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<br />-ACi:l.BlJ_ CERTIFICATE OF LIABILITY INSURANCE CSR MB I DATE (MMIDDNYYY)
<br />HPLME-1 06/14/06
<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />BOSWELL INS AGENCY (#OA96080) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />Agents . Brokers, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />P.O. Box 4648 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Mission Viejo CA 92690 I
<br />Phone: 949-855-0430 Fax: 949-837-5528 . INSURERS AFFORDING COVERAG_E ~
<br /> -----~."._.- .
<br />INSURED INSURER A: Landmark American Ins Co
<br /> --- '-"-,....---.--
<br /> INSURERB Peerless Ins~rance Comp~~~__
<br /> -
<br /> H,P.L. Mechanical, Inc. INSURFR C Unlted National I'leu"""",.. Co.
<br /> '"--- -.-------
<br /> 1041 Logan St. ~~ERD: American Guarante.. , Llability ,
<br /> Santa Ana CA 92701 - -""-- ----------
<br /> INSURER!::"
<br />
<br />COVERAGES
<br />
<br />THF POIICIFS OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURI=.LJ NAMED ABOVE FOR THE POUCYPERIOD INDICATED. NOTWITHSTANDING
<br />ANY REQUIREMENT. TERM OR CONDITION OF ANYCONTRAr.T OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIf.ICAI EO MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BYTHE rOLlCICS DESCRIl3ED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLlISIONS AND CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE 131::I::::N REDUCED BY PAID CLAIMS.
<br /> - Pnq~.~. X~b'"if~~ ----
<br />"R NSR TYPE OF INSURANCE POLICY NUMBER DATE IMMIDDNY DATE {MMIDDNY LIMITS
<br /> ~LLlA"L1'" EACH OCCURRENCE Is 1 fOOD f 000
<br /> . ~ I COMMERCIAL GENEHAL LIABILITY LHA128650 09/01/05 09/01/06 U"'MPI"'lo I v Kt;N I ioU :el
<br />A X PREM~SES (EaocC\Jfence " 50LOOO
<br /> ~ CLAIMS MADE [!] OCCUR i MED EXP (Anyone person) $ 5,000_ ..
<br /> X ,Sev. of Interest ~~R:SONAL 8. AOV INJ~~: $1,000,009_
<br /> ''''l' GENE~LAGGREGATE $2,000,000
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<br /> -il'l AGG::~E LIMIT APPLI~t PER ~<JD_~CTS - COMPIOP AG<:'. $2,000,000
<br /> X POLICY : ~rg;: c--- - LOC
<br /> AUTOMOBILE L.IABILlTY COMBINED SINGLE LIMIT
<br /> , - $1,000,000
<br />B -"- ANY AUTO CBP9621365 09/01/05 09/01/06 (Eaaccidenl)
<br /> i ALL OWNED AUTOS BODILY INJURY ,
<br /> Is
<br /> SCHEDULED AUTOS liPerperson)
<br /> , -- I
<br /> , _: HIRED AUTOS ; BODILY INJURY
<br /> I , ,
<br /> ; NON-OWNED AUTOS (Pe'i1r.r.ident}
<br /> --- -
<br /> --- PROPERTY DAMAGI: $
<br /> (f'eracciderll)
<br /> I GARAGE LIABILITY AUTO ONLY - EA ACCIDENT j_ $
<br /> C- o- ________
<br /> I ANY AUTO
<br /> - OTHER THAN _ EA ACC $
<br /> , AUTO ONLY AGG S
<br /> :_~XCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 4,000,000
<br /> .-_..
<br />C 'X I OCCUR n CLAIMS MADE I FCXOO02907 09/01/05 09/01/06 AGGREGATE $4,090,000
<br /> --- $
<br /> - --1 DEDUCTIBLE ,
<br /> ----1 RETENTION . , $
<br /> ,
<br /> WORKERS COMPENSATION ANO . , ,-~_bQ8iLIMITS I !UEW.
<br /> I EMPLOYEkS' LlABIUTt , ----
<br />D ; ANY PROPRIETOR/PARTNER/EXECUTIVE WC598901402 09/01/05 09/01(06 ' E.L. EACH ACCIDENT $ 1,000,000
<br /> Of+ICl::R!MEMBER EXCLUDED? ~~ISEASE - EA EMPLOYEE $1,000,000
<br /> ~~~~I~L$~~~Visrd~s below E.L. DISEASE - POLICY LIMIT $1,000,000
<br /> OTHER
<br /> !~ -;' ~,. ~
<br /> , '.~ L"jl
<br /> I , /".
<br /> I
<br />DESCRIPTION OF OPERATIONS I LOCATIONS' VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS If!1w:,-L:l</ LL
<br />*10 days notice for non payment of premium. The City of Santa Ana, 20 Civic
<br />Center Plaza, Santa Ana CA 92701, its officers, employees 1 agen ts .
<br />representatives are included as Additional Insureds per form CG2010(1l/85)
<br />attached.
<br />
<br />CERTIFICATE HOLDER CANCELLATION
<br />DEPOT-l SHOULD AtN OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF. THE ISSUING INSURER WILL ~MAIL 30* DAYS WRITTEN
<br />
<br />The Depot at Santa Ana
<br />1000 East Santa Ana Blvd
<br />Santa Ana CA 92701
<br />
<br />#lD8
<br />
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Btff f tlIUlIiE: T8 I! see DilAllo.
<br />OR
<br />
<br />L
<br />
<br />~ '
<br />
<br />
<br />ORD CORPORATION 1988
<br />
<br />ACORD 25(2001/081
<br />
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