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<br />Oct 13 2n02 10 24AM <br /> <br />BOYD & ASSOCIATES <br /> <br />No,6393 <br /> <br />p, 3/3 <br /> <br /> - - ,- <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 ~.;r' DATeIMMlDDm'YYI <br />'1'I\AIi'F 1 10/11/02 <br />PRODUCiR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Bom , ASSOC~A'l'ES ONLY AND CONFERS NO RIGIlTS UPON THE CERTIFICATE <br />Insurance services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. Box 48S ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />'l'uatin CA 927a1-048S <br />Phone: 714/245-1350 Fax: 714/245-1340 INSURERS AFFORDING CDVERAGE NAIC' <br />,"SUMO IN91JRfR A State COmD8nsation Ins. Fun, <br /> INSURER 8 <br /> T:r:iLffi.c Control. IN5UI'lf.RC: <br /> EnI~neerin9f Inc. <br /> 23 ~. Im~ri;! H~.. ate. 241 i INSURER o~ <br /> Fu 1erton CA 835 j INSURER E <br /> <br />COVERAGES <br /> <br />T~ I"OLICIES Of INSUAANCE LISTeD BlilOW ~vs;: R"W ISS~ TOT~E INSUREONAMEOA8OVE FOR THE POltCY "ERIOD ~mcATEO. NOTWITHSTANDING <br />"".V ReQvIREMfrtr. TERM OR CONOlTtON Of ANY CONTRo\CT OR OTHfR OOCUMeNT WITH RfSPECTTO WHICH THISCERnFICAlE MAY Be l68UfO OR <br />tM'f rEflTAIN, THE INSURANCE AFFORDeD BY THE POLICIES oeSCR8ED HEQEIN 1$ SUBJECT TO AU.. THE 'tERMS. EX'CllnJIONS AND CONDIT1ON3 OF SUCH <br />POLICES. AGGRIiiQATIii lIMITS SHOWN MAY HAvE SEttt REDUCED 8'1' 'AIO CLAI'YI9 <br />~ ",,,OFfNSU...C. _NU"'_ DAn i;JJ8lIv~ f'~~~jit~~ LIMlT$ <br /> GENERAl. L1ABII.IT'f I EACH OCCURRENCE I <br /> f--D~f'l:CIALGfN~IVolLIA1I1LIlY PREMSIO$ U: CIttuI'II~1 I <br /> ! <br /> L CLAIMS MADE 0 OCCUR MED EM (Anyone pflr80<'1f I <br /> , <br /> '- PERSONAL & ADV IN.JURY I <br /> ! <br /> - G~~RAL AGGREGATI:: I <br /> ~LAGG~nE. LlMlrAPn&?ER PRODUCTS ~ COMPIQP AGG I <br /> POlICY ~R8T LOC <br /> ~TOMOfJIL~ LIABIUTY COMIINEO S'NGL~ LIWI1T I <br /> AN..... AUTO (EIlo Kdc*\l) <br /> - <br /> ALL OWN!;O AUTOS 6QOlLYtNJUR..... <br /> - I <br /> SCH'OlJL'O AUTOS (F'e,~otl) <br /> - <br /> - I'i,R€OoA.VTOS I &OClL Y INJURY <br /> (F'c:r;wa.Clenl.) I <br /> NON-OWNED ",VTOS <br /> - <br /> r- PROPERTV DAtMGE I <br /> (Peraocloenl) <br />I : CA'RAGE UA8(lITY AUTO ONL V . fA ACCIDENT ,I <br /> ~, I <br /> ~ ANY AUTO I OTHER THAN U"'CC I <br /> AlJTOONL"I: AGO . <br /> 3~9S1UMBRElLA UA81UTY I EACH OCCURRENCE I <br /> OCCuR 0 CLAIMS MAnE 4GGREGATE I <br /> . <br /> =i ~'''''CTI.LC . <br /> RfTENTlOt.I . i . <br /> WO'U(f]~S COMP)i;NSA nON AND ITORYLlMrT& I IV~A. <br />A e.uPLOYER5' LIABILITY 1627307-02 04/14/02 04/14/03 ~.L, fACti .-.cCDeNT 11000000 <br />Nt'( PROPRIETOPJPARTNERlfXECuTlVE <br /> OFflCl:MJIEMBER EXCLUOED? E.L. DISEASE ~ EA EMPLOYE" .1000000 <br /> ;~~~I:rPR~~~S b&lOW u. OlSEASE ~ POLICY LIMIT 11000000 <br /> OHlER <br />OUCRSPnQN ~ OPERATIONS' LOCATIONS I VEHICLl:S I EXClUS6ON!l ADDED 8'r ENDORSEMENT I SPECIAl MOV1SIONI <br />*Ten (10) Day Notice of Cancellation for Non-Payment of P%'emium <br />RE: All Operations of the Nam8d Insured <br />Svidenc6 of Work.ers' CODpsnsation coverage. <br /> <br />City of Santa Ana <br />Attn: Vinh Nguyen <br />20 Civic Cente: ~laza, M-43 <br />Santa Ana CA 92702 <br /> <br />CANC!lLATION <br />STAANAl 'MOULD "p.jV OF THE AOOW oUCRtlEo fOLIC,"" CANC;elLfO BfIlO<<f TltE!:llPIRATION <br />DATETHEREOf,'t1EISSUlNGINSURERWIlL-. - 1IMAll. .30 DAvs.WAITTEN <br />NOTICE TO THE CERTlFlCAn HOI...J)IR NAM&l)TOTHlL~T, BUT FAILURI'tO DO so SHALL <br />IMPOSl NO O.lIG....Tl(lN 0fIt 1.1A.lJTY Of Atl'I KIND UPON -mE INSURE", ITS AGENTS OR <br />Rep" INTA'WSS. <br />. . T <br /> <br />CERTIFICATE HOLDER <br /> <br />d <br /> <br /> <br />ACORD 25(2001108) <br /> <br />ROVED AS TO FORM <br />~,7 ! <br />"/.:1 "'(~(~/ <br />V'-- _u::..!.. <br />[.'1,1';-" !.", "'.' <br />....." "'. <br />DqJUl) .....'Il) Attorney <br />