br />~":,GE LIABILITY AUTO ONLY. EA ACCIDENT ,
<br /> ANY AUTO OTHER THAN EA ACC ,
<br /> AUTO ONLY: AGG ,
<br />EXCESS LIABILITY EACH OCCURRENCE ,
<br />:rOCCUR D CLAIMS MADE AGGREGATE ,
<br /> : ,
<br />=1 ~EDUCTIBLE ,
<br /> RETENTION , 'Hl 'I' h FORM ,
<br />WORKERS COMPENSAT!ON AND .- C S.r;;r; (/I , I.YJ..CSTATUSL~
<br />EMPLOYERS' LIABILITY '~ ..-.---..---
<br /> E.L. EACH ACCIDENT ,
<br /> C ISTINE LEE S HAW E.L. DISEASE - EA EMPLOYE ,
<br /> Cltv Art rl'ley E.L. DISEASE - POLICY LIMIT ,
<br />OTHER
<br />DESCRIPTION OF OPERATJONSfLOCATlONSlVEHIClESfEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
<br />'10 Day Notice of Cancellation for Non.payment of Premium - City of Santa Ana, Its officers, employees, agents and
<br />representatives are named as additional insureds per form attached. Primary wording applies per form attached.
<br />CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
<br /> The Depot at Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br /> DATE THEREOF, THE ISSUING INSURER W1LLYeXi"~l.\ MAIL 30" DAYS WRITTEN
<br /> Attn: Carolyn Fullerton NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. oI\Jt ~'\\,)(,l\l(~~l(MK
<br /> 1000 E. Santa Ana Blvd., #108
<br /> Santa Ana, CA 92701 )Q!(IlEl)!'XIJIl'l(~!l!~~~~\ll~~~~~K)l<ll~~~llll~Xlj(<l(l
<br /> AUTHORI ~~:TIVE
<br /> I 1- '^ A.
<br />
<br />ACORD 2S-S (7/97)
<br />
<br />@ACORDCORPORATION 1988
<br />
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