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<br />ACOPO,. CERTIFICATE <br />. - <br />PRODUCER (949)472-6560 FAX (949) 58 -8348 <br />California Southwestern <br />Insurance Agency/Lic.# 0443354 <br />21 Orchard <br />Lake Forest, CA 92630 <br />INSURED <br /> <br />LIABILITY INSURAr-E <br /> <br />DATE (MMIDDIYY) <br />01/13/2003 <br /> <br />THIS CERTIFICATE IS ISSUE ;>'S A MATTER OF INFORMATION <br />ONLY 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 />Tolerico's Electric <br />12321 Moana Way <br />Ganden Grove, CA 92640 <br />COVERAGES <br /> <br />L....Q1 <br />'/()O <br />~\ -" ~t' <br /> <br />INSURER A: <br />INSURER B: <br />INSURER c. <br />INSURER 0" <br />INSURER E: <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />Navigators Insurance Company <br />Mercury Insurance Company <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REOUIREMENT, 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 />INSR TYPE OF INSURANCE PQUCY NUMBER P8.kii~:~~~~E Pg~.f:/~~tbRC~N LIMITS <br />LTR <br /> ~NERAL UABILJTY :;ANOO076 10/15/2002 10/15/2003 EACH OCCURRENCE $ 1,000,00C <br /> X CQMl-ilERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 50,00C <br /> I CLAIMS MADE 0 OCCUR MED EX? (Anyone per$on) $ 5,OOC <br /> ------.---. <br />A '--- PERSONAL & ADV INJURY $ 1,000,00~ <br /> GENERAL AGGREGATE $ 2 ,OOO,OO~ <br /> - 1,000,00~ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ <br /> ~ POLICY n j~T n- LOC <br /> AUTOMOBilE LIABILITY C11054157 08/21/2002 08/21/2003 COMBINED SINGLE LIMIT <br /> - (Eaaccident) $ 1,000.00~ <br /> - ANY AUTO <br /> X ALL OWNED AUTOS BODILY INJURY <br /> (Perpefson) $ <br /> SCHEOULED AUTOS <br />B X <br /> HIRED AUTOS BODILY INJURY <br /> X (Peraccidenl) $ <br /> -'-"- NON-OWNED AUTOS <br /> - PROPERTY DAMAGE $ <br /> (Peraccklenl) <br /> ==rGE LIABILITY FORM AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO APPROVED AS TO OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY JJr}J . n Mi EACH OCCURRENCE $ <br /> ~-OCCUR D CLAIMS MADE ,1"/ ( AGGREGATE $ <br /> Gra SheedY y $ <br /> =1 DEDUCTIBLE a City AttOrne $ <br /> Deputy <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND I-i'o\i,;'m;,~sl IUE.' <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ <br /> -- <br /> E.l. DISEASE ~ EA EMPLOYEE $ <br /> E.l. DISEASE - POLICY LIMIT $ <br /> OTHER <br />rP:SCRIPTION OF OPERATlONSfLOCAT10NSNEHICLESJEXCLUSIONS ADDED BY ENDORSEMENTJSPECIAL PROVISIONS <br />certificate holders, its officers, employees, agents and representatives are named as additional <br />nsured per attached endorsement ANF043 (12/97), but only with respects to general 1 iability. <br />ob: Maintenance/repair contract/ongoing operations @ 1000 E. Santa Ana Blvd. #108 <br />10 day notice for non-payment of premium. 8S:0 11I,Il:lS0INnf9Z.*Oi:::!J <br />CERTIFICATE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ~~ MAIL <br /> *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> City of Santa Ana ~llI(JWilOOI J()(il(lIlOOi1t~XllIXIUlooxt(XX <br /> 1000 E. Santa Ana Bl vd. . #108 ~ IiX<<XXXXXXXX <br /> Santa Ana, CA 92701 AUTHOR D REP~SE~;Y ~ '7/ L: <br /> .:--/ <br />ACORD 25-S (7/97) 1/ / @ACORDCORPORATION1988 <br /> <br />(1ttly <br />