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<br />. <br /> <br />F.h-!"~2flil3 10:17.m <br /> <br />From-CALIFORNIA SOUTHWESTERN INSURANCE AGENCY <br /> <br />949-588-8348 <br /> <br />T-677 <br /> <br />P.DD2/DD4 <br /> <br />H32 <br /> <br />ACORD". CERTIFICATE OF LIABILITY INSURANCE T DATE (M1IIOO/YYl <br />01/13/2003 <br />~DUCER (949)472-6560 FAX (949)588-8348 THIS CERTifiCATE IS ISSUED AS A MATTER OF INFORMATION <br />~lifornia Southwestern S/' '-0 ONLY AND CONfERS NO RIGHTS UPON THE CERTifiCATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Insurance Agency/Lic.' 0443354 ALTER THE COVERAGE AffORDED BY THE POLICIES BELOW. <br />21 Orchard \'\O~ INSURERS AfFORDING COVERAGE <br />Lake Forest, CA 92630 <br />,""""0 ~~v INSURER A: Navigators Insurance Company <br /> INSURER B: Mercury Insurance Company <br />Tolerico's Electric INSURER c: <br />12321 Meana Way INSURER 0: <br />Ganden Grove, CA 92640 LNsuRER E: <br /> <br />THE POLICIES OF INSURANCE liSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ASOVE 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 IS SUBJECT TO All THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE liMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C~ <br />~ TV..OF'N.U....ce POUCYNUMBER FF "lll:i.f,)'~ lIMIT. <br /> ~N"""'UA8lUTY GAN00076 10/15/2002 10/15/2003 EACHOCCURRENC' $ 1,000.00 <br /> X COMMERCIAl. GENERAL UABILITY FIRE DAMAGE {Any one tint) $ 50,0011 <br /> l CLAIMS MADE ~ OCCUR MED EX? (Anyone person) $ 5 ,0011 <br />A PERSONAL & AOV INJURY $ 1.000,000 <br /> GENERAL AGGREGATE S 2.000.0001 <br /> ~'~AOO~EnE.~~ APPrtIPER; PRODUCTS ~ COM PlOP AGG $ 1,000,00 <br /> X POLICY JEer LOC <br /> ~OBILE UABlllTY "'11054157 08/21/2002 08/21/2003 COMBINED SINGLE LIMIT <br /> (Eaaccldent) S 1,QOO.00C <br /> c- ANY AUTO <br /> X ALl.. OWNED AUTOS BODlL Y INJURY <br /> SCHEDULED AUTOS (Per person) $ <br />B i" <br /> HIRED AUlOS BOCIL Y INJURY <br /> -X NON-OWNED AUTOS (Per accklenl) $ <br /> ..::.. <br /> pROPERTY DAMAGE $ <br /> (Per 8CCidenll <br /> ==rGE UABIUTY AUTO ONLY. EA ACCIDENT $ <br /> ANY AUTO DASrp FoRM OTHER THAN EAACC S <br /> APP AUiOONLY: AOO $ <br /> ~CESS UABtUTY <: ~ __ f'/l eACH OCCURRENCE $ <br /> P OCCUR 0 CU\JMS MADE <br /> C E LEE'l:;H W AGGREGATE S <br /> DeputY City Attorr ey $ <br /> ~ ~'DUCTIBLE S <br /> RETENTION S $ <br /> WORKERS COMPENSA"nON AND h'O\\~ljMITS I IU~lt <br /> EMPLOYERS' LlA8IUTY E..L. EACH ACCIDENT <br /> S <br /> E.L. DISEASE. EA EMPLOYE $ <br /> E.L. DISEASE. POLICY LIMIT S <br /> OTHeR <br />I,..~C'P1lON OF OJ'ERAnoNStLOCA'ft':SN:;tiI;ESJEXCLUSlOMS ADDED IY ENDORSeuENTlSPE~L PROVI8JOMB as additional <br />I-ert ficate holders, ts 0 1cers, .loyees, agents and representatives are named <br />insured per attached endorsement ANF043 (12/97), but only with respects to general liability. <br />00: Maintenance/repair contract/ongoing operations 0 1000 E. Santa Ana Blvd. #108 <br />10 day notice for non-payment of premium. <br />CERTIFICATE HOL.DER I X I ADDITIONAL 'N8URED; 'NBU""R um"'" A CANCELLATION <br /> SHOULD ANY OF THE ABOVE oESCRiBED POUCIEB BI! CANCEL\.ED BEFORE THE <br /> EXPlRA1lON DATE THEMOF, mE ISSUING COMPANY 'NILL ~MAIL <br /> *30 DAYS WRITTEN NanCE TO THE CERTIFICATE HOLDER NAMED TD THe LEFT. <br /> Ci~y o~ S.n~. A"~ ~RE~~ /~ <br /> 1000 E. Santa Ana Blvd., n08 xxxx <br /> Santa Ana, CA 92701 <br />At":ngn .,A-S, 17197\ <br /> 7./ / @ACORD CORPORATION 1988 <br /> <br />;OVERAGES <br />