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<br />? <br /> <br />~ Ji'fSiJRD <br />,. <br /> <br />""'" <br /> <br />CERTIFICA T~ OF LIABILITY INSUR I\NCE <br /> <br />,0) <br />o?r <br />b <br /> <br />DATE (MMIOOfYY) <br />07/30/2002 <br />THIS CERTIFICATE IS ED AS A MATTER OF INFORMATION <br />NLY 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 />PRODUCER (562)493-3521 <br />Alandale Insurance Agency <br />11022 Winners Circle <br />Suite 100 <br />Los Alamitos, CA 90720 <br />INSURED)e Cull en <br />DBA: Crossroads Software <br />210 West Birch Street #207 <br />Brea, Ca. 92821 <br /> <br />FAX ( <br /> <br />684 4167 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />~/ <br /> <br />INSURER A: <br />INSURER B: <br />INSURER c: <br />INSURER 0: <br />INSURER E: <br /> <br />Everest National Insurance Co. <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED SElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONOITION 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 ALL THE TERMS, EXCLUSIONS AND CONDITlONS OF SUCH <br />POUOES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE ~.k~~J~~~lE ~~!fJf~J:brtt~ <br />LTR POLICY NUMBER LIMITS <br /> ~NERAL LIABILITY EACH OCCURRENCE S <br /> COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone lire) S <br /> l CLAIMS MADE 0 OCCUR MEO EXP (Anyone person) S <br /> - Pf:RSONAL & AOV INJURY S <br /> ~ GENERAL AGGREGATE S <br /> ri'- AGG~nE LIMIT APrlS PER. PRODUCTS - COMP/OP AGG S <br /> POlICY ~~T LOC <br /> ~OMOBILE LIABILITY COMBINED SINGLE LIMIT S <br /> ANY AUTO (Ea accidenl) <br /> '- <br /> e- ALL OWNED AUTOS BODILY INJURY <br /> S <br /> SCHEDULED AUTOS {Per person) <br /> '- <br /> '- HIRED AUTOS BODILY INJURY <br /> S <br /> NON.OWNED AUTOS (Per accidenl) <br /> '- <br /> e- PROPERTY DAMAGE S <br /> (Per accident) <br /> =lRAGE UABlUTY AUTO ONLY. EA ACCIDENT S <br /> ANY AUTO OTHER THAN EA ACC S <br /> AUTO ONLY: AGO S <br /> ~~ss LIABILITY EACH OCCURRENCE S <br /> OCCUR 0 ClAIMS MADE AGGREGATE S <br /> S <br /> ~ ~DUCTIBLE S <br /> RETENTION $ $ <br /> WORKEA5COMPENSATION AND 0000154858 06/06/2002 06/06/2003 I TORY LIMITS I IUJ~- <br /> EMPLOYERS' LIABILITY E.L EACH ACCIDENT $ 1,000,000 <br />A 1,000,000 <br /> E_L. DISEASE. EA EMPLOYE $ <br /> E.L. DISEASE. POLICY LIMIT $ 1,000,000 <br /> OTHER <br />DESCRIPTION OFOPERATIONSlLOCATIONSNEHICLESlEXCLUSIONS ADDEO BY ENOORSEMENTISPEClAL PROVISIONS n..1- '1::,1-. /\.', IV <br /> fif:;l~~-r <br />'10 days notice of cancellation for non payment of premium Deputy eil)' Atwrncy <br />CERTIFICATE HOLDER 1 I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> City of Santa Ana Publ ic Works Agency EXPIRATION DA!!..THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> ATT: Vinh Nguyen *30 DAYS WRITTEN NOTice TO THE CERTIACATE HOLDER NAMEO TO THE LEFT, <br /> 20 Civic Center Plaza #M-93 aUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGA TlON OR LIABILITY <br /> P.O. Box 1988 OF ANY KINO UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE ~u-~ <br /> Dina Corsi/DINA <br /> <br />ACORD 25-S (7/97) <br /> <br />FAX: (714)647-5616 <br /> <br />@ACORD CORPORATION 1988 <br />