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<br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDNY)
<br /> 05/31/2001
<br />PRooueER' '(!l49)472-6560 FAX (949)588-8348 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />California Southwestern . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />Insurance Agency/Lie.' 0443354 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />15520 Rockfield Blvd, Suite B
<br />Irvine, CA 92618 INSURERS AFFORDING COVERAGE
<br />INSURED Tolerico's Electric INSURER A Commercial Union Insurance COI11)any
<br /> Kenneth Tolerico INSURER B: General Accident Insurance Co. of America
<br /> 12321 Moana Way INSURER C
<br /> Garden Grove, CA 92640-00.n INSURER 0
<br /> I ~ .L-- Yl IfisUREREA A"1~
<br />COVERAGES .If . W IX j" 7 aJ- ~
<br />THE POLlCI~~OF INSURANCE LISTED BEl05'! HAVE BEEN ISSUED !rr_HE 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 1$ SUBJECT TO P.LL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR TYPE OF INSURANCE POLICY NUMBER P8,k+~~:~j6&W,E POtICY EXPIRATION LIMITS
<br />LTR DATE MMJDDIYY
<br /> ~NERAl LIABILITY CALH73889 04/22/2001 04/22/2002 EACH OCCURRENCE , l,Ooo.OO~
<br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any O/1e fire) , 300,OO~
<br /> I CLAIMS MADE [!] OCCUR MEO EXP (Anyone person) , 5,OO~
<br />A PERSONAL & ADV INJURY " l,OOO,OO~
<br /> GENERAL AGGREGATE , 2,OOO,OO~
<br /> GEN'l AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG , 2,000,000
<br /> Xl POLICY n r;r2i n LOC
<br /> ~TOMOBILE L1ABIUTY QAAH02047 08/15/2000 08/15/2001 COMBINED SINGLE LIMIT
<br /> (Eaaccident) , 500,OO~
<br /> ANY AUTO
<br /> -
<br /> X ALL OWNED AUTOS BOall Y INJURY
<br /> ,
<br /> SCHEDULED AUTOS (Per person)
<br />A X
<br /> HIRED AUTOS Boall Y INJURY
<br /> X (Per accident) ,
<br /> f-'- NON-OWNED AUTOS
<br /> - PROPERTY DAMAGE ,
<br /> (Per accident)
<br /> ~":GE LIABILITY AUTO ONLY - EA ACCIDENT ,
<br /> ANY AUTO OTHER THAN EAACC ,
<br /> AUTO QNL Y AGG ,
<br /> EXCESS LIABILITY EACH OCCURRENCE $
<br /> ::~rOCCUR D CLAIMS MADE AGGREGATE ,
<br /> ,
<br /> ==1 ~EOUCTIBLE ,
<br /> RETENTION , ,
<br /> WORKERS COMPENSATION AND I TO);.}' ll1.i,~s I IV E"'-
<br /> EMPLOYERS' LIABILITY E.L EACH ACCIDENT ,
<br /> E-L. DISEASE - EA EMPLOYEE $
<br /> Ei. DISE:.^.SE . POLICY I !MIT $
<br /> OTHER
<br />DESCRIPTION OF QPERATlONSILOCATIQNSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTJSPECIAL PROViSIONS Certificate holder to be named as
<br />Except 10 day notice of cancellation for non-payment of premium.
<br />dditional insured per attached endorsement CG2010 10/93 with respect to general liability.
<br />CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
<br /> :APPROVED AS TO FOF MSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> 1;{~AAt<-4l~* EXptRATION DATE THEREOF, THE ISSUING COMPANY WILL 1I>>tIX~ MAil
<br /> City of Santa Ana *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br /> 1000 E. Santa Ana Blt~l1ra Sh'o.'dy -.- ~IIll0IttXiIIJCtlIl(lf.n,YJ(XX
<br /> Sutie 108 CA 92701 Deputy CilY AlIllri,','y , ~ ~ ~K<<XXXXXXXX
<br /> Santa Ana, AUTHORIZ ,~;;E.SEjAT J -'1 If
<br /> h '\ {s?, I ' ',rl u, - I IFf}' Pi J./}
<br />ACORD 25-5 7/97 r @ACORD CORPORATION 1988
<br />
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