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ACORD. CERTIFICATE OF LIABILITY INSURANCFls'~c~~h 07m~ THIS CERTIFICATE IS 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. PRODUCER MERIDIAN INSURANCE SERVo INC. 4501 E. LA PALMA AVE. STE. 150 ANAHEIM CA 92807- Phone: 714-693-9100 Fax:714-693-9108 INSURERS AFFORDING COVERAGE INSURED INSURER A: INSURER B: INSURER c: INSURER 0: INSURER E: Transcontinental Ins. Co. Trans ortation Insurance Co Berryman & Henigar Inc. Ber~ & Henigar Enterp~ises 11590 West Bernardo Ct., ~100 San Diego CA 92127-1624 COVERAGES State Com ensation Ins. Fund THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE. FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDIT10N OF ANY 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. I~f: TYPE OF INSURANCE POLICY NUMBER 5):i=lflMM1DDJYYi- DATE MMIDoNY'i' LIMITS ~ENERAL LIABILITY A [. X COMMERCIAL GENERAL LIABILITY CLAIMS MADE fXi OCCUR ~~N'" AGG.EGATEp~~~T A~S PER I X POLICY! JECT I I LOC I AUTOMOBILE LIABILITY EACH OCCURRENCE '1 000 000 TCPI07516658B 12/31/01 12/31/02 FIRE DAMAGE (Anyone fire) . 50 000 MED EXP (Any one perlon) . 5 000 PERSONAL & ADV INJURY . 1.000 000 __ GENERAL AGGREGATE .1 000 000 PRODUCTS. COMPIOP AGG '1,000,000 -. C ANY AUTO r--l ALL OWNED AUTOS BUA1073310420 12/31/01 12/31/02 COMBINED SINGLE LIMIT lEa accident) '1,000,000 ~ ~ .X_ - SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS BODILY INJURY (Per person) Is ..- BODILY INJURY (Per accident) . S500 DED COMP/COLL PROPERTY DAMAGE (Per accident) is ~ GARAGE LIABILITY ANY AUTO OTHER AUTO ONLY" EA ACCIDENT . -- OTHER THAN EA ACC I . AUTO ONLY: AGG . EACH OCCURRENCE . 5 000 000 CUP2049769654 12/31/01 12/31/02 AGGREGATE . 5 000,000 . . . X I td'R~ltJ~~TS! !UeR"; ..... 160772601 (CA) 09/30/01 09/30/02 E.L. EACH ACCIDENT '1 000 009.__ E.L. DISEASE. EA EMPLOYE '1 000 000 E.L. DISEASE" POLICY LIMIT . 1. 000.000 TCPI075l665BB 12/31/01 12/31/02 Equipment $54,634 ;-- I EXCESS LIABILITY B ~ OCCUR 0 CLAIMS MADE f--. ~ DEDUCTIBLE X i RETENTION $ 10 000 WORKERS COMPENSATION ANt) EMPLOYERS' LIABILITY D A Inland Marine DESCRIPTION OF OPERATIONS1LOCATIONSNEHICLESlEXCLUSlONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *10 days notice of cancellation applies to non-payment/non-reporting City of Santa Ana is named as additional insured per endorsement. RE: City Building Inspector. APPR~T9 h-RM CERTIFICATE HOLDER I y I ADDIT10NAL INSURED; INSURER LETTER: CITYSA2 City of Santa Ana Tonia Zerba 20 Civic Center Plaza, Santa Ana CA 92702 CANCEllATION ,,__ . ';;:.: SHOULD ANY OF THE ABOVE DESCRIBED .~OLlCI~ BE C"ANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL E:U8!!11..8ft T6 MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, B~T f....ILtlRE T8 58 56 511ALL ,M-20 " IMr eaE I~e e5LlaJtr161~ 61\ LIA8lLIl", Sf ,leU, UU~I) tlf ~I~ lilt ,I~,:)...j,~", " J .....<:J...,.,.. ........ ) ftEF'RES~IH""f1. EB. Wi. i ti {GUt (--'"7 ,'h ,..// , Nickie Heath 7UJ ACORD 25-5 (7/97) @ACORD CORPORATION 1988 '-;,1.\/'.:1/1""'::: i 1 '.,.