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<br />ACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDlYYYY) <br /> -, 02/06107 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />John Burnham Irv 1210 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />2415 Campus Drive, Suite 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Irvine, CA 92612~530 <br />949 833-2462 A - ~005 -/ <.rl.. INSURERS AFFORDING COVERAGE NAICII <br />INSURED INSURER A: St. Paul Fire & Marine Insurance Co. 24767 <br /> Compulink Management Center INSURER 8: St. Paul Travelers 25674 <br /> Accu-Flex, Inc. & Laserfiche INSURER c: <br /> 3545 Long Beach Blvd 11110 INSURER D: <br /> Long Beach, CA 90807 INSURER E: <br /> <br />Client#: 2791 <br /> <br />COMPULMGM <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, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POUCY NUMBER P.gp~:~~ Pg~fJ,~~~ LIMITS <br />A ~"ERAL LIABILITY TT09401916 01/06/07 01/06108 EACH OCCURRENCE '1 000 000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE 191:~NTED .250 000 <br /> I ClAIMS MADE [i] OCCUR MED EXP (Any one person) .10000 <br /> f-- PERSONAL & ADV INJURY .1 000 000 <br /> f-- GENERAL AGGREGATE .2 000 000 <br /> n'LAGG~nE LIMIT APrlS PER: PRODUCTS-COM~OPAGG .2 000 000 <br /> i PRO- , - <br />AI POLICY JECr LOC ".-.-- <br />~TOMOBILE LIABILITY TT09401916 01/06107 01/06/08 <br /> I COMBINED SINGLE LIMIT '1,000,000 <br /> 0- ANY AUTO (Eaaccident) <br /> f-- ALL OWNED AUTOS BODILY INJURY <br /> . <br /> SCHEDULED AUTOS (Per person) <br /> f-- <br /> 0- HIRED AUTOS BODILY INJURY <br /> . <br /> ~ NON-0WNED AUTOS {Per accident) <br /> - PROPERTY DAMAGE . <br /> (Per accident) <br /> ==rGE L1ABIUTY AUrO ONLY - EA ACCIDENT . <br /> ANY AUTO OTHER THAN EAACC . <br /> AUTO ONLY: AGG . <br />A ~ESSfUMBRELi..A LIABILITY TT09401916 01/06/07 01/06108 EACH OCCURRENCE .2 000 000 <br /> X OCCUR D CLAIMS MADE AGGREGATE .2 000 000 <br /> . <br /> i:l_ DEDUCTIBLE . <br /> ~ 3ET~NTION ~OOO_ ----,--~._--- -- ------ - X ['WC sTAtu I . <br />B WORKERS COMPENSATION AND HEUB9103C599 12/27/06 12/27/07 IOJ~ <br /> EMPLOYERS' LIABILITY .1,000,000 <br /> ANY PROPRIETORIPARTNERlEXECUTIVE E.L. EACH ACCIDENT <br /> OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE .1,000,000 <br /> If yes, desaibe under .1,000,000 <br /> SPECIAL PROVISIONS below EL. DISEASE - POLICY LIMIT <br /> OTHER <br />DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECiAl PROVISIONS <br />Certholder is additional insured as respects to general liability, as <br />required by written contract per attached wording from policy form 47150. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa Ana <br />Attn: Pat Healy, M/SM-30 <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br /> <br />r.n r: <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />EREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> <br />?fk,-'),,:: <br /> <br /> <br />ACORD 25 (2001/08) 1 of 2 <br /> <br />#M369482 <br /> <br />MASUA <br /> <br />@ ACORD CORPORATION 1988 <br />