<br />t
<br />
<br />----
<br />.. CERTIF.ICA:TE OF LIABILITY INSURANC~~~'~ N~
<br />"" ACORD. DATE (MMIDDIYYI
<br />11/26/02
<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />CLARKE GARVEY INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />3188-B AIRWAY AVENUE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />COSTA MESA CA 92626
<br />Phone: 714-444-2679 INSURERS AFFORDING COVERAGE
<br />INSURED INSURER A: Evanston Insurance Comnanv
<br /> Cordax, lnc. INSURER B: Everest National Ins. Co.
<br /> Pacific Cascade Technologies, INSURER c:
<br /> Inc. and Cadpro
<br /> 6430 Oak Can1'on Drive, Ste 250 INSURER D:
<br /> Irvine CA 92 18
<br /> INSURER E:
<br />
<br />COVERAGES
<br />
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY 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 IS SUBJECT TO ALL THE TERMS. EXCLUS!ONS AND CONDITIONS OF SUCH
<br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />iN"R'-
<br />'LrR: TYPE OF INSURANCE POLICY NUMBER
<br />I GENERAL LIABILITY
<br />A Xl COMMERCIAL GENERAL LIABILITY EOS10 638
<br />l _~_c.- CLAIMS MADE n_X- OCCUR
<br />I
<br />;====-~~==-I
<br />~N'L AGGR~G~.:E LIMIT A~~-,=-I.;S PER: I
<br />x-l POliCY i ,jr2-i I I LOC I
<br />
<br />b~HfrM'Mib'5'7Vvrl:
<br />
<br />DATE MJ6~~?NI
<br />I EACH OCCURRENCE
<br />
<br />02/09/02
<br />
<br />02/09/03
<br />
<br />FIRE DAMAGE (Anyone fire)
<br />
<br />MED EXP (Anyone person)
<br />
<br />PERSONAL & ADV INJURY
<br />GENERAL AGGREGATE
<br />
<br />PRODUCTS - COMPIOP AGG
<br />
<br />AUTOMOBILE LIABILITY
<br />_-~_-] ANY AUTO
<br />~ ALL OWNED AUTOS
<br />_.__~ SCHEDULED AUTOS
<br />HIRED AUTOS
<br />NON-OWNED AUTOS
<br />i
<br />j___H
<br />
<br />I
<br />I
<br />
<br />COMBINED SINGLE LIMIT
<br />(Ea accidenll
<br />
<br />BODILY INJURY
<br />(Per person)
<br />
<br />BQDIL Y INJURY
<br />(per accident)
<br />
<br />PROPERTY DAMAGE
<br />(Per accident)
<br />
<br />GARAGE LIABILITY
<br />ANY AUTO
<br />
<br />AUTO ONLY. EA ACCIDENT $
<br />Ell. ACC $
<br />
<br />OTHER THAN
<br />AUTO ONLY
<br />
<br />EXCESS LIABILITY
<br />OCCUR
<br />
<br />CLAIMS MADE I
<br />
<br />EACH OCCURRENCE
<br />AGGREGATE
<br />
<br />B
<br />
<br />'I DEDUCTIBLE
<br />
<br />----I RETENTION $
<br />
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY
<br />
<br />07/01/02
<br />
<br />07/01/03
<br />
<br />X~~~T~I~YTS' IUEFt
<br />E.L. EACH ACCIDENT $ $1,000,000
<br />. E.L.DISEASE-EAEMPLOYEEI $ $1,000,000
<br />'E,L.DISEASE-POLlCYLlMIT I $ $1,000 000
<br />
<br />OTHER
<br />
<br />02/09/02
<br />
<br />02/09/03 !
<br />i
<br />
<br />Per Occur
<br />Aaareaate
<br />
<br />is
<br />
<br />LIMITS
<br />
<br />.1,000,000
<br />'500,000
<br />$ 5,000
<br />'Excluded
<br />.2,000,000
<br />'1,000,000
<br />
<br />Is
<br />I
<br />[-----
<br />"
<br />
<br />,
<br />
<br />.
<br />
<br />AGG $
<br />$
<br />,
<br />,
<br />-+
<br />,
<br />,
<br />
<br />$1,000,000
<br />$1 000 000
<br />
<br />SANTANA
<br />
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER WILL 1::1............ol~ T a. MAIL ~ DAYS WRITTEN
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,,l..l;JT r..IUlIRIi T8 88 Be Gllabl
<br />
<br />CERTIFICATE HOLDER
<br />
<br />I y I ADDITIONAL INSURED; INSURER LETTER: A
<br />
<br />The City of Santa Ana, its
<br />officers, employees, agents,
<br />Volunteers and representives
<br />20 Civic Center Plaza
<br />Santa Ana CA 92701
<br />
<br />".., "..~_...~,..L~.
<br />
<br />IIYI"V~I: nv Vg...,,,,,,,,, , 'V" vn ..,""..,..,, , .... ...", "".......'...... ,.,... ......~"ef\., ITO "'8LU~ 8R
<br />
<br />AUTHORlZEOREP~~ U,
<br />The Garv"< C ~mnariv .
<br />--.../ @ACORDCORPORATION 1988
<br />
<br />/7
<br />de' ()nrM
<br />
<br />ACORD 25-5 (7/97)
<br />
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