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<br />, I <br />ACORD CERTIFIC.\.;E OF LIABILITY INSUR...,JJCE DATE (MM/DOfYYYY) <br /> '" 04/10/2003 <br />PRODUCER (949)261-5335 FAX (949)261-1911 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Tutton Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2913 S. Pullman St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Ana, CA 92705 INSURERS AFFORDING COVERAGE <br /> NAIC# <br />INSURED Eduardo Figueroa INSURER A: The Hartford Insurance Group <br /> DBA: Hispanic Business Consultants 1~1 INSURER B: State Compo Insurance Fund <br /> 5 Cornsilk {)()2-- INSURER c: <br /> Irvine, CA 92614 ~~~3- 01,0 INSURER 0 <br /> INSURER E <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREO NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN <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 />I'LrR t'NSR TYPE OF INSURANCE POLICY NUMBER DATE MMfDDIY'f'''" DATE /MMIDDJYY LIMITS <br /> GENERAL LIABILITY 72-SBA-AB6463 OX 01/03/2003 01/03/2004 EACH OCCURRENCE . 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY ~REMISE~ YE~~~~~nce\ . 300,000 <br /> I CLAIMS MADE [K] OCCUR MED EXP (Anyone person) . 10,000 <br />A PERSONAL & ADV INJURY . 1,000,000 <br /> GENERAL AGGREGATE . 2,000,000 <br /> GEN'l AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG . 2,000,000 <br /> ~ POLICY n ~~8T n Loe <br /> AUTOMOBILE LIABILITY 72-SBA-AB6463 OX 01/03/2003 01/03/2004 COMBINED SINGLE LIMIT <br /> - AAY AUTO (Eaaccidenl) . <br /> 1,000,000 <br /> - ALL OWNED AUTOS <br /> BODILY INJURY <br /> - (Per person) . <br /> SCHEDULED AUTOS <br />A X HIRED AUTOS <br /> BODilY INJURY <br /> X (Per accident) . <br /> NON-OWNED AUTOS <br /> - ORM <br /> f- APPROV! D AS TO PROPERTY DAMAGE . <br /> (Peraccidenl) <br /> GARAGE LIABILITY ';I3t, , . AUTO ONLY - EA ACCIDENT . <br /> ==J ANY AUTO OTHER THAN EAACC . <br /> T.:;;,-, ~hee / AUTO ONLY: AGG . <br /> EXCESSJUMBRELLA LIABILITY Deputy City Attorney EACH OCCURRENCE . <br /> ~ OCCUR o CLAIMS MAOE AGGREGATE . <br /> . <br /> H OEDUCTlBLE . <br /> RETENTION . . <br /> WORKERS COMPENSATION AND 1679144-03 02/01/2003 02/01/2004 X I To~,;"l~MI~S I IUER- <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT . 1,000,000 <br />B ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA~OYEE $ 1,000,000 <br /> ~~~tl~~5r.Jf.;'v~s16~.s below E.L_ DISE.-\SE - PO -b:MlT "'-'-'-l:iOOO, 000- <br /> OTHER ~ ?6-i <br /> 2t; :>:-< <br /> :0 :OfTlO <br /> - fTl"=!--., <br />DESCRIPTION OF OPERA TlONS I LOCATIONS 1 VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS - /T1 C/) <br />~ertificate holders are named as additional insureds, endorsement to be issued by carrier. <C"'))':>. <br /> "0 02: <br />~his insurance is primary per policy form. 83:;ti <br />'10 day notice wil be sent in the event of cancellation for non-payment of premium. :u <br />W c::<> <br /> .- Z2: <br /> Ul ::;:<> <br /> - <br /> <br />The City of Santa Ana, its officers, <br />employees & agents <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />....!l..(L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> <br />CERTIFICATE HOLDER <br /> <br />OF ANY KINO UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br />Stanle <br /> <br />Tutton/CLAUDI <br /> <br />0'~ <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORDCORPORATlON 1988 <br />