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<br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE <br />l--_~.,~.' ' <br />PRODUC'" (!i>49)472-6560 FAX (949) 588-8348 <br />Caf'fornia Southwestern <br />Insurance Agency/Lic.# 0443354 <br />15520 Rockfield Blvd, Suite B <br />Irvine, CA 92618 <br />INSURED Tolerico's Electric INSURER A: <br />Kenneth To 1 eri co INSURER B <br />12321 Moana Way INSURER C <br />Garden Grove, CA 926~0-000~.~ INSURER 0, <br />, /? _ A. I /~ /J..J , / . fiSUREREA A'1 .-.., <br />COVERAGES 1(]l2l!;l . U U - J P A ') ~- / &i" <br />THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED !f?'T_HE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />twtAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO flU THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />1~-1: TYPE OF INSURANCE POLICY NUMBER P8}+i~~~~6~\E <br />~NERAL LIABILITY CALH73889 04/22/2001 <br />X COMMERCIAL GENERAL LIABILITY <br />I CLAIMS MADE 00 OCCUR <br /> <br />DATE (MMIDOIYYI <br />05/31/2001 <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 />Commercial Union Insurance Company <br />General Accident Insurance Co. of America <br /> <br />Pg~~l,~~~N <br />04/22/2002 <br /> <br />LIMITS <br /> <br />EACH OCCURRENCE <br /> <br />. <br /> <br />1,000,000 <br />300,OO( <br />5,OO( <br />l,OOO,OO( <br />2,OOO,OO( <br />2,OOO,OO( <br /> <br />FIRE DAMAGE (Anyone fire) <br /> <br />. <br />. <br /> <br />MED EX? (Anyone person) <br /> <br />A_ <br /> <br />- <br />~'L AGGRE~E LIMIT AP~S PER: <br />X I POLICY I I j~c?i I I LOe <br />~TOMOBllE LIABILITY <br />_ ANY AUTO <br />_ All OWNED AUTOS <br />A ~ SCHEDULED AUTOS <br />~ HIRED AUTOS <br />~ NON-OWNED AUTOS <br /> <br />- <br /> <br />PERSONAL & AOV INJURY <br /> <br />., <br /> <br />GENERAL AGGREGATE $ <br />PRODUCTS - COMP/OP AGG $ <br /> <br />QAAH02047 <br /> <br />08/15/2000 <br /> <br />08/15/2001 <br /> <br />COMBINED SINGLE LIMIT <br />(Eaaccident) <br /> <br />. <br /> <br />500,OO( <br /> <br />BODilY INJURY <br />(Per person) <br /> <br />. <br /> <br />BODILY INJURY <br />(Peraccldenl) <br /> <br />. <br /> <br />PROPERTY DAMAGE <br />(Peraccideni) <br /> <br />. <br /> <br />~RAGE LIABILITY <br />--1 ANY AUTO <br /> <br />AUTO ONLY. EA ACCIDENT $ <br />EA ACC $ <br />AGG $ <br /> <br />OTHER THAN <br />AUTO QNl Y <br /> <br />~ESS LIABILITY <br />----.J OCCUR D CLAIMS MADE <br /> <br />I DEDUCTIBLE <br />--1 RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' liABILITY <br /> <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />. <br />. <br />. <br /> <br />I TORY LIMITS I IO~R- <br />EL EACH ACCIDENT $ <br />EL DISEASE. EA EMPLOYEE $ <br /> <br />E.i.. ~iSf:i\S;;:. ?DLlCY l..!M1T $ <br /> <br />OTHER <br /> <br />DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Except 10 day notice of cancellation for non-payment of premium. Certificate holder to be named as <br /> <br />dditional insured per attached endorsement CG2010 10/93 with respect to general liability. <br /> <br />CERTIFICATE HOLDER I" I AD0lT10NAL INSURED; INSURER LETTER: <br /> <br />CANCELLATION <br /> <br />APPR 0 V ED AS TO FO F MSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ~~ MAIL <br />J _ 9./ ~ *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />City of Santa Ana /,YtZ.~~/Vi..IZ.-_~ JOOeOOII~I()(IO(~IWOO<XX <br />~~~~e \o~anta Ana B1Nura Sh:'ody -. ~~_K~liJOO(XXXXXXX <br /> <br />Santa Ana CA 92701 poputy City AlIofi,'cY AUTHORIZ'D"7:~E~EN/AT~ -1/) ,f <br />I' {)(,UcM&/ll.-'~ -t/ ,~- <br />ACORD 25-S (7/97) r @ACORD CORPORATION 1988 <br />